Detox Detox Assessment and Screening 1 — Questions and Answers
Question 1: Which tool is most commonly used to assess alcohol withdrawal severity in a clinical detox setting?
- CAGE Questionnaire
- Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) (Correct answer)
- AUDIT-C
- Michigan Alcoholism Screening Test (MAST)
Correct answer: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)
The CIWA-Ar is the gold-standard validated tool used to monitor and quantify alcohol withdrawal symptom severity in clinical settings.
Question 2: The COWS (Clinical Opiate Withdrawal Scale) is used to assess withdrawal from which substance?
- Cocaine
- Benzodiazepines
- Opioids (Correct answer)
- Alcohol
Correct answer: Opioids
The COWS is a validated scale specifically designed to assess the severity of opioid withdrawal symptoms in clinical settings.
Question 3: During the initial detox assessment, the CAGE questionnaire screens for which condition?
- Depression and anxiety
- Drug withdrawal severity
- Alcohol use disorder (Correct answer)
- Risk of self-harm
Correct answer: Alcohol use disorder
The CAGE questionnaire is a brief 4-question tool that screens for alcohol use disorder using questions about Cutting down, Annoyance, Guilt, and Eye-opener drinking.
Question 4: Which assessment scale is specifically designed to measure the severity of benzodiazepine withdrawal?
- CIWA-B (Correct answer)
- COWS
- AUDIT
- DAST-10
Correct answer: CIWA-B
The CIWA-B (Clinical Institute Withdrawal Assessment for Benzodiazepines) is a validated tool specifically designed to assess benzodiazepine withdrawal severity.
Question 5: A comprehensive detox intake assessment should prioritize all of the following EXCEPT:
- Substance use history
- Medical history and vital signs
- Insurance billing as the primary clinical focus (Correct answer)
- Mental health screening
Correct answer: Insurance billing as the primary clinical focus
While billing information may be collected administratively, the primary clinical focus of a detox intake must be substance use history, medical history, vital signs, and mental health screening.
Question 6: What does the acronym AUDIT stand for?
- Alcohol Use Disorders Identification Test (Correct answer)
- Addiction and Underlying Drug Interaction Test
- Assessment Unit for Drug and Intoxication Treatment
- Alcohol Urinalysis Diagnostic Integration Tool
Correct answer: Alcohol Use Disorders Identification Test
AUDIT stands for Alcohol Use Disorders Identification Test, a 10-item screening tool developed by the WHO to identify harmful and hazardous alcohol use.
Question 7: During a detox assessment, what is the primary clinical purpose of obtaining a urine drug screen?
- To determine the patient's insurance eligibility
- To identify substances currently present in the patient's system (Correct answer)
- To assess the patient's nutritional status
- To evaluate liver function
Correct answer: To identify substances currently present in the patient's system
Urine drug screens identify which substances are currently in the patient's system, which is critical for determining appropriate withdrawal management protocols.
Detox Detox Assessment and Screening 1
Which tool is most commonly used to assess alcohol withdrawal severity in a clinical detox setting?