Question 1

Discuss the advantages and disadvantages of paper-and-pencil screening instruments.

Accepted Answer

Paper-and-pencil screening instruments have several advantages. They are cost-effective and easy to administer, making them accessible to a wide range of individuals. They also allow for standardized administration, ensuring that all participants receive the same instructions and questions. Additionally, paper-and-pencil instruments can be easily scored and interpreted, providing quick results for screening purposes.

However, there are also disadvantages to using paper-and-pencil screening instruments. They may be less engaging for participants compared to computer-based or interactive assessments. There is also the potential for human error in scoring and data entry, which can lead to inaccuracies in results. Additionally, paper-and-pencil instruments may not be as flexible or customizable as electronic assessments, limiting the types of questions and response formats that can be used.

Overall, while paper-and-pencil screening instruments have their advantages in terms of accessibility and ease of administration, they also have limitations in terms of engagement and potential for error. It is important for researchers and practitioners to carefully consider the pros and cons of using paper-and-pencil instruments in their screening processes.

Question 2

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. B

Question 3

A score of five points on the DAST would

Accepted Answer

A) be below the cut-off score necessary to suggest a substance use disorder on this instrument. 
B) be sufficiently high to suggest a substance use disorder on this instrument. 
C) suggest substance abuse, but not substance dependence. 
D) reflect extreme denial on this instrument since a score of five points has been engineered to be a lie detection score suggestive of attempts at deception. 
A) be below the cut-off score necessary to suggest a substance use disorder on this instrument. 
B) be sufficiently high to suggest a substance use disorder on this instrument. 
C) suggest substance abuse, but not substance dependence. 
D) reflect extreme denial on this instrument since a score of five points has been engineered to be a lie detection score suggestive of attempts at deception. A

Question 4

A client presents after conviction for his or her second "drunk driving" conviction.During the assessment process, he or she also reveals he or she had a disciplinary action while in the military for driving a vehicle on base while intoxicated.This would not be counted as a third "drunk driving" conviction because it did not appear on his or her civilian driving record.

Accepted Answer

A) True 
 B)False

Question 5

A business owner calls you about an employee who failed a worksite urine drug toxicology test.The person is addicted to drugs and the employer wants the employee to be sent to a rehabilitation center.Your most appropriate response would be to

Accepted Answer

A) help them find a rehabilitation center close to where the employee lives. 
B) assume the employee is addicted. 
C) suggest the need for a complete substance use assessment. 
D) refer the individual to an outpatient drug and alcohol counselor you know. 
A) help them find a rehabilitation center close to where the employee lives. 
B) assume the employee is addicted. 
C) suggest the need for a complete substance use assessment. 
D) refer the individual to an outpatient drug and alcohol counselor you know.

Question 6

In contrast to the screening phase, during the assessment phase the individual conducting the assessment is attempting to

Accepted Answer

A) assign responsibility for the individual's substance use disorder on to those who hurt the client emotionally. 
B) identify the severity of the client's SUD. 
C) identify socioeconomic forces that contributed to the development of the client's SUD. 
D) develop a time sequence for the victimization of the substance abusing individual. 
A) assign responsibility for the individual's substance use disorder on to those who hurt the client emotionally. 
B) identify the severity of the client's SUD. 
C) identify socioeconomic forces that contributed to the development of the client's SUD. 
D) develop a time sequence for the victimization of the substance abusing individual.

Question 7

The Alcohol Use Disorders Identification Test (AUDIT) is effective in identifying people with an alcohol use disorder.

Accepted Answer

A) 70% 
B) 100% 
C) 50% 
D) 90% 
A) 70% 
B) 100% 
C) 50% 
D) 90%

Question 8

The term "addiction"

Accepted Answer

A) is clearly defined in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. 
B) is still not clearly defined. 
C) is applied only to substance use disorders. 
D) automatically indicates the need for rehabilitation. 
A) is clearly defined in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. 
B) is still not clearly defined. 
C) is applied only to substance use disorders. 
D) automatically indicates the need for rehabilitation.

Question 9

One major disadvantage of self-report screening inventories is that these 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.

Question 10

The CAGE tends to be best for identifying which group of people with an alcohol use disorder?

Accepted Answer

A) Children 
B) Women 
C) Men 
D) Minorities 
A) Children 
B) Women 
C) Men 
D) Minorities

Question 11

It is important to diagnose an individual based solely on the results of his or her SUDs screening to eliminate any potential influence of assessor bias.

