MAC Screening and Assessment 3

Question 1

Which of the following best describes the difference between screening and comprehensive assessment in addiction counseling?

Accepted Answer

Screening identifies risk and need for further evaluation; assessment gathers detailed information to guide treatment planning

Answer

Screening is a brief, preliminary process to identify individuals who may have a problem, while comprehensive assessment provides in-depth information to inform diagnosis and treatment planning.

Question 2

The CRAFFT screening tool is specifically designed for use with which population?

Accepted Answer

Adolescents

Answer

CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is a validated brief screening tool developed for adolescents ages 12–21.

Question 3

When using the ASI (Addiction Severity Index), the composite scores range from 0 to 1, where a higher score indicates:

Accepted Answer

Greater problem severity in that domain

Answer

ASI composite scores closer to 1.0 indicate greater problem severity and need for intervention in the corresponding life domain.

Question 4

A counselor suspects opioid use disorder in a client but the client denies use. Which biological screening method provides the longest detection window for opioids?

Accepted Answer

Hair follicle analysis

Answer

Hair follicle testing can detect opioids for up to 90 days, far exceeding the 2–4 day window of urine screens and the hours-long window of blood tests.

Question 5

Which DSM-5 specifier indicates that a client with alcohol use disorder has been free of all criteria for at least 12 months except for craving?

Accepted Answer

In sustained remission

Answer

In DSM-5, 'in sustained remission' specifies that no criteria (other than craving) have been met for 12 or more months.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Screening and Assessment 3