Question 1

One other factor the assessor should attempt to identify is

Accepted Answer

A)  client's motivation for seeking treatment services. 
B)  whether financial windfall was a motivating factor. 
C)  second degree relatives who might also have a SUD. 
D)  who supplies alcohol or drugs to the client. 
A)  client's motivation for seeking treatment services. 
B)  whether financial windfall was a motivating factor. 
C)  second degree relatives who might also have a SUD. 
D)  who supplies alcohol or drugs to the client. A

Question 2

One of the problems of the SASSI-3 is that it

Accepted Answer

A)  provides a detailed list of substances the individual has abused in the past. 
B)  does not identify binge drinking in young adult males. 
C)  does not identify which substances are possibly being abused. 
D)  focuses more on drugs of abuse rather than alcohol use disorders. 
A)  provides a detailed list of substances the individual has abused in the past. 
B)  does not identify binge drinking in young adult males. 
C)  does not identify which substances are possibly being abused. 
D)  focuses more on drugs of abuse rather than alcohol use disorders. C

Question 3

One major disadvantage of paper-and-pencil screening instruments is that they are

Accepted Answer

A)  expensive and labor intensive. 
B)  inexpensive but labor intensive. 
C)  vulnerable to attempts at deception. 
D)  more threatening to the client than face-to-face interviews. 
A)  expensive and labor intensive. 
B)  inexpensive but labor intensive. 
C)  vulnerable to attempts at deception. 
D)  more threatening to the client than face-to-face interviews. C

Question 4

According to your text, the two-question screening instrument designed by Brown, et. al., is

Accepted Answer

A)  at best able to identify only 75 percent of substance abusers. 
B)  able to identify substance abusers with 95 percent accuracy if the client answers honestly. 
C)  avoids the problem of confusion over binge substance use and addiction. 
D)  identifies those people who have a compulsion to use chemicals. 
A)  at best able to identify only 75 percent of substance abusers. 
B)  able to identify substance abusers with 95 percent accuracy if the client answers honestly. 
C)  avoids the problem of confusion over binge substance use and addiction. 
D)  identifies those people who have a compulsion to use chemicals.

Question 5

According to your text, which of the following is NOT one of the roles the assessment process plays?

Accepted Answer

A)  Forms the foundation of the rehabilitation process 
B)  Helps put the drug abuser in jail 
C)  Helps identify those individuals who require professional assistance with their SUDs 
D)  Helps identify the proper level of treatment for an individual with a SUD 
A)  Forms the foundation of the rehabilitation process 
B)  Helps put the drug abuser in jail 
C)  Helps identify those individuals who require professional assistance with their SUDs 
D)  Helps identify the proper level of treatment for an individual with a SUD

Question 6

One way for many substance abusers to avoid having their substance use interfere with their vocational activities is to be

Accepted Answer

A)  only an on-call worker. 
B)  an employee of a small company. 
C)  self-employed. 
D)  not part of the work force. 
A)  only an on-call worker. 
B)  an employee of a small company. 
C)  self-employed. 
D)  not part of the work force.

Question 7

It is important to diagnosis an individual based on the results of their SUDs screening.

Accepted Answer

A) True 
 B)False

Question 8

One drawback of the AUDIT is that it

Accepted Answer

A)  was normed on a representative sample of individuals only in the United States. 
B)  is relatively insensitive to active drinkers over the age of 65. 
C)  tends to have a high number of "false positive" cases in persons over the age of 65. 
D)  was designed mainly to be used to screen individuals over the age of 65. 
A)  was normed on a representative sample of individuals only in the United States. 
B)  is relatively insensitive to active drinkers over the age of 65. 
C)  tends to have a high number of "false positive" cases in persons over the age of 65. 
D)  was designed mainly to be used to screen individuals over the age of 65.

Question 9

The MacAndrew Alcohol Scale of the Minnesota Multiphasic Personality Inventory could best be described as

Accepted Answer

A)  being a useful, if rather lengthy, screening tool. 
B)  best able to identify personality patterns commonly associated with substance use disorders. 
C)  being 95 percent accurate in its ability to identify persons with a SUD if they answer the questions honestly. 
D)  identifying introverted persons as having a greater chance of having a SUD. 
A)  being a useful, if rather lengthy, screening tool. 
B)  best able to identify personality patterns commonly associated with substance use disorders. 
C)  being 95 percent accurate in its ability to identify persons with a SUD if they answer the questions honestly. 
D)  identifying introverted persons as having a greater chance of having a SUD.

