CRS Substance Use Disorder Assessment & Treatment 2 — Questions and Answers
Question 1: The AUDIT (Alcohol Use Disorders Identification Test) is primarily designed to screen for which condition?
- Opioid dependence
- Hazardous and harmful alcohol use (Correct answer)
- Benzodiazepine withdrawal risk
- Co-occurring depression
Correct answer: Hazardous and harmful alcohol use
The AUDIT was developed by the WHO to identify hazardous and harmful patterns of alcohol consumption.
Question 2: Which treatment approach involves helping clients explore and resolve ambivalence about changing their substance use behavior?
- Contingency management
- Motivational Interviewing (Correct answer)
- 12-Step Facilitation
- Cognitive Processing Therapy
Correct answer: Motivational Interviewing
Motivational Interviewing is a client-centered counseling style specifically designed to elicit behavior change by helping clients explore and resolve ambivalence.
Question 3: A client presents with pinpoint pupils, respiratory depression, and unconsciousness. Which substance is most likely involved?
- Cocaine
- Methamphetamine
- Opioids (Correct answer)
- Alcohol
Correct answer: Opioids
Pinpoint (miotic) pupils, respiratory depression, and decreased consciousness are the classic triad of opioid overdose.
Question 4: In the DSM-5, how many criteria must be met within a 12-month period to diagnose a Substance Use Disorder?
- At least 1
- At least 2 (Correct answer)
- At least 3
- At least 4
Correct answer: At least 2
DSM-5 requires at least 2 of 11 criteria within a 12-month period for a Substance Use Disorder diagnosis.
Question 5: Which medication is an opioid partial agonist approved for office-based treatment of opioid use disorder?
- Naltrexone
- Disulfiram
- Buprenorphine (Correct answer)
- Methadone
Correct answer: Buprenorphine
Buprenorphine is a partial opioid agonist that can be prescribed in office-based settings under the Drug Addiction Treatment Act.
Question 6: What does the term 'polysubstance use' refer to in the context of assessment?
- Using the same substance through multiple routes
- The use of two or more substances concurrently or sequentially (Correct answer)
- A single substance causing multiple organ system effects
- Using prescribed medications alongside illicit drugs only
Correct answer: The use of two or more substances concurrently or sequentially
Polysubstance use describes the concurrent or sequential use of two or more substances, which complicates both assessment and treatment.
Question 7: Which stage in Prochaska and DiClemente's Transtheoretical Model is characterized by a person actively making behavior changes?
- Contemplation
- Preparation
- Action (Correct answer)
- Maintenance
Correct answer: Action
The Action stage is when individuals are actively modifying their behavior, experiences, or environment to overcome their problem.
The AUDIT (Alcohol Use Disorders Identification Test) is primarily designed to screen for which condition?