Clinical Evaluation Flashcards
7 cards from real NSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Evaluation flashcards as text
Which screening tool is commonly used by NSC-trained counselors to assess alcohol use disorder severity?
Answer: AUDIT
The Alcohol Use Disorders Identification Test (AUDIT) is the standard 10-item screening tool used to identify hazardous, harmful, and dependent alcohol use.
During a clinical evaluation, a client denies substance use but shows constricted pupils and track marks. What is this discrepancy called?
Answer: Incongruence between self-report and clinical signs
When objective physical findings contradict a client's self-report, this is documented as incongruence and requires further assessment.
What does the 'B' in the CAGE questionnaire stand for?
Answer: Blackout
CAGE stands for Cut down, Annoyed, Guilty, and Eye-opener — 'B' is not part of the acronym; 'Blackout' is a distractor.
Which clinical evaluation component gathers information about family history of substance use disorders?
Answer: Psychosocial history
The psychosocial history section captures family background, including genetic predisposition through family substance use patterns.
A score of 20 or higher on the AUDIT indicates what level of risk?
Answer: Likely alcohol dependence
AUDIT scores of 20–40 suggest likely alcohol dependence and warrant referral to a specialist for diagnosis and treatment.
What is the primary purpose of a mental status examination (MSE) in clinical evaluation?
Answer: Document observable psychological functioning at the time of assessment
The MSE systematically describes a client's current cognitive, emotional, and behavioral presentation as observed during the interview.
Which of the following best describes the biopsychosocial model used in NSC clinical evaluations?
Answer: Considers biological, psychological, and social factors together
The biopsychosocial model integrates biological, psychological, and social influences to provide a comprehensive understanding of a client's condition.