CASAC Screening, Assessment, and Diagnosis 4

Question 1

Which screening tool uses a single question — 'How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?' — as a positive screen if the answer is one or more?

Accepted Answer

Single-item drug use screener

Answer

The single-item drug use screener (NIDA single question) is validated for detecting drug use disorders in primary care settings.

Question 2

During a biopsychosocial assessment, a counselor notes the client has a family history of alcohol use disorder. This factor is best categorized under which domain?

Accepted Answer

Biological

Answer

Family history of substance use disorder reflects genetic and biological predisposition, placing it in the biological domain of a biopsychosocial assessment.

Question 3

A client scores 20 on the AUDIT. What level of intervention does this score typically indicate?

Accepted Answer

Referral to specialist

Answer

An AUDIT score of 20 or above indicates likely alcohol dependence, warranting referral to a specialist for further assessment and treatment.

Question 4

Which DSM-5 criterion distinguishes a mild substance use disorder from moderate?

Accepted Answer

Two to three criteria met vs. four to five criteria met

Answer

DSM-5 categorizes mild SUD as 2–3 criteria, moderate as 4–5 criteria, and severe as 6 or more criteria within a 12-month period.

Question 5

A counselor uses the Global Appraisal of Individual Needs (GAIN) instrument. What is the PRIMARY advantage of this tool?

Accepted Answer

It provides a comprehensive multidimensional assessment covering substance use, mental health, and functioning

Answer

The GAIN is a comprehensive, multidimensional assessment that evaluates substance use, mental health, physical health, risk behaviors, and environmental factors.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Screening, Assessment, and Diagnosis 4