Patient Assessment & Clinical Evaluation Flashcards
7 cards from real ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
A 28-year-old pregnant woman presents for addiction evaluation. Which screening tool is validated and recommended for substance use during pregnancy?
Answer: 4Ps Plus
The 4Ps Plus screen (Parents, Partner, Past, Pregnancy) is validated for identifying substance use risk in pregnant women.
Which component of the biopsychosocial assessment addresses a patient's trauma history and its relationship to substance use?
Answer: Psychosocial history
Trauma history is captured in the psychosocial history component, which explores adverse life events and their connection to substance use initiation and maintenance.
During motivational interviewing-based assessment, the clinician notices the patient is ambivalent about stopping cannabis use. The BEST next step is to:
Answer: Explore the patient's pros and cons of use using a decisional balance
Exploring ambivalence through a decisional balance is a core MI technique that elicits the patient's own reasons for change.
Which finding on urine drug screen would suggest benzodiazepine use not disclosed by the patient?
Answer: Positive for oxazepam and temazepam metabolites
Oxazepam and temazepam are benzodiazepine metabolites that appear in urine; their presence without a prescription suggests undisclosed use.
Which co-occurring psychiatric disorder is MOST commonly associated with stimulant use disorder and should be assessed at intake?
Answer: ADHD and mood disorders
ADHD and mood disorders, particularly depression and bipolar disorder, are highly prevalent among patients with stimulant use disorder.
A patient in early recovery from opioid use disorder endorses persistent anhedonia and sleep disturbance. The clinician should FIRST consider:
Answer: Protracted abstinence syndrome vs. independent depressive disorder
Protracted withdrawal symptoms mimic depression; distinguishing them from an independent mood disorder requires observation over time before prescribing.
Which validated tool screens specifically for unhealthy alcohol use in primary care settings using only 3 questions?
Answer: AUDIT-C
The AUDIT-C is a 3-item condensed version of the full AUDIT that effectively screens for hazardous and harmful alcohol use.