Counseling Addictions and Substance Use Counseling 2 — Questions and Answers
Question 1: How many items are on the Alcohol Use Disorders Identification Test (AUDIT)?
Correct answer: 10
The WHO-developed AUDIT has 10 items covering consumption, dependence symptoms, and alcohol-related harm.
Question 2: In the CAGE questionnaire, what does the 'E' (Eye-opener) item ask about?
- Drinking to stay awake at work
- Feeling guilty about drinking
- Drinking first thing in the morning to steady nerves or get rid of a hangover (Correct answer)
- Others expressing concern about drinking
Correct 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.
Question 3: Under DSM-5-TR, a client who meets 5 of the 11 substance use disorder criteria is classified as having what severity?
- Mild
- Moderate (Correct answer)
- Severe
- Persistent
Correct answer: Moderate
DSM-5-TR classifies 2-3 criteria as mild, 4-5 as moderate, and 6 or more as severe.
Question 4: 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?
- They count double toward severity
- They are counted only if the patient is over 65
- They automatically confirm a severe diagnosis
- They are not counted toward the diagnosis (Correct answer)
Correct 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.
Question 5: Which instrument is most commonly used to rate the severity of alcohol withdrawal and guide medication dosing?
- CIWA-Ar (Correct answer)
- COWS
- ASI
- SASSI-4
Correct answer: CIWA-Ar
The Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar), scores alcohol withdrawal symptoms to guide symptom-triggered treatment.
Question 6: In the ASAM Criteria, Dimension 1 assesses which area?
- Readiness to change
- Recovery and living environment
- Acute intoxication and/or withdrawal potential (Correct answer)
- Relapse and continued use potential
Correct answer: Acute intoxication and/or withdrawal potential
ASAM Dimension 1 assesses acute intoxication and withdrawal risk, which shapes decisions about withdrawal management.
Question 7: According to DSM-5-TR, 'early remission' from a substance use disorder requires that no criteria (except craving) have been met for how long?
- At least 30 days but less than 3 months
- At least 3 months but less than 12 months (Correct answer)
- At least 6 months but less than 18 months
- At least 12 months
Correct 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.
