LCAS EXAM QUESTIONS AND
REVISED ANSWERS (VERIFIED
ANSWERS)
Describe the hero role in family dynamics - Answer- -Usually the oldest child
-Provides self-worth to family (an achiever, appears to have it all together)
-Tries to fix the problems between parents by achieving something that will make them
proud/forget problems
-Will often give up and separate self from family, move away
-Often the next generation of enablers
Describe the scapegoat role in family dynamics - Answer- -Usually the second child
-Role is to take the attention away from the alcoholic/person of concern by accepting
blame for family's trouble
-Usually seeks acceptance from peers who are also having trouble with parents, often
gets involved in drugs or criminal activity
-Often becomes the next generation of alcoholics/drug users
Describe the lost child role in family dynamics - Answer- -Usually the youngest
-Role is to cause no trouble for the family
-Receives little positive or negative attention from family
Describe the mascot role in family dynamics - Answer- -Usually the third or middle child
-Senses something wrong in the family but receives reassurance from others there isn't,
causes cognitive dissonance
-Feels less frightened when getting attention, leads to constantly acting in ways to
receive attention (clowning around etc.)
Adult Children of Alcoholics - General Statement - Answer- -Often carry over childhood
problems related to alcohol into adulthood
-Need help dealing with feelings
-Tend to struggle with intimate relationships
-At higher risk for developing an addiction
-Continually seek approval or flaunt contempt
-Often either super responsible or super irresponsible
Describe treatment planning - Answer- The process by which the counselor and the
client:
,-Identify and rank problems needing resolution
-Establish agreed upon immediate and long term goals
-Decide on treatment methods and the resources to be used
-Is based on the assessment, should be individualized, identify strengths and
limitations, involve family where appropriate
Describe case management - Answer- -Activities which bring services, agencies,
resources, or people together with a planned framework of action toward the
achievement of established goals
May involve liaison activities and collateral contacts
List the 12 core functions of substance abuse counseling - Answer- 1) Screening
2) Intake
3) Orientation
4) Assessment
5) Treatment Planning
6) Counseling
7) Case Management
8) Crisis Intervention
9) Client Education
10) Referral
11) Report and Record Keeping
12) Consultation
Describe client education (as a 12 core function) - Answer- -Provision of information to
individuals and groups concerning alcohol and other drug use and the available
services and resources
Describe referral (as a 12 core function) - Answer- -Identifying the needs of the client
that cannot be met by the counselor agency and helping the client to utilize the support
systems and community resources available
-Referral is closed related to case management when integrated into the initial and
ongoing treatment plan. It also includes, however, aftercare or discharge referrals that
take into account the continuum of care
Describe the Id, Ego, and Superego of Psychodynamic theory - Answer- Id: collection of
instincts and basic urges, wants immediate gratification, unconscious
Ego: rational/reasoning part of the mind, deals with reality, negotiator between Id and
Superego, uses defense mechanisms, partially conscious
Superego: the conscience, ideals and rules learned from parents and other adults,
frequently in conflict with the Id, unconscious
,Defense mechanisms: repression - Answer- Forcing unacceptable thoughts and
feelings from the conscious mind into the unconscious mind
*"Forget" it but still act from it because it is not resolved
Defense mechanisms: projection - Answer- Accusing others of motives and traits that
the person senses are true about themselves but finds unacceptable
Defense mechanisms: displacement - Answer- Discomfort is created by one person but
there is too much anxiety to talk directly with the person, so the individual takes their
feelings out on someone or something less threatening (e.g. kicking the dog)
Defense mechanisms: reaction formation - Answer- Exchanging an unacceptable urge
or feeling for a more acceptable one - often expressed in excess
(e.g. dislike or resenting sibling who is the favorite, instead of expressing that will act
overly affectionate towards sibling)
Defense mechanisms: regression - Answer- Returning to more immature behavior that
used to be satisfying - occurs from frequently when under extreme pressure
Defense mechanisms: rationalization - Answer- Finding satisfactory reason for doing
something unacceptable
Defense mechanisms: intellectualization - Answer- Understanding a difficult situation
with the mind but not allowing any feelings about it
Psychodynamic Theory: View of the person - Answer- The mind is composed of the Id,
Ego, and Superego
An individual is in constant battle between the Id's desire for immediate gratification and
the super ego's restraint
All people use defense mechanisms sometimes
By the time a person is 5 years old their personality is already formed: the rest of life is
an acting out of unresolved conflicts
Each person develops through a series of stages, each with its own conflicts to resolve
> if there is no resolution to the conflict at a particular stage, the individual will remain
stuck (fixated) there
Person-centered Therapy: 3 counselor core conditions - Answer- -Genuineness
-Empathy
-Unconditional positive regard
, What are the stages of change? - Answer- precontemplation, contemplation,
preparation, action, maintenance
What does the CAGE stand for? - Answer- C- cut down
A- annoyed
G- guilty
E- eye opener
What does THC stand for? - Answer- delta-9-tetrahydrocannabinol
What does LSD stand for? - Answer- lysergic acid diethylamide
What is hemp? - Answer- The word used to describe Cannabis sativa plants that are
high in fiber content and generally low in psychoactive components (marijuana is used
to describe cannabis sativa high in psychoactive components)
Morphine is how many times more powerful than opium? - Answer- 10 times
What is the scientific name for heroin and what is its strength compared to morphine? -
Answer- Diacetyl morphine - two to five times stronger than morphine
What year was AA founded, and who founded it? - Answer- Founded in 1934 by Bill
Wilson and Dr. Bob Smith
Sedatives are generally used to _________________________ while hypnotics are
mostly used to __________________ - Answer- Calm anxiety; induce sleep
Name the five most common brand name benzodiazepines sedatives - Answer-
Librium, Valium, Xanax, Klonopin, and Halcion
What is GHB? - Answer- gamma hydroxybutyrate - a sedative originally developed as
an anesthetic -> began to be used as a sedative to induce euphoria, also used as a
date rape drug
What is DXM? - Answer- dextromethorphan - found in many non-prescription cough and
cold medications, can induce psychedelic effects when used in large quantities (10 to
30x normal dose)
What are the brand names of hydrocodone? - Answer- Vicodin, Lortab, Norco, Anexsia,
Hycodan, and Tylox
What is the generic name of Oxycontin? - Answer- Oxycodone (time release version of
Percodan)
