LCDC Clinical Evaluation 2 — Questions and Answers
Question 1: During intake, a client minimizes their alcohol use. Which motivational technique helps explore this discrepancy?
- Reflective listening with open-ended questions (Correct answer)
- Confrontation
- Psychoeducation about alcohol risks
- Immediate referral to detox
Correct answer: Reflective listening with open-ended questions
Reflective listening with open-ended questions is a core motivational interviewing technique that helps clients explore and resolve ambivalence.
Question 2: The CAGE questionnaire screens specifically for problems related to:
- Alcohol use (Correct answer)
- Opioid use
- Stimulant use
- Benzodiazepine use
Correct answer: Alcohol use
The CAGE is a four-question tool (Cut down, Annoyed, Guilty, Eye-opener) designed specifically to screen for alcohol problems.
Question 3: Which of the following best describes 'collateral information' in a clinical evaluation?
- Data gathered from sources other than the client, such as family or records (Correct answer)
- Court-ordered documentation
- Prior treatment discharge summaries only
- Information collected during group therapy
Correct answer: Data gathered from sources other than the client, such as family or records
Collateral information includes data from family members, medical records, probation officers, or other sources that supplements the client's self-report.
Question 4: A urine drug screen shows positive results for benzodiazepines, but the client denies use. The counselor should:
- Discuss the result non-judgmentally and explore possible explanations (Correct answer)
- Immediately discharge the client
- Report the client to law enforcement
- Assume the test is inaccurate
Correct answer: Discuss the result non-judgmentally and explore possible explanations
Discussing the result non-judgmentally preserves the therapeutic alliance and allows for exploration of prescribed medications or other explanations.
Question 5: Co-occurring disorders refer to the simultaneous presence of:
- A substance use disorder and at least one mental health disorder (Correct answer)
- Two or more substance use disorders
- A substance use disorder and a medical condition
- A personality disorder and an anxiety disorder
Correct answer: A substance use disorder and at least one mental health disorder
Co-occurring disorders (dual diagnosis) specifically describe the presence of both a substance use disorder and one or more mental health diagnoses.
Question 6: In assessing readiness for change, which stage is characterized by a client acknowledging a problem but not yet committed to action?
- Contemplation (Correct answer)
- Precontemplation
- Preparation
- Maintenance
Correct answer: Contemplation
In the contemplation stage, the client is aware of a problem and is considering change but has not made a commitment to act.
LCDC Clinical Evaluation 2
During intake, a client minimizes their alcohol use.
Which motivational technique helps explore this discrepancy?