Addiction Assessment & Diagnosis Flashcards
7 cards from real CARN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Addiction Assessment & Diagnosis flashcards as text
In the context of addiction assessment, 'telescoping' refers to which phenomenon?
Answer: Women progressing more rapidly from first use to dependence than men
Telescoping describes the accelerated progression from initiation of substance use to dependence observed in women compared to men.
A nurse assessing a patient's readiness to change asks, 'On a scale of 0-10, how important is it for you to change your drinking?' This technique is called:
Answer: Importance and confidence rulers
Importance and confidence rulers are motivational interviewing tools that use scaling questions to elicit and explore ambivalence about change.
Which condition must be ruled out when a patient presents with auditory hallucinations and agitation in the context of cocaine use cessation?
Answer: Stimulant-induced psychotic disorder
Stimulant-induced psychotic disorder can occur during or shortly after cessation of cocaine and must be distinguished from primary psychotic disorders.
The ASI (Addiction Severity Index) assesses problem severity across how many life domains?
Answer: 7
The ASI evaluates seven domains: medical, employment/support, alcohol, drug, legal, family/social, and psychiatric status.
Which physical finding is most consistent with chronic intravenous drug use during a physical assessment?
Answer: Track marks and thrombosed veins
Track marks (venipuncture scars) and thrombosed or sclerosed veins are characteristic physical findings of chronic IV drug use.
Which DSM-5 severity specifier applies when a patient meets 6 or more criteria for substance use disorder?
Answer: Severe
DSM-5 specifies severe SUD when 6 or more of the 11 diagnostic criteria are present within a 12-month period.
A co-occurring disorder assessment reveals that a patient's depression preceded their alcohol use by five years. This temporal relationship most suggests:
Answer: Independent co-occurring major depressive disorder
When a psychiatric disorder clearly predates substance use by years, it is more likely an independent primary disorder rather than substance-induced.