Practice Test Geeks(CADC) Certification Prep and Alcohol and Drug Counselor Practice Test
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Screening and Assessment Flashcards

7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Screening and Assessment flashcards as text

  1. The CRAFFT tool is an acronym-based screen. What does the 'R' in CRAFFT stand for?

    Answer: Ride

    In CRAFFT, 'R' stands for 'Ride' — asking if the teen has ever ridden in a car driven by someone under the influence.

  2. Which principle of assessment requires that results be interpreted in the context of all available information — not any single test score alone?

    Answer: Clinical integration

    Clinical integration means combining screening scores, interview data, history, and collateral information rather than relying on a single number.

  3. A client self-reports abstinence but a urine drug screen is positive for cocaine. The counselor should FIRST:

    Answer: Explore the discrepancy with the client in a non-judgmental, curious manner

    Exploring discrepancies non-judgmentally is consistent with MI principles and may reveal reasons for the client's report, such as fear or shame.

  4. Sensitivity in a screening tool refers to:

    Answer: The tool's ability to correctly identify those WITH the condition (true positives)

    Sensitivity measures how well a tool identifies true cases; a highly sensitive screen minimizes false negatives.

  5. Which statement BEST describes the role of collateral information in substance use assessment?

    Answer: Information from family, records, or other providers supplements client self-report and improves accuracy

    Collateral sources such as family members, medical records, and prior treatment summaries help triangulate self-report and provide a fuller clinical picture.

  6. The Global Appraisal of Individual Needs (GAIN) is distinguished from briefer tools because it:

    Answer: Provides a comprehensive, multi-dimensional assessment across 8 life areas

    GAIN is a comprehensive biopsychosocial assessment battery covering substance use, mental health, physical health, risk behavior, and social environment across eight dimensions.

  7. Which federal regulation governs the confidentiality of substance use disorder patient records in federally assisted programs?

    Answer: 42 CFR Part 2

    42 CFR Part 2 provides stricter confidentiality protections for SUD records than HIPAA, requiring specific written consent before disclosure.