CRS Substance Use Disorder Assessment & Treatment 5 — Questions and Answers
Question 1: In Motivational Interviewing, the acronym OARS stands for Open questions, Affirmations, Reflective listening, and:
- Reframing
- Summaries (Correct answer)
- Resistance rolling
- Readiness rulers
Correct answer: Summaries
OARS stands for Open questions, Affirmations, Reflective listening, and Summaries — the four core communication skills in Motivational Interviewing.
Question 2: Which of the following best describes 'craving' as a diagnostic criterion for Substance Use Disorder in the DSM-5?
- Physical pain that drives substance-seeking behavior
- A strong desire or urge to use the substance (Correct answer)
- An automatic reflex to consume the substance when it is present
- Withdrawal symptoms that mimic the desire for the substance
Correct answer: A strong desire or urge to use the substance
DSM-5 defines craving as a strong desire or urge to use the substance, which is one of the 11 criteria for SUD.
Question 3: Methadone maintenance treatment for opioid use disorder must be dispensed through:
- Any licensed pharmacy
- A primary care physician's office
- A federally certified Opioid Treatment Program (OTP) (Correct answer)
- Emergency departments only
Correct answer: A federally certified Opioid Treatment Program (OTP)
Methadone for opioid use disorder can only be dispensed through federally certified Opioid Treatment Programs (OTPs), unlike buprenorphine which can be prescribed in office settings.
Question 4: A recovery specialist notices a client is in the 'Precontemplation' stage. The most appropriate intervention is to:
- Enroll them in detox immediately
- Provide information and raise awareness without pushing change (Correct answer)
- Develop a detailed relapse prevention plan
- Refer directly to intensive outpatient programming
Correct answer: Provide information and raise awareness without pushing change
In Precontemplation, the person does not see their use as a problem, so the goal is to raise awareness and plant seeds of doubt without confrontation.
Question 5: Which of the following is a key component of a comprehensive relapse prevention plan?
- Identifying personal triggers and developing coping strategies (Correct answer)
- Committing to never attending social events
- Increasing the dose of prescribed medications
- Avoiding all contact with family members
Correct answer: Identifying personal triggers and developing coping strategies
Identifying personal triggers (people, places, emotions) and creating specific coping strategies are essential elements of an effective relapse prevention plan.
Question 6: The Drug Abuse Screening Test (DAST-10) is used to screen for problematic use of:
- Alcohol only
- Tobacco and nicotine products
- Drugs other than alcohol (Correct answer)
- Prescription medications only
Correct answer: Drugs other than alcohol
The DAST-10 is a 10-item screening tool designed to detect problematic drug use involving substances other than alcohol.
Question 7: Which of the following statements about Medication-Assisted Treatment (MAT) for SUD is accurate?
- MAT simply substitutes one addiction for another
- MAT is only appropriate for opioid use disorder
- MAT combined with counseling improves treatment outcomes compared to either alone (Correct answer)
- MAT should be discontinued as soon as physical withdrawal ends
Correct answer: MAT combined with counseling improves treatment outcomes compared to either alone
Research consistently shows that combining FDA-approved medications with counseling and behavioral therapies produces better outcomes than either treatment alone.
CRS Substance Use Disorder Assessment & Treatment 5
In Motivational Interviewing, the acronym OARS stands for Open questions, Affirmations, Reflective listening, and: