MAC Screening and Assessment 4

Question 1

The AUDIT-C is an abbreviated version of the AUDIT that focuses specifically on:

Accepted Answer

Consumption items only — frequency, quantity, and heavy drinking episodes

Answer

The AUDIT-C includes only the first three AUDIT questions about frequency of drinking, typical quantity, and frequency of heavy episodic drinking.

Question 2

In motivational interviewing-informed assessment, rolling with resistance is best understood as:

Accepted Answer

Reflecting client ambivalence without arguing or labeling it as denial

Answer

Rolling with resistance means acknowledging and reflecting the client's ambivalence rather than confronting it, preserving the therapeutic alliance and eliciting change talk.

Question 3

Which of the following is a key advantage of structured clinical interviews over self-report questionnaires in addiction assessment?

Accepted Answer

They allow the counselor to clarify responses and probe for additional detail

Answer

Structured clinical interviews allow the counselor to follow up on ambiguous answers, observe nonverbal cues, and gather richer qualitative data than fixed-response questionnaires.

Question 4

A client reports using benzodiazepines as prescribed but shows signs of sedation and slurred speech. The counselor's most appropriate immediate action is to:

Accepted Answer

Assess the client's safety and level of impairment before continuing

Answer

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.

Question 5

The Global Appraisal of Individual Needs (GAIN) is best described as:

Accepted Answer

A comprehensive biopsychosocial assessment covering substance use, mental health, and functioning

Answer

GAIN is a family of standardized instruments that assess a broad range of biopsychosocial domains for treatment planning and outcome monitoring.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Screening and Assessment 4