LCDC Test questions with verified solution 2023
A wife refers her husband for substance abuse counseling. His drug of choice is
cocaine which he has been using episodically with friends at a poker game
(biweekly to weekly) for some years. She is disturbed at the illicit nature of the
drug and the long standing use. He stated that though he recreationally uses, he
doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game
who bring it. He feels that other than his wife being upset, he has no other social
or occupational issues. Given the information provided, how is his use of cocaine
BEST described?
IT IS NOT described as: Substance abuse, cocaine intoxication, or cocaine use
disorder.
What is Neuroplasticity?
the ability of the brain to form and reorganize synaptic connections following an injury or
longterm drug use.
What does the experienced effect of a drug depend upon?
1.amount taken & past experiences
2.mode of administration
3.poly drug use
How is drug tolerance BEST described?
A (Decreased) sensitivity to a drug overtime
List some drug cues or triggers:
1.Prior drug use setting
2.Drug Paraphernalia
3.Seeing others use
What does (SASSI) stand for & what is it?
(Substance Abuse Subtle Screening Inventory)
a brief self-report questionnaire that identifies substance use disorder. For adults &
adolescents. now there's 3rd edition (SASSI-3) for adults. (67 true & false items & a 26
item self report questions)
What happens as tolerance for barbiturates develops?
The margin between intoxication & lethality stays the same.
What is the MOST common symptom of Wernicke's encephalopathy?
Confusion
What does (formication) refer to?
The sensation of bugs crawling on skin.
Or (Magnon's syndrome)
What is the organ most damaged by cocaine abuse?
The Heart
List (3) basic chemical classes of amphetamines:
1.Methamphetamine (meth)
2.Amphetamine Sulphate (speed)
3.Dextroamphetamine (Dexy's)
In terms of difficulty quitting (dependence), which of the following drugs ranks
the highest?
Nicotine
,THC content in marijuana varies widely.
True or false?
True
Regarding substance abuse, what does the Convergence Theory propose?
Rates of substance abuse among women are converging with men.
Which subcategory of alcohol use disorder onset is NOT found in the elderly?
(Early onset) alcoholism
At an initial meeting with a new client, what is the FIRST requirement?
Establish Rapport
What does motivational interviewing primarily involve?
Supportive Persuasion
What percentage of individuals with a dual diagnosis (co-occurring disorders)
received treatment for only their mental illness?
32.9% percent
What factors can affect screening instrument validity?
1.setting/privacy
2.rapport/trust
3.clear instructions
Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can
perform?
Diagnose Mental Disorders
What does the acronym (GATE) stand for& what is it?
1.Gather Info
2.Access Supervision
3.Take action
4.Extend action
(addresses suicidality)
Assessments processes and instruments need to be sensitive to:
1.Race & ethnicity
2.Age & gender
3.Disabilities
What are serious mental health symptoms that resolve with abstinence in (thirty
days or less) most likely to?
Substance abuse-induced disorders that require continued abstinence.
Which one of the following alcohol abuse screening tests is designed specifically
for use with (adolescents), and briefly describe it?
(CRAFFT)
A brief 6 question screening tool that identifies high risk alcohol & substance use
disorders. Derives name from key words:
C: Ever driven in a CAR with someone using alcohol/drugs?
R: Ever use to RELAX?
A: Ever use ALONE?
F: Ever FORGET things while using?
F: Ever been told by family/FRIENDS to stop?
T: Ever gotten in TROUBLE using?
,Which of the following is the MOST important introductory statement or question
to ask in a suicidality evaluation?
I need to ask you a few questions about suicide.
What is the purpose of screening?
To determine the need for placement & referral.
What is the primary purpose of substance abuse assessment?
To determine the severity of the problem.
Who should create a treatment plan?
A Collaborative team w/the client.
How must 'assessment information' be handled to be the Most effective?
Info should be converted into goals & objectives.
What does NOT bolster a client's desire to complete the program?
(Frequent) interdisciplinary consultations.
When is a client fully prepared to enter treatment?
When they accept the need for treatment.
The Guiding principles when writing goals in (treatment planning) are identified
by which acronym?
(MATRS)
M:Measurable
A:Attainable
T: Time limited
R:Realistic
S:Specific
In cases involving the criminal justice system, what is the minimum
recommendation for frequency of updating treatment plans?
At all transition points.
The Addiction Severity Index (ASI) has been formally adopted by which
organization?
The National Institute on Drug Abuse (NIDA)
What does it mean if an assessment instrument is valid?
The instrument assesses what it's supposed to assess.
