Detox Detox Assessment and Screening 3

Question 1

Which finding during an opioid withdrawal assessment would be most medically concerning and require immediate intervention?

Accepted Answer

Severe dehydration and electrolyte imbalance

Answer

Mild nausea and yawning

Answer

Piloerection and rhinorrhea

Answer

Restlessness and irritability

Question 2

What is the primary clinical purpose of a breath alcohol test (breathalyzer) during detox intake?

Accepted Answer

To confirm and quantify the patient's current blood alcohol concentration

Answer

To screen for illicit drug use

Answer

To diagnose alcohol use disorder

Answer

To assess liver damage from chronic alcohol use

Question 3

SAMHSA's comprehensive substance use assessment framework includes all of the following domains EXCEPT:

Accepted Answer

Detailed political and religious affiliations

Answer

Substance use history and patterns

Answer

Physical health and medical history

Answer

Social and environmental factors

Question 4

Which assessment tool is specifically designed to predict the risk and severity of alcohol withdrawal syndrome, including seizure risk?

Accepted Answer

PAWSS (Prediction of Alcohol Withdrawal Severity Scale)

Answer

MAST (Michigan Alcoholism Screening Test)

Answer

DAST-10

Answer

AUDIT-C

Question 5

Why is it clinically important to document a patient's history of previous detox episodes during intake screening?

Accepted Answer

To predict withdrawal severity using the kindling effect

Answer

To determine the patient's financial responsibility for treatment

Answer

To decide whether to involve law enforcement

Answer

To assess overall commitment to long-term recovery

Question 6

Which laboratory tests are most important during the initial detox assessment to evaluate liver function?

Accepted Answer

Liver function tests (LFTs) including AST and ALT

Answer

Complete blood count (CBC)

Answer

Thyroid stimulating hormone (TSH)

Answer

Hemoglobin A1c (HbA1c)

Question 7

The SBIRT model used in detox and primary care settings stands for:

Accepted Answer

Screening, Brief Intervention, and Referral to Treatment

Answer

Substance Behavioral Integration and Recovery Training

Answer

Standardized Baseline Intake and Referral Tool

Answer

Screening-Based Intervention and Residential Treatment