SAP Substance Abuse Diagnosis 4

Question 1

Which of the following best describes 'impaired control' as a cluster of DSM-5 SUD criteria?

Accepted Answer

Using larger amounts or longer than intended, persistent desire to cut down, great deal of time spent obtaining/using/recovering, and craving

Answer

The impaired-control cluster in DSM-5 includes four criteria: using more than intended, failed efforts to cut down, excessive time spent on use, and craving.

Question 2

An employee who continues alcohol use despite knowing it worsens a diagnosed liver condition meets which DSM-5 criterion?

Accepted Answer

Continued use despite a persistent or recurrent physical problem caused or exacerbated by the substance

Answer

Using a substance despite awareness of a recurring physical problem it causes or worsens is a specific DSM-5 criterion in the risky-use cluster.

Question 3

A SAP evaluation reveals that an employee's stimulant use meets only 2 DSM-5 criteria. What is the correct diagnosis?

Accepted Answer

Mild Stimulant Use Disorder

Answer

DSM-5 requires a minimum of 2 criteria for any SUD diagnosis, and 2-3 criteria constitute a Mild SUD.

Question 4

Which scenario best illustrates 'social impairment' criteria in DSM-5 SUD?

Accepted Answer

An employee gives up coaching their child's team because it interferes with drinking time

Answer

Giving up important social or recreational activities because of substance use is a social-impairment criterion in DSM-5.

Question 5

For DOT SAP purposes, which substance is specifically addressed by 49 CFR Part 40 testing panels?

Accepted Answer

Marijuana, cocaine, opioids (including heroin/fentanyl analogs), amphetamines, and phencyclidine (PCP)

Answer

DOT-mandated urine drug tests cover five substance classes: marijuana metabolites, cocaine metabolites, opioids, amphetamines, and PCP.

(SAP) DOT Certified Substance Abuse Professional Practice Test

(SAP) DOT Certified Substance Abuse Professional Practice Test

SAP Substance Abuse Diagnosis 4