IC&RC Screening, Assessment & Engagement 3 — Questions and Answers
Question 1: Which DSM-5 criterion for Substance Use Disorder involves continuing to use a substance despite persistent social or interpersonal problems caused by it?
- Criterion 3 – Tolerance
- Criterion 10 – Social/interpersonal problems (Correct answer)
- Criterion 7 – Hazardous use
- Criterion 4 – Withdrawal
Correct answer: Criterion 10 – Social/interpersonal problems
DSM-5 Criterion 10 specifies continued use despite recurrent social or interpersonal problems caused or exacerbated by the substance.
Question 2: What does the acronym ASAM stand for in the context of addiction treatment placement criteria?
- American Society of Addiction Medicine (Correct answer)
- Association for Substance Abuse Management
- American Standard Assessment Model
- Association of Substance Abuse Monitors
Correct answer: American Society of Addiction Medicine
ASAM stands for the American Society of Addiction Medicine, which developed the multidimensional placement criteria widely used in addiction treatment.
Question 3: A counselor is conducting a suicide risk assessment as part of the intake. Which factor is considered a static (historical) risk factor?
- Current suicidal ideation
- Previous suicide attempt (Correct answer)
- Access to means
- Recent loss of employment
Correct answer: Previous suicide attempt
A previous suicide attempt is a static historical risk factor and one of the strongest predictors of future suicide risk.
Question 4: The CRAFFT screening tool was specifically developed for which population?
- Older adults over age 65
- Pregnant women
- Adolescents under age 21 (Correct answer)
- Veterans with PTSD
Correct answer: Adolescents under age 21
The CRAFFT is a validated screening tool designed specifically for adolescents to detect substance use disorders in those under age 21.
Question 5: Which ASAM dimension addresses a client's history of trauma, mental health diagnoses, and cognitive functioning?
- Dimension 1 – Acute Intoxication and Withdrawal Potential
- Dimension 3 – Emotional, Behavioral, or Cognitive Conditions (Correct answer)
- Dimension 5 – Relapse, Continued Use, or Continued Problem Potential
- Dimension 6 – Recovery Environment
Correct answer: Dimension 3 – Emotional, Behavioral, or Cognitive Conditions
ASAM Dimension 3 evaluates emotional, behavioral, and cognitive conditions including mental health history, trauma, and psychiatric diagnoses.
Question 6: A client agrees to participate in treatment but shows little intrinsic motivation. Which stage of change does this best represent?
- Precontemplation (Correct answer)
- Contemplation
- Preparation
- Action
Correct answer: Precontemplation
Clients in precontemplation do not yet recognize their problem and may only enter treatment due to external pressure, showing little intrinsic motivation.
Question 7: What is the primary purpose of a functional analysis during substance use assessment?
- To determine the client's level of cognitive functioning
- To identify the antecedents, behaviors, and consequences maintaining substance use (Correct answer)
- To assess the client's ability to perform activities of daily living
- To evaluate the client's employment skills
Correct answer: To identify the antecedents, behaviors, and consequences maintaining substance use
Functional analysis (ABC model) examines antecedents, behaviors, and consequences to understand the triggers and reinforcers maintaining substance use.
IC&RC Screening, Assessment & Engagement 3
Which DSM-5 criterion for Substance Use Disorder involves continuing to use a substance despite persistent social or interpersonal problems caused by it?