Accepted Answer

A) True 
 B)False

Question 12

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) Serves as gatekeeper, providing justification for the proper level of treatment and identifying the individual's strengths and weaknesses 
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) Serves as gatekeeper, providing justification for the proper level of treatment and identifying the individual's strengths and weaknesses

Question 13

Select two standardized tests discussed in your text and describe their characteristics.

Accepted Answer

Two standardized tests discussed in the

Question 14

The MacAndrew Alcoholism 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% accurate in its ability to identify persons with an SUD if they answer the questions honestly. 
D) being able to identify introverted persons as having a greater chance of having an 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% accurate in its ability to identify persons with an SUD if they answer the questions honestly. 
D) being able to identify introverted persons as having a greater chance of having an SUD.

Question 15

Which of the following is NOT 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) A client's answers in a clinical interview 
A) Information from family members 
B) Past treatment records 
C) Court documents 
D) A client's answers in a clinical interview

Question 16

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 17

One way for many substance abusers to avoid acknowledging that their substance use patterns are interfering with their ability to hold a regular job is to remain self-employed.

Accepted Answer

A) True 
 B)False

Question 18

According to your text, the two-question screening instrument designed by Brown and colleagues (1997)

Accepted Answer

A) is at best able to identify 80% or more of substance abusers. 
B) is able to identify substance abusers with 95% 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) is at best able to identify 80% or more of substance abusers. 
B) is able to identify substance abusers with 95% 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 19

An important rule for assessing and diagnosing an individual is to always assume deception unless proven otherwise.

Accepted Answer

A) True 
 B)False

Question 20

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

Accepted Answer

The process of assessment plays several

Exam 28: The Assessment of Suspected Substance Use Disorders

Discuss the advantages and disadvantages of paper-and-pencil screening instruments.

One drawback of the AUDIT is that it

A score of five points on the DAST would

A business owner calls you about an employee who failed a worksite urine drug toxicology test.The person is addicted to drugs and the employer wants the employee to be sent to a rehabilitation center.Your most appropriate response would be to

In contrast to the screening phase, during the assessment phase the individual conducting the assessment is attempting to

The Alcohol Use Disorders Identification Test (AUDIT) is effective in identifying people with an alcohol use disorder.

The term "addiction"

One major disadvantage of self-report screening inventories is that these are

The CAGE tends to be best for identifying which group of people with an alcohol use disorder?

It is important to diagnose an individual based solely on the results of his or her SUDs screening to eliminate any potential influence of assessor bias.

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

Select two standardized tests discussed in your text and describe their characteristics.

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

Which of the following is NOT an example of collateral information that may be important to collect during a client assessment?

The core of the assessment process is

One way for many substance abusers to avoid acknowledging that their substance use patterns are interfering with their ability to hold a regular job is to remain self-employed.

According to your text, the two-question screening instrument designed by Brown and colleagues (1997)

An important rule for assessing and diagnosing an individual is to always assume deception unless proven otherwise.

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

Why Worry About Substance Misuse or Substance Use Disorders

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

Misuse of Barbiturates and Barbiturate-Like Compounds

Misuse of Benzodiazepines and Similar Agents

Misuse of Central Nervous System Stimulants and Stimulant Use Disorders

Cocaine Misuse and Cocaine Use Disorder

Marijuana Misuse and Cannabis Use Disorder

Opioid Use and Misuse

Hallucinogen Misuse

Misuse of Inhalants and Aerosols

The Under-Recognized Problem of Steroid Misuse

Tobacco Products and Tobacco Use Disorder

Over the Counter Analgesics

Chemicals and the Neonate

Gender and Substance Use Disorders

Hidden Faces of Substance Use Disorders

Substance Misuse by Children and Adolescents

Substance Use and Substance Use Disorders in College Students

Substance Use Disorders and the Older Adult

Substance Use Disorders and the Family

Codependency and Enabling

The Client With Co-Occurring Disorders: Substance Use Disorders and Mental Illness

The Biopsychosocial Model of the Substance Use Disorders

The Substance Use Disorders As a Disease of the Human Spirit

Intervention

Treatment Settings

Treatment Formats

The Process of Treatment

Pharmacological Interventions for Substance Use Disorders

Relapse and Other Problems Frequently Encountered in Substance Rehabilitation

Support Groups to Promote and Sustain Recovery

Substance Use Disorders and Infectious Disease

The Relationship Between Drugs and Crime

The Debate Over Legalization

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