Addictions and Substance Use Counseling Flashcards

How many items are on the Alcohol Use Disorders Identification Test (AUDIT)?

Answer: 10

The WHO-developed AUDIT has 10 items covering consumption, dependence symptoms, and alcohol-related harm.

In the CAGE questionnaire, what does the 'E' (Eye-opener) item ask about?

Answer: Drinking first thing in the morning to steady nerves or get rid of a hangover

The Eye-opener item asks whether the person has ever had a drink first thing in the morning to steady nerves or relieve a hangover.

Under DSM-5-TR, a client who meets 5 of the 11 substance use disorder criteria is classified as having what severity?

Answer: Moderate

DSM-5-TR classifies 2-3 criteria as mild, 4-5 as moderate, and 6 or more as severe.

A patient taking prescribed opioids exactly as directed develops tolerance and withdrawal. How are these symptoms handled when diagnosing opioid use disorder under DSM-5-TR?

Answer: They are not counted toward the diagnosis

Tolerance and withdrawal that occur solely under appropriate medical supervision are excluded from the SUD criteria count.

Which instrument is most commonly used to rate the severity of alcohol withdrawal and guide medication dosing?

Answer: CIWA-Ar

The Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar), scores alcohol withdrawal symptoms to guide symptom-triggered treatment.

In the ASAM Criteria, Dimension 1 assesses which area?

Answer: Acute intoxication and/or withdrawal potential

ASAM Dimension 1 assesses acute intoxication and withdrawal risk, which shapes decisions about withdrawal management.

According to DSM-5-TR, 'early remission' from a substance use disorder requires that no criteria (except craving) have been met for how long?

Answer: At least 3 months but less than 12 months

Early remission means 3 to under 12 months without meeting criteria other than craving, and sustained remission means 12 months or more.