Addiction Assessment & Diagnosis Flashcards

Which screening tool uses the mnemonic CAGE to assess alcohol use disorder?

Answer: CAGE questionnaire

The CAGE questionnaire uses four questions about Cutting down, Annoyance, Guilt, and Eye-opener to screen for alcohol problems.

A patient scores 20 on the AUDIT-C. What does this indicate?

Answer: The score is outside the valid range

The AUDIT-C maximum score is 12; a score of 20 is impossible, indicating a scoring or administration error.

Which DSM-5 criterion for substance use disorder refers to spending a great deal of time obtaining, using, or recovering from the substance?

Answer: Time criterion

The time criterion (criterion 5) specifies that much time is spent in activities necessary to obtain, use, or recover from the substance.

During a biopsychosocial assessment, a nurse asks about a patient's employment history, family roles, and legal problems. Which domain is being assessed?

Answer: Social

Employment, family roles, and legal problems are components of the social domain in a biopsychosocial assessment.

The DAST-10 is designed to screen for problems related to which substance category?

Answer: Drug use other than alcohol

The DAST-10 (Drug Abuse Screening Test) specifically screens for problems related to drug use, excluding alcohol.

A nurse observes pinpoint pupils, respiratory depression, and decreased level of consciousness. Which substance intoxication is most likely?

Answer: Opioids

The classic triad of miosis (pinpoint pupils), respiratory depression, and decreased consciousness is the hallmark of opioid intoxication.

Which laboratory test is most useful for estimating average alcohol consumption over the past 2-3 weeks?

Answer: Carbohydrate-deficient transferrin (CDT)

CDT is a biomarker that reflects heavy alcohol use over the preceding 2-3 weeks and is useful for monitoring abstinence.