Screening and Assessment Flashcards

Which assessment tool uses a 10-item self-report questionnaire specifically designed to identify alcohol use disorders in primary care settings?

Answer: AUDIT

The AUDIT (Alcohol Use Disorders Identification Test) is a 10-item WHO-developed tool validated for primary care alcohol screening.

When conducting a biopsychosocial assessment, the 'biological' domain primarily includes which of the following?

Answer: Genetic history, medical conditions, and physical health status

The biological domain covers genetic predispositions, physical health, medical history, and physiological aspects of substance use.

A client scores 8 or higher on the AUDIT. According to standard interpretation, this indicates:

Answer: Hazardous or harmful alcohol use requiring brief intervention

An AUDIT score of 8–15 indicates hazardous or harmful use, with brief intervention recommended; scores of 20+ suggest dependence.

The Addiction Severity Index (ASI) assesses functioning across how many life problem areas?

Answer: 7

The ASI evaluates seven domains: medical, employment, alcohol, drug, legal, family/social, and psychiatric status.

Which of the following best describes the purpose of a functional analysis of substance use behavior?

Answer: Identifying the antecedents, behaviors, and consequences maintaining use

Functional analysis (ABC model) identifies triggers, the substance use behavior itself, and reinforcing consequences to guide treatment planning.

During intake screening, a counselor notices a client appears confused, trembling, and diaphoretic. The MOST appropriate immediate action is to:

Answer: Refer for immediate medical evaluation for possible withdrawal

Symptoms of confusion, tremor, and diaphoresis may indicate alcohol or sedative withdrawal, which is medically dangerous and requires urgent evaluation.

Which screening instrument was specifically developed to identify drug (non-alcohol) use disorders and consists of 28 items?

Answer: DAST-28

The DAST-28 (Drug Abuse Screening Test) is a 28-item self-report tool designed to identify problems related to non-alcohol drug use.