CAADE Assessment Techniques 4

Question 1

The CAGE questionnaire's four questions ask about cutting down, annoyance by criticism, guilty feelings, and:

Accepted Answer

Eye-opener drinking in the morning

Answer

The 'E' in CAGE stands for Eye-opener, referring to whether the client has ever had a drink first thing in the morning to steady nerves or get rid of a hangover.

Question 2

When assessing trauma history in a client with substance use disorder, why is this information clinically significant?

Accepted Answer

Unresolved trauma often underlies or exacerbates substance use and must be addressed in treatment planning

Answer

Unresolved trauma is a major contributor to substance use disorders, and trauma-informed treatment planning leads to significantly better outcomes.

Question 3

Which level of care does ASAM recommend when a client has significant withdrawal risk but stable mental health and a supportive home environment?

Accepted Answer

Level 2.1: Intensive Outpatient with withdrawal management

Answer

Level 2.1 IOP with withdrawal management provides medical oversight for withdrawal while allowing the client to remain in their supportive environment without full inpatient admission.

Question 4

A client reports blacking out regularly but denies having an alcohol problem. This discrepancy during assessment is BEST addressed by:

Accepted Answer

Reflectively summarizing the discrepancy between the behavior and the client's self-assessment in a non-confrontational way

Answer

Motivational interviewing techniques such as reflective listening and developing discrepancy allow clients to recognize inconsistencies without triggering defensiveness.

Question 5

Which factor would MOST indicate a higher level of care is needed according to ASAM Dimension 6 (Recovery Environment)?

Accepted Answer

The client lives with active substance users who are unsupportive of recovery

Answer

Living with active substance users in an unsupportive environment significantly elevates relapse risk and may necessitate a more structured level of care.

(CAADE) California Association for Alcohol/Drug Educators Certification Practice Test

(CAADE) California Association for Alcohol/Drug Educators Certification Practice Test

CAADE Assessment Techniques 4