Are the following statements True or False?
1.Depression can lead to self medication with drugs
2.Drugs can induce symptoms of depression.
3.Drugs can worsen symptoms of depression.
They are all (True)
How does motivation for participating in treatment differ from motivation to
change behaviors
Motivation for change is internal;
Yet treatment may be pushed on a client.
How does the Center for Substance Abuse Treatment (CSAT) recommend that
substance abuse be considered and treated?
As a chronic, yet treatable condition.
How does the Center for Substance Abuse Treatment (CSAT) indicate that
treatment or interventions provided following discharge from a formal inpatient or
outpatient program be referred to?
, For Continuing Care
What is the best distinction between substance abuse treatment programs and
mutual-help groups, such as 12 step support groups?
Programs offer (treatment)
and groups offer (support)
What are the intensive outpatient treatment (IOT) CORE features that the Center
for Substance Abuse Treatment (CSAT) consensus panel agreed upon?
1.intake & orientation
2.full biopsychosocial
3.individualized treatment plan
4.individual, family & group counseling
5.psychoeducational programming
6.case-management
7.linkages with help
8.community based support groups
9. (24) hour crisis support
10. medical treatment/medication mngmt
11.drug screening
12.educational/vocational services
13.psychiatric evaluation & psychotherapy
14.discharge planning & transition services
What are some of the Core treatment and recovery skills?
Training in: 1.Assertiveness
2.Relaxation
3.Stress management
4.Substance refusal
What are the 7 primary learning styles?
1.aural (auditory)
2.visual (spatial)
3.verbal (linguistic)
4.physical (kinesthetic)
5.logical (mathematic)
6.social (inter-personal)
7.solitary (intra-personal)
What is the influence of (family) on treatment outcomes?
They improve with family (support), yet can worsen with family (involvement).
How many main levels exist in the substance abuse continuum of care, according
to the American Society of Addiction Medicine (ASAM), and what are they?
(4 main levels)
Level 0.5: Early intervention
Level 1: (Outpatient)
(less than 9 hrs a wk)
Level 2: (Intensive-Outpatient) hospitalization (min 9 hrs a wk)
Level 3: (Residential-Inpatient)
(min 25 hrs a wk)
Level 4: (Intensive-Inpatient) Medically Managed daily physician supervision
A wife refers her husband for substance abuse counseling. His drug of choice is
cocaine which he has been using episodically with friends at a poker game
(biweekly to weekly) for some years. She is disturbed at the illicit nature of the
drug and the long standing use. He stated that though he recreationally uses, he
doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game
who bring it. He feels that other than his wife being upset, he has no other social
or occupational issues. Given the information provided, how is his use of cocaine
BEST described?
IT IS NOT described as: Substance abuse, cocaine intoxication, or cocaine use
disorder.
What is Neuroplasticity?
the ability of the brain to form and reorganize synaptic connections following an injury or
longterm drug use.
What does the experienced effect of a drug depend upon?
1.amount taken & past experiences
2.mode of administration
3.poly drug use
How is drug tolerance BEST described?
A (Decreased) sensitivity to a drug overtime
List some drug cues or triggers:
1.Prior drug use setting
2.Drug Paraphernalia
3.Seeing others use
What does (SASSI) stand for & what is it?
(Substance Abuse Subtle Screening Inventory)
a brief self-report questionnaire that identifies substance use disorder. For adults &
adolescents. now there's 3rd edition (SASSI-3) for adults. (67 true & false items & a 26
item self report questions)
What happens as tolerance for barbiturates develops?
The margin between intoxication & lethality stays the same.
What is the MOST common symptom of Wernicke's encephalopathy?
Confusion
What does (formication) refer to?
The sensation of bugs crawling on skin.
Or (Magnon's syndrome)
What is the organ most damaged by cocaine abuse?
The Heart
List (3) basic chemical classes of amphetamines:
1.Methamphetamine (meth)
2.Amphetamine Sulphate (speed)
3.Dextroamphetamine (Dexy's)
In terms of difficulty quitting (dependence), which of the following drugs ranks
the highest?
Nicotine
,THC content in marijuana varies widely.
True or false?
True
Regarding substance abuse, what does the Convergence Theory propose?
Rates of substance abuse among women are converging with men.
Which subcategory of alcohol use disorder onset is NOT found in the elderly?
(Early onset) alcoholism
At an initial meeting with a new client, what is the FIRST requirement?
Establish Rapport
What does motivational interviewing primarily involve?
