LCDC EXAM PRACTICE WITH CORRECT ANSWERS 2023/2024 (Graded A+)

LCDC EXAM PRACTICE WITH CORRECT ANSWERS 2023/2024 (Graded A+). EMT - Correct answer-urine tests, tests metabolites/drugs, heroin, marij, pcp, cocaine Beck depression - Correct answer-21 item...depression symptoms for 2 weeks...29-63 depression CDT - Correct answer-blood biomarker...detects long term drinking Induced disorder - Correct answer-brought on or worsened by substance sub abuse disorder - Correct answer-substance abuse and dependence Axis I - Correct answer-mood disorders Axis II - Correct answer-personality disorder Cluster A - Correct answer-odd...eccentric...suspicious Cluster B - Correct answer-dramatic...emotional..impulsive...lack empathy Cluster C - Correct answer-Fearful...anxious...perfectionist Axis III - Correct answer-medical Axis IV - Correct answer-environmental and social problems Substance abuse - Correct answer-maladaptive patter of abuse...1 of 4 criteria..failure to meet life duties. cant quit, legal problems, continues regardless of danger Substance dependence - Correct answer-maladaptive pattern...3 of 7 criteria..cutting back, cont use despite prob, tolerance, gives up activities Affect - Correct answer-outward expression to internal state Mood - Correct answer-sustained emotion that colors the perception of the world Dellusions - Correct answer-continued belief of something even when proof against it....false belief based on faulty external reality Hallucinations - Correct answer-sensory perception of reality occuring without external stimuli Illusions - Correct answer-misperception about a real external stimuli...rustling leafs... Assesment - Correct answer-gathering info about pt in order to make informed diagnostic impression Active listening - Correct answer-reflect pt emotions, counselor remains neutral Empathy - Correct answer-ability to perceive pt emotions and see their world thru their eyes concreteness - Correct answer-relates vague aspect to concrete terms...helps with coping skills paraphrasing - Correct answer-picking out emotions and repeating them back with added clarity...builds trust and reduces resistance Reflection - Correct answer-restates content that produces emotions, counselor stays neutral simplifying - Correct answer-reflection, removes confusion, avoids convoluted explanations so they can solve problem in here and now Attending - Correct answer-cues that let pt know your listening Probing - Correct answer-open ended questions help clarify and move to new understanding Reframing - Correct answer-offers new perspective to situation exploring alternatives - Correct answer-examine various options to pt Person Centered Theory - Correct answer-Carl Rogers Person Centered - Correct answer-Here and now...people are resourceful and capable of solving own problems and are trustworthy Person Centered - Correct answer-3 characteristics; unconditional positve regard, genuiness and accurate empathy Person Centered - Correct answer-in addictions counseling; builds rapport and T.R to help pt recover Reality Therapy - Correct answer-William Glasser Reality Therapy - Correct answer-Help pt in here and now...frustrated with psychoanalysis Reality Therapy - Correct answer-humans have 2 basic needs; love and feel worthwhile Reality Therapy - Correct answer-accepts no excuses..holds pt accountable..allows for natural consequences...no enabling Reality Therapy techniques - Correct answer-challenge inappropriate beh, focus on strengths, discourages excses, help pt achieve goal, find constructive way to meet goals Reality therapy - Correct answer-rejects medical mode, emphasis on responsibility, no transference and encourages counselor to be himself Rational Emotive - Correct answer-Albert Ellis Rational Emotive - Correct answer-people born with both rational and irrational beliefs Rational Emotive - Correct answer-learn irrational thoughts as a child that can lead to self destructive behavior...disturbances come from faulty beliefs of everyone should love you Rational Emotive - Correct answer-Help pt confront irrational beliefs through gathering evidence...pt becomes aware of automatic thought process Rational Emotive - irrational thoughts - Correct answer-lead to self criticism, isolation, self abuse, not striving for potential and drug use Rational Emotive - Correct answer-A-B-C; activating event, belief about, and consequences Rational Emotive - techniques - Correct answer-detect irrational beliefs through words (ought, should, must and always)...when is that not true...homework given Cognitive behavior - Correct answer-Aaron Beck Cognitive behavior - Correct answer-focus on here and now, pt with emotional probls have faulty thinking or incorrect info Cognitive behavior - Correct answer-cognitive distortions - over generalization, minimization, personalizing events, polarized thinking Cognitive behavior - Techniques - Correct answer-challenge faulty thoughts, ask where did evidence come from, instill hope, Socratic Brief Therapy - Correct answer-time limited, structured, directed at specific goal Brief Therapy - Correct answer-uses motivation to change behavior, avoid getting ahead of pt, understands stages to help clinican Brief Therapy - Correct answer-reduces pt risk of harm from controlled substance use, specific goals for consumption pattern, key is to extract single behavior change process Brief Therapy - Correct answer-Five Stages Brief Therapy - Precontemplation - Correct answer-user not considering change, or acknowledge problem exists Brief Therapy - contemplation - Correct answer-acknowledges problem, ambivalent about change Brief Therapy - determination - Correct answer-begins once user decides to change - plan of action Brief Therapy - action - Correct answer-putting plan into action, uses new behav, not yet stable Brief Therapy - maintenance - Correct answer-establishes new behav on long term basis Constructivism - Correct answer-George Kelly Constructivism - Correct answer-people have system of constructs and symbols that reflect themselves in their world. Problem is