FREE CAC Screening, Assessment and Engagement Questions and Answers

Question 1

All of the following are questions on the CAGE questionnaire EXCEPT?

Accepted Answer

Have you ever experienced delirium tremens?

Answer

Have you ever felt the need to cut down on your drinking?

Answer

Have you ever felt annoyed by others criticizing your drinking?

Answer

Have you ever felt guilty about your drinking?

Question 2

According to the DSM-5, which symptom is not included in the criteria for an alcohol use disorder?

Accepted Answer

Consuming alcohol in the morning to relieve the shakes

Answer

A persistent desire or unsuccessful efforts to cut down or control alcohol use

Answer

Recurrent alcohol use in situations in which it is physically hazardous

Answer

Craving, or a strong desire or urge to use alcohol

Question 3

Lee is coming into the clinic for a substance use assessment. He reports using Xanax occasionally, but is unsure if he has a problem. During the course of the assessment, you learn that when he first started taking Xanax he used about one pill at a time. He reports that he is now taking three pills during each use because "one just doesn't do it for me anymore." You also learn that he decided he wanted to stop using Xanax altogether, but that he "keeps going back to it." He denied any other issues related to Xanax. When assessing the severity of Lee's Xanax use, what severity specifier would be most appropriate?

Accepted Answer

Mild

Answer

Moderate

Answer

Severe

Answer

No severity specifier should be given as he does not meet criteria for a substance use disorder

Question 4

The following substances are all stimulants, except:

Accepted Answer

Xanax

Answer

Caffeine

Answer

Methamphetamine

Answer

Adderall

Question 5

The CAGE-AID is a screening tool containing four yes/no items. How many questions need to be answered "yes" to be considered a positive screen?

Accepted Answer

One

Answer

Two

Answer

Three

Answer

Four

Question 6

Angela is attending a substance use assessment in hopes to be admitted to a residential program same day. During her assessment, she completes a drug screening including a breathalyzer and a drug panel. She does not appear significantly intoxicated, but she blows a .38 BAC. What is the next appropriate step?

Accepted Answer

Refer her to the nearest detox.

Answer

Have her complete some physical and cognitive tests to evaluate her capacity to participate in treatment.

Answer

Admit her to the program and notify the nurse to monitor.

Answer

Tell her to come back when her BAC has decreased.

Question 7

Which of the following drugs would be present on a Urine Drug Screen (UDS) 5 days after use?

Accepted Answer

Marijuana

Answer

Cocaine

Answer

Methamphetamine

Answer

Heroin

Question 8

Joseph comes into your office for an intake assessment required by his Probation Officer. Joseph is reluctant to discuss his opiate use. However, he is compliant because he knows that the results of the intake would be reported to his PO. He shared that he is on probation as a result of being arrested for stealing. Joseph explained that he was stealing to support his heroin use and has continued to use since his arrest. Joseph began using Oxycodone recreationally at age 17 which progressed to daily use soon after. Joseph began using heroin approximately 8 months later due to the cost difference. Joseph has used to avoid withdrawal symptoms. He recently began to share needles and noted that he is aware of the health risk that this behavior poses. Joseph's family began distancing themselves from him when he continued using heroin after being arrested.  With the information provided, how would you diagnose Joseph?

Accepted Answer

Opiate Use Disorder, Moderate

Answer

Opiate Use Disorder, Severe

Answer

Opiate Use Disorder, Mild

Answer

Opiate Use Disorder

Question 9

Susan was referred for an Alcohol Assessment by her Primary Care Physician. She scored a 17 on the AUDIT assessment. Which risk zone and action recommendation would be the most appropriate?

Accepted Answer

Zone III; Brief education or referral for specialized treatment

Answer

Zone I; Brief education

Answer

Zone II; Brief intervention

Answer

Zone IV; Referral to a specialist for treatment

Question 10

Which option correctly represents the Stages of Change Model?

Accepted Answer

Pre-contemplation, contemplation, preparation, action and maintenance

Answer

Pre-contemplation, contemplation, action and relapse

Answer

Contemplation, preparation, action and maintenance

Answer

Contemplation, preparation, action, maintenance and relapse