Chemical Dependency Counselor License Exam Screening and Assessment 5

Question 1

The TWEAK screening tool is most commonly used to identify at-risk drinking in which specific population?

Accepted Answer

Pregnant women during prenatal visits

Answer

TWEAK (Tolerance, Worried, Eye-opener, Amnesia, Cut down) was developed and validated specifically to identify at-risk alcohol use in pregnant women.

Question 2

During a substance use assessment, a client minimizes the extent of their alcohol use compared to records obtained from collateral sources. This discrepancy is BEST described as:

Accepted Answer

Denial or minimization, a common feature of substance use disorders

Answer

Minimization of use is a common defense mechanism in substance use disorders and should be explored therapeutically rather than treated as a barrier to treatment.

Question 3

Which of the following is a key component assessed in the SOCRATES (Stages of Change Readiness and Treatment Eagerness Scale)?

Accepted Answer

Recognition of a drinking problem, ambivalence, and taking steps to change

Answer

SOCRATES assesses three factors: Recognition (acknowledgment of a problem), Ambivalence (uncertainty about change), and Taking Steps (current change efforts).

Question 4

A thorough substance use history collected during assessment should include which of the following elements?

Accepted Answer

Age of first use, substances used, frequency, amount, route of administration, and consequences

Answer

A comprehensive substance use history captures onset, progression, patterns of use, routes, consequences, prior treatment, and periods of abstinence across all substances.

Question 5

Which laboratory test result, when elevated, most directly supports a clinical impression of heavy chronic alcohol use discovered during assessment?

Accepted Answer

Elevated gamma-glutamyl transferase (GGT)

Answer

GGT is a liver enzyme that is sensitive to heavy alcohol use and is commonly elevated in individuals with chronic alcohol use disorder.

Chemical Dependency Counselor License Exam Practice Test

Chemical Dependency Counselor License Exam Practice Test

Chemical Dependency Counselor License Exam Screening and Assessment 5