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Alcohol and Drug Counselor Screening and Assessment Techniques Flashcards

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  1. Which of the following best describes the purpose of the Addiction Severity Index (ASI)?

    Answer: To assess problem severity across seven life domains

    The ASI evaluates problem severity in medical, employment, alcohol, drug, legal, family/social, and psychiatric domains to guide treatment planning.

  2. A counselor suspects a client may be minimizing substance use during a self-report assessment. Which strategy best improves the validity of the data collected?

    Answer: Use multiple methods including biological testing and collateral sources

    Combining self-report with biological markers (e.g., urinalysis) and collateral information from family or records reduces the impact of minimization or denial.

  3. The CRAFFT screening tool is validated for use with which population?

    Answer: Adolescents under age 21

    CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) was specifically developed and validated to screen adolescents for substance use risk.

  4. During an initial assessment, a client presents with tremors, diaphoresis, and elevated heart rate. The counselor should prioritize:

    Answer: Administering the CIWA-Ar to assess alcohol withdrawal severity

    The CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol) quantifies withdrawal symptom severity and guides medical management decisions.

  5. Which assessment domain is addressed when a counselor asks a client about their employment history, current job status, and financial stability?

    Answer: Vocational/employment domain

    Employment history and financial stability are core components of the vocational or employment domain in a comprehensive biopsychosocial assessment.

  6. A client scores 3 on the AUDIT-C. What does this result most likely indicate for a male client?

    Answer: Hazardous or at-risk drinking

    For men, an AUDIT-C score of 4 or higher indicates hazardous drinking; a score of 3 is just below threshold and warrants brief counseling.

  7. When conducting a mental status examination as part of a substance use assessment, a counselor evaluates the client's orientation to person, place, and time. This assesses which component?

    Answer: Sensorium/cognition

    Orientation to person, place, and time is a core component of sensorium and cognitive functioning within the mental status examination.