Addiction Assessment & Diagnosis Flashcards

Which interview technique involves the nurse reflecting back an amplified or exaggerated version of the patient's minimized concern to elicit self-motivating statements?

Answer: Amplified reflection

Amplified reflection overstates the patient's position to provoke the patient into defending a less extreme, more change-oriented stance.

Phosphatidylethanol (PEth) is a biomarker that can detect alcohol use for up to how long after consumption?

Answer: Up to 3-4 weeks

PEth, a direct alcohol biomarker, can be detected in blood for up to 3-4 weeks after heavy alcohol consumption.

A nurse screens an adolescent for substance use. Which tool is specifically designed and validated for this age group?

Answer: CRAFFT

The CRAFFT screening tool is specifically designed and validated for identifying substance use problems in adolescents.

A patient in opioid withdrawal reports severe muscle aches, goosebumps, and yawning. These symptoms are categorized as:

Answer: Subjective withdrawal symptoms

Muscle aches (myalgia), yawning, and gooseflesh (piloerection) are subjective symptoms that patients report during opioid withdrawal.

Which concept describes the phenomenon where increasing doses of a substance are required to achieve the same effect?

Answer: Tolerance

Tolerance is the neuroadaptive process requiring increased amounts of a substance to achieve the desired effect.

During assessment, a patient states they cut back on alcohol use for a month after a DUI but resumed heavy drinking within weeks. Which stage of change does this best represent?

Answer: Relapse

Returning to the problematic behavior after a period of change represents relapse in the transtheoretical model of change.

Which term describes the simultaneous presence of a substance use disorder and at least one psychiatric disorder?

Answer: Dual diagnosis

Dual diagnosis (also called co-occurring disorders) refers to the concurrent presence of a substance use disorder and a psychiatric disorder.