Question 10

Describe the various roles the process of assessment plays regarding SUDs.

Accepted Answer

The process of assessment plays several

Question 11

You are an addictions counselor in private practice. You have referred a client to an intensive treatment program based on his history of binge drinking, as a person with an alcohol dependence problem. The client's pastor calls to challenge your recommendation on the grounds that the individual in question had a low score on the Michigan Alcoholism Screening Test (MAST). Your best response would be

Accepted Answer

A)  the pastor has no right to become involved in a substance use assessment. 
B)  the MAST is relatively insensitive to binge drinking patterns. 
C)  the client probably has been honest with the pastor about his or her drinking pattern, so the pastor's concerns are well placed. 
D)  the pastor should complete a separate, comprehensive, substance use assessment. 
A)  the pastor has no right to become involved in a substance use assessment. 
B)  the MAST is relatively insensitive to binge drinking patterns. 
C)  the client probably has been honest with the pastor about his or her drinking pattern, so the pastor's concerns are well placed. 
D)  the pastor should complete a separate, comprehensive, substance use assessment.

Question 12

What are the types of "response sets" that might distort the assessor's opinions of the client's SUD? What are ways
to mitigate these?

Accepted Answer

There are several types of response sets

Question 13

Which of the following is important historical information to compile during a client assessment?

Accepted Answer

A)  Educational and vocational history 
B)  Legal history 
C)  Military history 
D)  All of these answers 
A)  Educational and vocational history 
B)  Legal history 
C)  Military history 
D)  All of these answers

Question 14

A client presents after conviction for his second "drunk driving" conviction. During the assessment process he also reveals he had a disciplinary action while in the military for driving a vehicle on base while intoxicated. This would

Accepted Answer

A)  be counted as a third "drunk driving" conviction, although it did not appear on his civilian driving record. 
B)  not be counted as a "drunk driving" conviction since he was on base and it did not appear on his civilian record. 
C)  be dismissed as evidence of a substance use disorder since everybody knows that people in the military drink more than civilians of the same age. 
D)  be included as evidence of a "drunk driving" only if it involved the same chemical that was involved in their civilian convictions. 
A)  be counted as a third "drunk driving" conviction, although it did not appear on his civilian driving record. 
B)  not be counted as a "drunk driving" conviction since he was on base and it did not appear on his civilian record. 
C)  be dismissed as evidence of a substance use disorder since everybody knows that people in the military drink more than civilians of the same age. 
D)  be included as evidence of a "drunk driving" only if it involved the same chemical that was involved in their civilian convictions.

Question 15

When inquiring about the client's medical history, it is important to inquire about

Accepted Answer

A)  the name of the physician prescribing a medication for the client. 
B)  the name of the pharmacy where the client's prescriptions are filled. 
C)  the number of physicians prescribing a medication for the client. 
D)  the effects of the prescribed chemicals on the client. 
A)  the name of the physician prescribing a medication for the client. 
B)  the name of the pharmacy where the client's prescriptions are filled. 
C)  the number of physicians prescribing a medication for the client. 
D)  the effects of the prescribed chemicals on the client.

Question 16

A urine toxicology test reveals that a client has THC in his or her urine. This is proof that the client

Accepted Answer

A)  used marijuana on one occasion in the days before the urine test. 
B)  is addicted to marijuana. 
C)  is a heavy substance abuser who is in denial. 
D)  has engaged in active deception to avoid family members knowing about their marijuana abuse. 
A)  used marijuana on one occasion in the days before the urine test. 
B)  is addicted to marijuana. 
C)  is a heavy substance abuser who is in denial. 
D)  has engaged in active deception to avoid family members knowing about their marijuana abuse.

Question 17

Jerry is a substance abuse counselor working with a client, Ned. Through completing a thorough assessment, Jerry has discovered that Ned has developed tolerance to cocaine, is preoccupied with using cocaine, has come to work high on cocaine, and continues to use cocaine despite his desire to quit, often to ward off symptoms of withdrawal. Based on this information, Jerry

Accepted Answer

A)  has sufficient information to diagnosis Ned with a SUD. 
B)  should perform a drug test on Ned. 
C)  should perform the DAST screening on Ned. 
D)  should immediately get Ned into inpatient drug treatment. 
A)  has sufficient information to diagnosis Ned with a SUD. 
B)  should perform a drug test on Ned. 
C)  should perform the DAST screening on Ned. 
D)  should immediately get Ned into inpatient drug treatment.

