Screening and Assessment Flashcards
7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Screening and Assessment flashcards as text
Which ethical principle requires a counselor to share assessment findings honestly with the client, including limitations of the instruments used?
Answer: Autonomy and informed consent
Informed consent and respect for autonomy obligate counselors to explain what assessment tools measure, their limitations, and how results will be used.
The T-ACE screening tool was specifically developed to detect risky drinking in which clinical context?
Answer: Prenatal care for pregnant women
T-ACE was designed and validated for use with pregnant women in prenatal settings, where alcohol use poses risk to fetal development.
Which assessment domain evaluates a client's history of legal problems, including DUI arrests, probation, or incarceration?
Answer: Biopsychosocial — Social history
Legal history is a standard component of the social history section within a biopsychosocial assessment.
A counselor administers the DAST-10 to a new client. A score of 6 or higher indicates:
Answer: Substantial drug use problems warranting further assessment
DAST-10 scores of 6–8 indicate substantial problems and 9–10 indicate severe problems, both requiring comprehensive assessment and likely treatment referral.
When assessing a client's relapse potential, which ASAM dimension is MOST directly relevant?
Answer: Dimension 5 — Relapse/Continued Use Potential
ASAM Dimension 5 specifically evaluates a client's likelihood of relapse or continued use and their ability to cope with high-risk situations.
A counselor notes that a client minimizes consequences and denies any problem with drinking. This is BEST addressed during assessment by:
Answer: Using motivational interviewing strategies to explore ambivalence non-confrontationally
MI strategies such as reflective listening and exploring ambivalence are more effective than confrontation in engaging resistant clients.
Which of the following is a key characteristic of a standardized screening instrument?
Answer: It has established reliability and validity across populations
Standardized instruments have documented psychometric properties — reliability and validity — ensuring consistent measurement across settings and users.