discrepancy between people capacity and current demands of environment. Constructivism - Correct answer-focus current problem,then patterns...attention given to background and early attachment Constructivism - Correct answer-view people positive optimistic terms, they are proactive, goal driven, and they operate according to the knowledge they posses Constructivism - Correct answer-clinican does not direct or pursuade, they use elaboration and metaphors to advance the process, serve as co-investigators helping pt construct rewarding way of being and coping. Feminist therapy - Correct answer-Helen Deutsch and Karen Horney Feminist therapy - Correct answer-develop a traditional role while examining discriminatory aspects of being...not limited to being mother, wife and caregiver Feminist therapy - Correct answer-Give women view of social position and sense of community with new power, possibilities and overriding binding stigmas Family Systems Theory - Correct answer-Bowen Family Systems Theory - Correct answer-past and present focus, 3 generation family of origin Family Systems Theory - Correct answer-differentiation of self, help decrease anxiety and enmeshment, therapist neutral staying out of triangle Family Systems Theory - Correct answer-help addicts decrease anxiety by getting family members to focus on their own recovery Human Validation process - Correct answer-Virginia Satir Human Validation process - Correct answer-Family communicates in present which is based on their past...no need to delve into past Human Validation process - Correct answer-Therapist is the role model, facilitator, resource person and investigator Human Validation process - Correct answer-Clear communication - ask for clarification, look for incongreunt messages and check for assumptions Human Validation process - Correct answer-interprets anger as hurt Human Validation process - Correct answer-Does not allow family members to speak for one another Human Validation process - Correct answer-helps familys listen to each other, interrupt less and speak for themselves Structural famly therapy - present & past - Correct answer-Salvador MinuchinStructural famly therapy - present & past - Correct answer-modify the present Structural famly therapy - present & past - Correct answer-past can be changed by interventions Structural famly therapy - present & past - Correct answer-Three subsystems of nuclear family - parent subsystem, sibling, sibling/parent Structural famly therapy - Clear boundaries - Correct answer-Clear but firm boundaries Structural famly therapy - present & past - Correct answer-family supported but nurtured, balance between autonomy and connectedness; freedom to indivuate Structural famly therapy - Rigid boundaries - Correct answer-too much distance between family members, children fight for boundaries, negotiate for themselves without parental protection Structural famly therapy - diffuse boundaries - Correct answer-enmeshment, everyone in everyone elses business, distinctions not present between subsystems Intervention - organizer - Correct answer-witnessed the addiction firsthand and aware of consequences Intervention - choose team - Correct answer-choose team gather data, make list of incidents, describe incident, no anger or accusations Intervention - rehearse - Correct answer-go over each item on list, determine order to read list, allows you to find out team members individual emotions Intervention - steps - Correct answer-determine steps that will be taken if person does not seek help Intervention - treatment - Correct answer-find out about treatment, cost and info Therapeutic community - Correct answer-believes substance abuse is whole person; self help proess of incremental learning; changes in behavior, values and attitudes Social learning model - Correct answer-therp communities based on social learning model, goal is to learn to be different by participating in community that operates by different rules; commonly used for judicial treatment Deleon components - Correct answer-members contribute, observe peers, model behavir, shared norms and values, structure, and relationships Case Mgt - Assessment - Correct answer-identify pt strength, weakness and needs Case Mgt - Planning - Correct answer-negotiate what pt wants, develop plan for achieving it Case Mgt - linking system - Correct answer-help pt obtain required services by referring to services for formal/informal care Case Mgt - advocacy - Correct answer-intercede on behalf of pt to obtain needed resources Case Mgt - monitoring - Correct answer-evaluate progress continuously and take action if needed Case Mgt - Brokerage- - Correct answer-id pt needs help access resources, no advocacy but when pt needs access to resources Case Mgt - Assertive community - Correct answer-frequent long term contact with pt in natural setting, focus on practical problems of daily living Case Mgt - strengths based - Correct answer-aggressive outreach, helps pt develop goal, advocates, and view community as resources not a barrier, this is an alternative to disease concept Level I Treatment - Correct answer-outpatient Level 2 treatment - Correct answer-intensive outpatient/partical hospitalization Level 3 - Correct answer-residential or inpatient Level 4 - Correct answer-medically managed intensive inpatient Aftercare - Correct answer-called continuing care, follows discharge, case mgr helps transition, and take responsibility for their lives Disengagement - Correct answer-takes place over time, discuss what has been learned in treatment Community resources - Correct answer-coordination variety of resources, counselor should be familiar with resources Advocacy coordination in case mgt - Correct answer-involves coordinating with family, community agencies, legal system and legislative bodies Culturally sensitive case mgt - Correct answer-pt should be linked to services whose values are consistent with their own Case mgt with women - Correct answer-reluctant to seek treatment without encouragement, medical, mental health and family counseling see more women