CADC Screening and Assessment 2 — Questions and Answers
Question 1: Which screening tool uses a single question — 'How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons?' — as its primary screen?
- AUDIT-C
- DAST-10
- Single-Question Screening (NIDA) (Correct answer)
- CAGE
Correct answer: Single-Question Screening (NIDA)
NIDA's single-question screen is validated for detecting drug use disorders in primary care settings.
Question 2: The AUDIT-C is a shortened version of the AUDIT that focuses primarily on which three items?
- Dependence, withdrawal, and tolerance
- Frequency of drinking, typical quantity, and frequency of heavy drinking (Correct answer)
- Social consequences, blackouts, and morning drinking
- Family history, onset age, and craving
Correct answer: Frequency of drinking, typical quantity, and frequency of heavy drinking
AUDIT-C captures consumption patterns (frequency, quantity, and binge frequency) and reliably identifies hazardous alcohol use.
Question 3: During a comprehensive assessment, a counselor discovers a client's alcohol use began following a traumatic event. This information is MOST relevant to which assessment domain?
- Legal history
- Biopsychosocial history including trauma (Correct answer)
- Employment status
- Current living situation
Correct answer: Biopsychosocial history including trauma
A biopsychosocial assessment integrates biological, psychological, and social factors — including trauma history — to inform treatment planning.
Question 4: Which level of the ASAM criteria indicates the need for medically managed intensive inpatient treatment?
- Level 1.0
- Level 2.5
- Level 3.7
- Level 4.0 (Correct answer)
Correct answer: Level 4.0
ASAM Level 4.0 is medically managed intensive inpatient treatment for clients with severe biomedical or psychiatric complications.
Question 5: A client scores 8 or above on the AUDIT. This score indicates:
- Abstinence is likely
- Low-risk drinking
- Hazardous or harmful alcohol use warranting a brief intervention (Correct answer)
- Certain alcohol use disorder diagnosis
Correct answer: Hazardous or harmful alcohol use warranting a brief intervention
An AUDIT score of 8–15 suggests hazardous or harmful use; scores of 16+ suggest likely dependence.
Question 6: Which assessment instrument is specifically designed to evaluate severity of alcohol withdrawal and guide medical management?
- MAST
- CIWA-Ar (Correct answer)
- ORT
- SASSI-4
Correct answer: CIWA-Ar
The Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar) quantifies withdrawal symptom severity to guide medication decisions.
Question 7: When a counselor uses motivational interviewing techniques during an assessment, the PRIMARY goal is to:
- Gather diagnostic criteria as quickly as possible
- Elicit the client's own motivation for change while reducing resistance (Correct answer)
- Confront the client about denial
- Complete the DSM checklist collaboratively
Correct answer: Elicit the client's own motivation for change while reducing resistance
MI-informed assessment uses open questions, reflections, and affirmations to build rapport and evoke intrinsic motivation rather than provoke defensiveness.
CADC Screening and Assessment 2
Which screening tool uses a single question — 'How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons?' — as its primary screen?