IC&RC Screening, Assessment & Engagement 2 — Questions and Answers
Question 1: Which screening tool is specifically designed to identify alcohol use disorders using four targeted questions?
- AUDIT
- CAGE (Correct answer)
- DAST-10
- CRAFFT
Correct answer: CAGE
The CAGE questionnaire uses four questions (Cut down, Annoyed, Guilty, Eye-opener) to screen for alcohol use disorders.
Question 2: A client minimizes their substance use during the initial screening interview. Which engagement strategy is most appropriate?
- Confront the client directly about dishonesty
- Use motivational interviewing techniques to explore ambivalence (Correct answer)
- Discharge the client for non-compliance
- Administer a urine drug screen immediately
Correct answer: Use motivational interviewing techniques to explore ambivalence
Motivational interviewing builds rapport and explores ambivalence without confrontation, which is most effective when clients minimize use.
Question 3: In the biopsychosocial assessment framework, which domain addresses a client's employment status and housing stability?
- Biological
- Psychological
- Social (Correct answer)
- Spiritual
Correct answer: Social
The social domain of a biopsychosocial assessment encompasses environmental factors like employment, housing, and family relationships.
Question 4: The AUDIT-C is a shortened version of the AUDIT that focuses on which three areas?
- Withdrawal symptoms, cravings, and tolerance
- Frequency of drinking, typical quantity, and binge drinking frequency (Correct answer)
- Legal problems, blackouts, and family conflict
- Morning drinking, guilt, and failed quit attempts
Correct answer: Frequency of drinking, typical quantity, and binge drinking frequency
The AUDIT-C screens for alcohol consumption patterns using three questions about drinking frequency, typical quantity, and frequency of heavy drinking occasions.
Question 5: Which level of care on the ASAM continuum is most appropriate for a client requiring 24-hour medically managed intensive inpatient services?
- Level 1.0 – Outpatient Services
- Level 2.1 – Intensive Outpatient
- Level 3.7 – Medically Monitored Intensive Inpatient
- Level 4 – Medically Managed Intensive Inpatient (Correct answer)
Correct answer: Level 4 – Medically Managed Intensive Inpatient
ASAM Level 4 represents medically managed intensive inpatient treatment, requiring 24-hour physician-directed care for severe withdrawal or medical complications.
Question 6: During engagement, a counselor notices a client has limited English proficiency. What is the most appropriate first step?
- Proceed with the assessment using simple vocabulary
- Ask a bilingual family member to translate
- Arrange for a qualified interpreter or translated materials (Correct answer)
- Defer the assessment until the client learns English
Correct answer: Arrange for a qualified interpreter or translated materials
Ethical and culturally competent practice requires providing qualified interpreters or translated materials to ensure informed consent and accurate assessment.
Question 7: Which concept describes a client's readiness to change their substance use behavior, as measured during the assessment process?
- Co-occurring disorder
- Motivational readiness (Correct answer)
- Diagnostic threshold
- Locus of control
Correct answer: Motivational readiness
Motivational readiness reflects a client's stage of change and willingness to engage in treatment, which is a key assessment target.
IC&RC Screening, Assessment & Engagement 2
Which screening tool is specifically designed to identify alcohol use disorders using four targeted questions?