Question 18

The core of the assessment process is

Accepted Answer

A)  having the client complete the SASSI. 
B)  asking the CAGE questions. 
C)  a clinical interview. 
D)  performing the TWEAK. 
A)  having the client complete the SASSI. 
B)  asking the CAGE questions. 
C)  a clinical interview. 
D)  performing the TWEAK.

Question 19

The assessor, while functioning as a "gatekeeper" for the admissions process

Accepted Answer

A)  must identify which insurance company benefit package will pay for treatment. 
B)  gathers the information to justify treatment. 
C)  essentially operates on the assumption that everybody has a SUD until proven otherwise. 
D)  works as an extension of the law enforcement agencies, helping to identify those likely to drive under the influence of chemicals in the future. 
A)  must identify which insurance company benefit package will pay for treatment. 
B)  gathers the information to justify treatment. 
C)  essentially operates on the assumption that everybody has a SUD until proven otherwise. 
D)  works as an extension of the law enforcement agencies, helping to identify those likely to drive under the influence of chemicals in the future.

Question 20

Which of the following is an example of collateral information that may be important to collect during a client assessment?

Accepted Answer

A)  Information from family members 
B)  Past treatment records 
C)  Court documents 
D)  All of these answers 
A)  Information from family members 
B)  Past treatment records 
C)  Court documents 
D)  All of these answers

Exam 27: The Assessment of Suspected Substance Use Disorders

One other factor the assessor should attempt to identify is

One of the problems of the SASSI-3 is that it

One major disadvantage of paper-and-pencil screening instruments is that they are

According to your text, the two-question screening instrument designed by Brown, et. al., is

According to your text, which of the following is NOT one of the roles the assessment process plays?

One way for many substance abusers to avoid having their substance use interfere with their vocational activities is to be

It is important to diagnosis an individual based on the results of their SUDs screening.

One drawback of the AUDIT is that it

The MacAndrew Alcohol Scale of the Minnesota Multiphasic Personality Inventory could best be described as

Describe the various roles the process of assessment plays regarding SUDs.

What are the types of "response sets" that might distort the assessor's opinions of the client's SUD? What are ways to mitigate these?

Which of the following is important historical information to compile during a client assessment?

A client presents after conviction for his second "drunk driving" conviction. During the assessment process he also reveals he had a disciplinary action while in the military for driving a vehicle on base while intoxicated. This would

When inquiring about the client's medical history, it is important to inquire about

A urine toxicology test reveals that a client has THC in his or her urine. This is proof that the client

The core of the assessment process is

The assessor, while functioning as a "gatekeeper" for the admissions process

Which of the following is an example of collateral information that may be important to collect during a client assessment?

Why Worry About Substance Abuse or Addiction

The Nature of the Beast

A Brief Introduction to the Science of Pharmacology

An Introduction to Alcohol: Mans Oldest Recreational Chemical

The Alcohol Use Disorders

Abuse and Addiction to Barbiturates and Barbiturate-Like Compounds

Abuse and Addiction to Benzodiazepines and Similar Agents

Abuse and Addiction to Central Nervous System Stimulants

Cocaine Abuse and Dependence

Marijuana Abuse and Addiction

Opiode Use, Abuse, and Addiction

Abuse and Addiction to Hallucinogens

Abuse and Addiction to Inhalants and Aerosols

The Under-Recognized Problem of Steroid Abuseaddiction

Over the Counter Analgesics

Tobacco Products and Nicotine Addiction

The Potential Consequences of Drug Abuse During Pregnancy

Gender and Substance Use Disorders

Hidden Faces of Substance Use Disorders

Substance Use and Abuse by Children and Adolescents

Substance Use Disorders in College Settings

Codependency and Enabling

Addiction and the Family

The Dual-Diagnosis Client: Substance Use Disorders and Mental Illness

The Biopsychosocial Model of the Addictions

The Substance Use Disorders As a Disease of the Human Spirit

Intervention

Treatment Settings

The Treatment of Substance Use Disorders

The Process of Treatment

Pharmacological Interventions for Substance Use Disorders

Relapse and Other Problems Frequently Encountered in Substance Abuse Rehabilitation

Support Groups to Promote and Sustain Recovery

Substance Use Disorders and and Infectious Disease

The Relationship Between Drug Use and Crime

The Debate Over Legalization Appendices Glossary References Index

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