Texas Licensed Chemical Dependency
Counselor (LCDC) Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant
Download Pdf
1. What is the primary goal of the screening process in substance abuse
treatment?
a) To determine the client’s family history
b) To identify co-occurring mental health issues
c) To determine whether the client is appropriate for the program
d) To develop a treatment plan
Screening is used to determine whether a client is appropriate and eligible
for a particular treatment program.
2. Which of the following best describes the disease model of addiction?
a) Addiction is a moral failing
b) Addiction is a chronic, relapsing brain disease
c) Addiction is a learned behavior
d) Addiction is a temporary condition
,The disease model views addiction as a chronic illness affecting brain
chemistry and behavior.
3. During which core function does the counselor develop an
individualized treatment plan?
a) Screening
b) Assessment
c) Treatment Planning
d) Referral
Treatment planning follows assessment and is essential for setting
individualized goals and strategies.
4. The best initial response when a client expresses suicidal thoughts is
to:
a) Ignore it if the client is stable
b) Tell them it’s just withdrawal symptoms
c) Assess for risk and refer immediately if needed
d) Document and continue with the session
Suicidal ideation requires immediate attention and possibly referral to
emergency services or mental health professionals.
5. A client with both a substance use disorder and a mental health
disorder is considered to have:
a) A behavioral dependency
b) A co-occurring disorder
,c) A psychological dependency
d) A dual-diagnosis failure
Co-occurring disorders refer to individuals who experience both substance
use and mental health disorders simultaneously.
6. Which of the following best defines "codependency"?
a) Use of multiple substances
b) A behavioral condition in a person who is close to someone with an
addiction
c) Dependence on prescription drugs
d) Chronic denial of one’s addiction
Codependency refers to a dysfunctional helping relationship where one
person supports or enables another’s addiction.
7. The most appropriate tool to assess withdrawal symptoms is:
a) SASSI
b) Beck Depression Inventory
c) CIWA-Ar
d) MMPI-2
The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is used
to quantify and manage alcohol withdrawal symptoms.
8. The stage of change where the individual is aware of the problem but
not yet ready to change is:
, a) Precontemplation
b) Contemplation
c) Preparation
d) Action
In the contemplation stage, clients acknowledge the problem but are
ambivalent about change.
9. Which federal law protects the confidentiality of substance use
disorder treatment records?
a) HIPAA
b) 42 CFR Part 2
c) ADA
d) FERPA
42 CFR Part 2 provides extra protections for substance use treatment
records beyond HIPAA.
10. Which of the following is a short-acting opioid antagonist used
to reverse overdose?
a) Methadone
b) Buprenorphine
c) Naloxone
d) Naltrexone
Naloxone is used in emergencies to reverse opioid overdose symptoms
rapidly.
Counselor (LCDC) Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant
Download Pdf
1. What is the primary goal of the screening process in substance abuse
treatment?
a) To determine the client’s family history
b) To identify co-occurring mental health issues
c) To determine whether the client is appropriate for the program
d) To develop a treatment plan
Screening is used to determine whether a client is appropriate and eligible
for a particular treatment program.
2. Which of the following best describes the disease model of addiction?
a) Addiction is a moral failing
b) Addiction is a chronic, relapsing brain disease
c) Addiction is a learned behavior
d) Addiction is a temporary condition
,The disease model views addiction as a chronic illness affecting brain
chemistry and behavior.
3. During which core function does the counselor develop an
individualized treatment plan?
a) Screening
b) Assessment
c) Treatment Planning
d) Referral
Treatment planning follows assessment and is essential for setting
individualized goals and strategies.
4. The best initial response when a client expresses suicidal thoughts is
to:
a) Ignore it if the client is stable
b) Tell them it’s just withdrawal symptoms
c) Assess for risk and refer immediately if needed
d) Document and continue with the session
Suicidal ideation requires immediate attention and possibly referral to
emergency services or mental health professionals.
5. A client with both a substance use disorder and a mental health
disorder is considered to have:
a) A behavioral dependency
b) A co-occurring disorder
,c) A psychological dependency
d) A dual-diagnosis failure
Co-occurring disorders refer to individuals who experience both substance
use and mental health disorders simultaneously.
6. Which of the following best defines "codependency"?
a) Use of multiple substances
b) A behavioral condition in a person who is close to someone with an
addiction
c) Dependence on prescription drugs
d) Chronic denial of one’s addiction
Codependency refers to a dysfunctional helping relationship where one
person supports or enables another’s addiction.
7. The most appropriate tool to assess withdrawal symptoms is:
a) SASSI
b) Beck Depression Inventory
c) CIWA-Ar
d) MMPI-2
The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is used
to quantify and manage alcohol withdrawal symptoms.
8. The stage of change where the individual is aware of the problem but
not yet ready to change is:
, a) Precontemplation
b) Contemplation
c) Preparation
d) Action
In the contemplation stage, clients acknowledge the problem but are
ambivalent about change.
9. Which federal law protects the confidentiality of substance use
disorder treatment records?
a) HIPAA
b) 42 CFR Part 2
c) ADA
d) FERPA
42 CFR Part 2 provides extra protections for substance use treatment
records beyond HIPAA.
10. Which of the following is a short-acting opioid antagonist used
to reverse overdose?
a) Methadone
b) Buprenorphine
c) Naloxone
d) Naltrexone
Naloxone is used in emergencies to reverse opioid overdose symptoms
rapidly.
