Screening and Assessment Flashcards
7 cards from real MAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Screening and Assessment flashcards as text
The AUDIT-C is an abbreviated version of the AUDIT that focuses specifically on:
Answer: Consumption items only — frequency, quantity, and heavy drinking episodes
The AUDIT-C includes only the first three AUDIT questions about frequency of drinking, typical quantity, and frequency of heavy episodic drinking.
In motivational interviewing-informed assessment, rolling with resistance is best understood as:
Answer: Reflecting client ambivalence without arguing or labeling it as denial
Rolling with resistance means acknowledging and reflecting the client's ambivalence rather than confronting it, preserving the therapeutic alliance and eliciting change talk.
Which of the following is a key advantage of structured clinical interviews over self-report questionnaires in addiction assessment?
Answer: They allow the counselor to clarify responses and probe for additional detail
Structured clinical interviews allow the counselor to follow up on ambiguous answers, observe nonverbal cues, and gather richer qualitative data than fixed-response questionnaires.
A client reports using benzodiazepines as prescribed but shows signs of sedation and slurred speech. The counselor's most appropriate immediate action is to:
Answer: Assess the client's safety and level of impairment before continuing
Client safety takes priority; the counselor must evaluate the degree of impairment to determine whether the session can safely continue and whether emergency intervention is needed.
The Global Appraisal of Individual Needs (GAIN) is best described as:
Answer: A comprehensive biopsychosocial assessment covering substance use, mental health, and functioning
GAIN is a family of standardized instruments that assess a broad range of biopsychosocial domains for treatment planning and outcome monitoring.
Which factor most significantly reduces the validity of self-reported substance use data?
Answer: Fear of legal consequences or social judgment
Clients are most likely to underreport substance use when they fear legal, employment, custody, or social consequences from honest disclosure.
In the ASAM Criteria, which dimension specifically addresses the client's readiness to change and commitment to treatment?
Answer: Dimension 4: Readiness to Change
ASAM Dimension 4 evaluates the client's awareness of and readiness to address their substance use and mental health problems.