CDCA Assessment & Diagnosis of SUD 2 — Questions and Answers
Question 1: Which DSM-5 criterion for Substance Use Disorder refers to using a substance in situations where it is physically hazardous?
- Withdrawal
- Hazardous use (Correct answer)
- Tolerance
- Craving
Correct answer: Hazardous use
Hazardous use means continuing to use substances in physically dangerous situations, such as driving while impaired.
Question 2: The AUDIT (Alcohol Use Disorders Identification Test) was developed by which organization?
- SAMHSA
- NIDA
- World Health Organization (Correct answer)
- American Psychiatric Association
Correct answer: World Health Organization
The AUDIT was developed by the World Health Organization as a brief screening tool for hazardous and harmful alcohol use.
Question 3: A client reports needing to drink much more alcohol than before to feel the same effect. This describes which DSM-5 SUD criterion?
- Withdrawal
- Loss of control
- Tolerance (Correct answer)
- Craving
Correct answer: Tolerance
Tolerance is defined as needing markedly increased amounts of a substance to achieve intoxication or the desired effect.
Question 4: Which screening tool uses the acronym CAGE to assess alcohol problems?
- Cut down, Annoyed, Guilty, Eye-opener (Correct answer)
- Cravings, Anxiety, Guilt, Excuses
- Control, Abuse, Guilt, Enabling
- Chronic, Acute, General, Emotional
Correct answer: Cut down, Annoyed, Guilty, Eye-opener
CAGE stands for Cut down, Annoyed by criticism, Guilty about drinking, and Eye-opener (morning drink), with 2+ positive answers indicating probable alcohol dependence.
Question 5: In a biopsychosocial assessment, which domain would include examining a client's family history of addiction?
- Social domain
- Psychological domain
- Biological domain (Correct answer)
- Spiritual domain
Correct answer: Biological domain
Genetic predisposition and family history of addiction fall under the biological domain of a biopsychosocial assessment.
Question 6: A client who meets 6 or more DSM-5 criteria for Substance Use Disorder would be classified at which severity level?
- Mild
- Moderate
- Severe (Correct answer)
- Chronic
Correct answer: Severe
In DSM-5, SUD severity is rated mild (2-3 criteria), moderate (4-5 criteria), or severe (6 or more criteria).
Question 7: Which tool is specifically designed to assess withdrawal severity and guide medical management of alcohol withdrawal?
- DAST-10
- CIWA-Ar (Correct answer)
- ASI
- SASSI
Correct answer: CIWA-Ar
The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) measures the severity of alcohol withdrawal symptoms and guides treatment decisions.
CDCA Assessment & Diagnosis of SUD 2
Which DSM-5 criterion for Substance Use Disorder refers to using a substance in situations where it is physically hazardous?