CAP Assessment and Screening 2 — Questions and Answers
Question 1: Which validated screening tool is specifically designed to assess opioid misuse risk prior to prescribing opioid medications?
- AUDIT-C
- Opioid Risk Tool (ORT) (Correct answer)
- PHQ-9
- GAD-7
Correct answer: Opioid Risk Tool (ORT)
The Opioid Risk Tool (ORT) is a brief, validated self-report instrument used in clinical settings to stratify patient risk for opioid misuse before initiating opioid therapy.
Question 2: Which of the following best describes a comprehensive biopsychosocial assessment?
- A brief questionnaire focused solely on substance use history
- An evaluation covering medical, psychological, social, family, and legal domains (Correct answer)
- A diagnostic interview limited to DSM-5 criteria for substance use disorders
- A psychiatric evaluation conducted by a licensed psychiatrist only
Correct answer: An evaluation covering medical, psychological, social, family, and legal domains
A comprehensive biopsychosocial assessment gathers information across multiple life domains — biological, psychological, and social — to provide a holistic picture of the client's needs and strengths.
Question 3: According to the DSM-5, substance use disorders are classified on a severity continuum with how many levels?
- Two: Abuse and Dependence
- Three: Mild, Moderate, and Severe (Correct answer)
- Four: None, Mild, Moderate, and Severe
- Five: Experimental, Social, Habitual, Abusive, and Dependent
Correct answer: Three: Mild, Moderate, and Severe
The DSM-5 eliminated the abuse/dependence distinction and now classifies substance use disorders as Mild (2–3 criteria), Moderate (4–5 criteria), or Severe (6+ criteria).
Question 4: The SOCRATES instrument is used in addiction assessment to measure which client characteristic?
- Severity of withdrawal symptoms
- Readiness, motivation, and ambivalence about changing substance use (Correct answer)
- Social support network strength
- Severity of co-occurring psychiatric symptoms
Correct answer: Readiness, motivation, and ambivalence about changing substance use
SOCRATES (Stages of Change Readiness and Treatment Eagerness Scale) assesses a client's recognition of a problem, ambivalence, and readiness to take steps toward change.
Question 5: The CIWA-Ar scale is a clinical tool used to assess the severity of which condition?
- Cocaine intoxication
- Alcohol withdrawal (Correct answer)
- Opioid dependence
- Cannabis use disorder
Correct answer: Alcohol withdrawal
The Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) measures the severity of alcohol withdrawal symptoms to guide medical management and determine the need for pharmacological intervention.
Question 6: When a CAP professional determines a client's level of care using ASAM criteria, which dimension specifically examines the client's living situation and social supports?
- Dimension 2: Biomedical Conditions
- Dimension 4: Readiness to Change
- Dimension 5: Relapse Potential
- Dimension 6: Recovery/Living Environment (Correct answer)
Correct answer: Dimension 6: Recovery/Living Environment
ASAM Dimension 6 focuses on the Recovery/Living Environment, examining whether the client's home, social network, and community supports or hinders recovery.
Question 7: Which of the following assessment principles is most consistent with a strength-based, person-centered approach?
- Focusing exclusively on the client's deficits and risks
- Identifying client strengths and protective factors alongside problems (Correct answer)
- Conducting the assessment without client participation to ensure objectivity
- Relying solely on collateral reports rather than client self-disclosure
Correct answer: Identifying client strengths and protective factors alongside problems
A strength-based, person-centered approach identifies both problems and protective factors or strengths, engaging the client as an active partner in the assessment process.
CAP Assessment and Screening 2
Which validated screening tool is specifically designed to assess opioid misuse risk prior to prescribing opioid medications?