CAP Assessment and Screening 1 — Questions and Answers
Question 1: Which screening tool uses a 4-question format with the acronym representing Cut down, Annoyed, Guilty, and Eye-opener?
- AUDIT
- CAGE (Correct answer)
- DAST-10
- ASI
Correct answer: CAGE
The CAGE questionnaire asks four questions about Cutting down, being Annoyed by criticism, feeling Guilty, and using alcohol as an Eye-opener, making it a quick and widely used alcohol screening tool.
Question 2: The Alcohol Use Disorders Identification Test (AUDIT) was developed by which organization?
- SAMHSA
- NIDA
- World Health Organization (WHO) (Correct answer)
- ASAM
Correct answer: World Health Organization (WHO)
The AUDIT was developed by the World Health Organization as a standardized international screening instrument to detect hazardous and harmful alcohol use.
Question 3: Which comprehensive assessment tool evaluates client functioning across six problem areas including medical, employment, alcohol, drugs, legal, and psychiatric?
- AUDIT
- CAGE
- Addiction Severity Index (ASI) (Correct answer)
- DAST-10
Correct answer: Addiction Severity Index (ASI)
The Addiction Severity Index (ASI) is a structured interview that provides a comprehensive biopsychosocial profile across six life domains to guide treatment planning.
Question 4: What is the primary purpose of screening in the addiction counseling process?
- To diagnose a substance use disorder
- To identify individuals who may need a more comprehensive assessment (Correct answer)
- To develop a formal treatment plan
- To determine the appropriate level of care placement
Correct answer: To identify individuals who may need a more comprehensive assessment
Screening is a brief process designed to identify individuals who may have a substance use problem and need referral for a more thorough assessment, not to provide a diagnosis.
Question 5: A client scores 8 or higher on the AUDIT. What does this score typically indicate?
- Abstinence or minimal alcohol use
- Low-risk social drinking
- Hazardous or harmful alcohol use requiring further assessment (Correct answer)
- Complete alcohol dependence requiring inpatient detox
Correct answer: Hazardous or harmful alcohol use requiring further assessment
An AUDIT score of 8 or higher is the standard cut-point indicating hazardous or harmful drinking patterns that warrant further assessment and possible brief intervention.
Question 6: Which of the following is NOT one of the six ASAM criteria dimensions used to determine appropriate level of care?
- Acute intoxication and/or withdrawal potential
- Biomedical conditions and complications
- Financial stability and current employment status (Correct answer)
- Relapse, continued use, or continued problem potential
Correct answer: Financial stability and current employment status
ASAM's six dimensions cover intoxication/withdrawal, biomedical conditions, emotional/behavioral conditions, readiness to change, relapse potential, and recovery environment — financial stability is not a standalone dimension.
Question 7: The Drug Abuse Screening Test (DAST-10) is primarily used to assess which of the following?
- Alcohol use severity over the past year
- Co-occurring psychiatric conditions
- Drug use patterns and associated problems over the past 12 months (Correct answer)
- Readiness to enter a treatment program
Correct answer: Drug use patterns and associated problems over the past 12 months
The DAST-10 is a 10-item self-report instrument designed to detect drug abuse and dependence by asking about drug-related problems over the past 12 months, excluding alcohol.
CAP Assessment and Screening 1
Which screening tool uses a 4-question format with the acronym representing Cut down, Annoyed, Guilty, and Eye-opener?