SAP Substance Abuse Diagnosis 3

Question 1

Under DOT 49 CFR Part 40, a SAP must be qualified as which of the following to conduct evaluations?

Accepted Answer

A credentialed professional such as a licensed counselor, social worker, psychologist, or physician with appropriate training

Answer

DOT regulations specify that SAPs must be licensed or certified professionals (physicians, psychologists, social workers, counselors, or EAP professionals) with specific knowledge of alcohol and drug abuse disorders.

Question 2

Which assessment tool is commonly used by SAPs to screen for alcohol use disorder severity and readiness for change?

Accepted Answer

AUDIT (Alcohol Use Disorders Identification Test)

Answer

The AUDIT is a validated 10-item screening tool developed by the WHO that SAPs commonly use to assess alcohol use disorder severity.

Question 3

A truck driver reports they only drink on weekends but consumed 15 drinks over two days. The SAP's diagnostic conclusion should be based on:

Accepted Answer

A full clinical evaluation including quantity, frequency, and functional impact over the past 12 months

Answer

Diagnosis requires a comprehensive clinical evaluation examining the full pattern of use, consequences, and DSM-5 criteria—not a single data point.

Question 4

Tolerance in the context of a Substance Use Disorder diagnosis is defined as:

Accepted Answer

Needing markedly increased amounts of a substance to achieve intoxication, or diminished effect with the same amount

Answer

Tolerance is defined in DSM-5 as requiring more of the substance to achieve the same effect, or experiencing less effect from the same amount over time.

Question 5

In diagnosing Opioid Use Disorder for a DOT safety-sensitive employee, the SAP must distinguish between OUD and:

Accepted Answer

Opioid intoxication disorder and legitimate prescribed opioid use with no loss of control

Answer

The SAP must determine whether opioid use meets DSM-5 SUD criteria or whether it represents clinically supervised use without impaired control.

(SAP) DOT Certified Substance Abuse Professional Practice Test

(SAP) DOT Certified Substance Abuse Professional Practice Test

SAP Substance Abuse Diagnosis 3