Supportive Persuasion
What percentage of individuals with a dual diagnosis (co-occurring disorders)
received treatment for only their mental illness?
32.9% percent
What factors can affect screening instrument validity?
1.setting/privacy
2.rapport/trust
3.clear instructions
Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can
perform?
Diagnose Mental Disorders
What does the acronym (GATE) stand for& what is it?
1.Gather Info
2.Access Supervision
3.Take action
4.Extend action
(addresses suicidality)
Assessments processes and instruments need to be sensitive to:
1.Race & ethnicity
2.Age & gender
3.Disabilities
What are serious mental health symptoms that resolve with abstinence in (thirty
days or less) most likely to?
Substance abuse-induced disorders that require continued abstinence.
Which one of the following alcohol abuse screening tests is designed specifically
for use with (adolescents), and briefly describe it?
(CRAFFT)
A brief 6 question screening tool that identifies high risk alcohol & substance use
disorders. Derives name from key words:
C: Ever driven in a CAR with someone using alcohol/drugs?
R: Ever use to RELAX?
A: Ever use ALONE?
F: Ever FORGET things while using?
F: Ever been told by family/FRIENDS to stop?
T: Ever gotten in TROUBLE using?
,Which of the following is the MOST important introductory statement or question
to ask in a suicidality evaluation?
I need to ask you a few questions about suicide.
What is the purpose of screening?
To determine the need for placement & referral.
What is the primary purpose of substance abuse assessment?
To determine the severity of the problem.
Who should create a treatment plan?
A Collaborative team w/the client.
How must 'assessment information' be handled to be the Most effective?
Info should be converted into goals & objectives.
What does NOT bolster a client's desire to complete the program?
(Frequent) interdisciplinary consultations.
When is a client fully prepared to enter treatment?
When they accept the need for treatment.
The Guiding principles when writing goals in (treatment planning) are identified
by which acronym?
(MATRS)
M:Measurable
A:Attainable
T: Time limited
R:Realistic
S:Specific
In cases involving the criminal justice system, what is the minimum
recommendation for frequency of updating treatment plans?
At all transition points.
The Addiction Severity Index (ASI) has been formally adopted by which
organization?
The National Institute on Drug Abuse (NIDA)
What does it mean if an assessment instrument is valid?
The instrument assesses what it's supposed to assess.
Are the following statements True or False?
1.Depression can lead to self medication with drugs
2.Drugs can induce symptoms of depression.
3.Drugs can worsen symptoms of depression.
They are all (True)
How does motivation for participating in treatment differ from motivation to
change behaviors
Motivation for change is internal;
Yet treatment may be pushed on a client.
How does the Center for Substance Abuse Treatment (CSAT) recommend that
substance abuse be considered and treated?
As a chronic, yet treatable condition.
How does the Center for Substance Abuse Treatment (CSAT) indicate that
treatment or interventions provided following discharge from a formal inpatient or
outpatient program be referred to?
, For Continuing Care
What is the best distinction between substance abuse treatment programs and
mutual-help groups, such as 12 step support groups?
Programs offer (treatment)
and groups offer (support)
What are the intensive outpatient treatment (IOT) CORE features that the Center
for Substance Abuse Treatment (CSAT) consensus panel agreed upon?
1.intake & orientation
2.full biopsychosocial
3.individualized treatment plan
4.individual, family & group counseling
5.psychoeducational programming
6.case-management
7.linkages with help
8.community based support groups
9. (24) hour crisis support
10. medical treatment/medication mngmt
11.drug screening
12.educational/vocational services
13.psychiatric evaluation & psychotherapy
14.discharge planning & transition services
What are some of the Core treatment and recovery skills?
Training in: 1.Assertiveness
2.Relaxation
3.Stress management
4.Substance refusal
What are the 7 primary learning styles?
1.aural (auditory)
2.visual (spatial)
3.verbal (linguistic)
4.physical (kinesthetic)
5.logical (mathematic)
6.social (inter-personal)
7.solitary (intra-personal)
What is the influence of (family) on treatment outcomes?
They improve with family (support), yet can worsen with family (involvement).
How many main levels exist in the substance abuse continuum of care, according
to the American Society of Addiction Medicine (ASAM), and what are they?
(4 main levels)
Level 0.5: Early intervention
Level 1: (Outpatient)
(less than 9 hrs a wk)
Level 2: (Intensive-Outpatient) hospitalization (min 9 hrs a wk)
Level 3: (Residential-Inpatient)
(min 25 hrs a wk)
Level 4: (Intensive-Inpatient) Medically Managed daily physician supervision
