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LCAS–NC Exam Study Guide 2025/2026 – Fully Solved Practice Questions and Verified Answers

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This comprehensive study guide is designed for candidates preparing for the Licensed Clinical Addictions Specialist (LCAS) – North Carolina exam for the 2025/2026 cycle. It features a complete set of practice questions with detailed, verified solutions based on the official LCAS exam content areas: clinical evaluation, treatment planning, counseling, case management, client education, and professional responsibility. Each answer is fully explained and aligned with current addiction counseling standards and ethical guidelines recognized by the NCSAPPB. Perfect for those seeking a structured, accurate, and confidence-building preparation resource.

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LCAS - NC exam study guide fully
solved & verified for accuracy 2024
Methadone - answer the only long-acting full opioid agonist approved for treatment, at this time. It
provides a range of effects similar to those of short-acting opitates like Heroin and Morphine, surpressing
withdrawal symptoms and avoiding cravings as the opioid is eliminated from the body. Dose needed for
cross-tolerance depends on client's level of tolerance for the drug(s).



Trauma-informed treatments - answer This treatment approach should minimize the risk of re-
traumatization or replicating prior trauma dynamics. Ex: Clients may express feelings of powerlessness or
being trapped if they are not active involved in treatment decisions or if providers mirror specific
behaviors/dynamics from client's past traumatic experiences.



Screening - answer The first two steps in in this process are to determine whether the client as a history
of trauma and whether he/she has trauma related symptoms.



Screening - answer Often the first contact between client and treatment providers, this interaction can
set the tone of treatment and being the relationship with the client.



Assessment - answer When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________



Assessment - answer This process should reoccur throughout treatment, to provide valuable information
and details as client's trust in staff members grow and progress occurs.



CBT - answer Most PTSD and SA models involve ________________ that integrates cognitive and
behavioral theories by incorporation two ideas: that thoughts mediate between situational demands and
one's attempts to effective respond and that behavioral change influences acceptance of altered
cognition about oneself or a situation and establishment of newly learned patterns



Cognitive Processing Therapy - answer a manualized 12-session treatment approach which can be
administered in group or individual practice, which involves Exposure Therapy.

, Exposure Therapy - answer This type of therapy asks clients to directly describe and explore trauma-
related memories, objects, emotions, or places. Intense emotions are evoked, but decrease,
desensitizing clients through repeated encounters with traumatic material.



Experimental and Social Use of Drugs and Alcohol (stage 1) - answer occasional - perhaps a few times
monthly, usually on weekends or at parties with friends. May use when alone. Little to no behavioral
changes, occasional, moderate hangover.



Abuse of Drugs and Alcohol (stage 2) - answer regular use - up to several times a week. may begin use
during the day. may be using along rather than with friends. There are behavioral indicators in this phase
of addiction, such as a decrease in activities, declined in school or work performance, and greater
interest in use. May use to manipulate emotions in this phase. May sell drugs or keep supply for personal
use.



Dependency/Addiction Phase (Stage 3) - answer daily use, continuous. will take serious risks to obtain
drugs/alcohol, potentially including criminal behavior. Drugs/Alcohol help client to feel normal.
Behavioral indicators can include changes in weight, health issues, poor appearance, memory loss,
volatile mood swings, employment loss, possible overdoses, lack of concern about being caught. Chronic
relapsing disorder in his phase.



Alcohol - answer The most widely used and accepted drug, past and present. A depressant, similar to the
anesthetic drug ether. The only non-medical drug taken "only" orally. It slows heart rate and slows
breathing. It depresses the brain. This is the only drug with which a large number of those who use it do
not become physically dependent on it. An estimated 10% of those who use it become dependent.



Other Sedative-Hynotics - answer sedative and hypnotic agents which are non-barbiturate or non-
benzodiazepines, including Quaaludes, Ambien (Zolpidem), and Lunesta (Eszopiclone).



Narcotics or Opiates/Opioids - answer Drugs that cause sedation and euphoria by causing depression of
the central nervous system.



Narcotics or Opiates/Opioids - answer Used medically to relieve pain, suppress cough and control
diarrhea, as well as some anxiety relief.



Narcotics or Opiates/Opioids - answer Overdose can cause death by respiratory depression

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