Deck 5: Screening, Diagnosis, Assessment, and Referral

Question 1

A client received a dishonorable discharge from military service due to a drug-related incident but did not experience legal problems at the time. She was discharged five years ago, during which time she divorced and lost custody of her child. In what part of taking her social history would you ask about any previous withdrawal symptoms?

A) Military history
B) Legal history
C) Drinking and drug history
D) Current family and social relationship history

Answer 1

Drinking and drug history

Question 2

In taking a social history, you find that a client with a Masters degree in Business Administration has worked in four jobs during the last two years as an administrative assistant. He indicated that in all cases he left for a better opportunity. Based on this information, you determine that .

A) his erratic employment in a position for which his education overqualifies him proves he has a substance use disorder.
B) he is not being completely honest about his employment history or his substance abuse.
C) he is not able to find work more suited to his education level or he prefers this kind of work, but substance abuse is not an apparent problem.
D) you need to explore further why he has experienced erratic employment in a position for which his education overqualifies him.

Answer 2

you need to explore further why he has experienced erratic employment in a position for which his education overqualifies him.

Question 3

A new client from a country of origin different from yours comes in for a screening and an assessment. He tells you he is homeless and asks if you would mind if he camped in your yard during any outpatient treatment. According to the NAADAC code of ethics, you .

A) should help only people whose ethnicity is the same as yours so that they feel more comfortable
B) consider referring him to a shelter or other agency because staying with you involves a level and length of care that is beyond what is acceptable
C) can help him set up the tent
D) indicate that your area of professional expertise prohibits you from taking foreigners onto your property

Answer 3

consider referring him to a shelter or other agency because staying with you involves a level and length of care that is beyond what is acceptable

Question 4

Which screening questionnaire is used only with teens?

A) A-MAST
B) SASSI
C) POSIT
D) DAST

Question 5

What are the four questions asked directly to a patient in the CAGE screening questionnaire? Rewrite the questions to include drugs CAGE-AID).

Question 6

What are the five stages of change? Name and describe at least one relevant change process for each stage.

Question 7

A new chemical dependency professional joins your team. He is unfamiliar with the community services in your area and asks you for information. You share contact information on so that referrals to the proper agencies may be made. You add that it is important for her to .

A) police, fire, and ambulance services; memorize their phone numbers in case of an emergency
B) legal aid, mental health, vocational guidance, and public assistance agencies; build a cooperative relationship with them
C) police, fire, and ambulance services; build a cooperative relationship with them
D) legal aid, mental health, vocational guidance, and public assistance agencies; memorize their phone numbers in case of an emergency

Question 8

What are the main topics typically covered in a social history? What should you do if you discover during your assessment that a person does not have the financial resources to pay for your program?

Question 9

Which two organizations' criteria are most often used in diagnosis? Which organization's criteria is often required by insurance companies to cover treatment?

A) WHO and APA; DSM
B) APA and WHO; APA
C) WHO and APA: ICD
D) NCADD and NCA; DSM

Question 10

An adolescent client was recently referred by a parent. During your assessment, she clearly indicates signs of denial. At what state of change would you say this client is?

A) Contemplation
B) Precontemplation
C) Action
D) Preparation

Question 11

What are some of the proposed changes to DSM criteria for diagnosis of a substance problem? Why is it important to know the most current DSM criteria with respect to treatment and when it takes effect?

Question 12

A client voluntarily enters treatment at your facility. He tells you that he knows he has a drinking problem but cannot control it. He came to the facility because he wants to change his drinking behavior as soon as possible. At what state of change would you say this client is?

A) Maintenance
B) Contemplation
C) Preparation
D) Precontemplation

Question 13

In practice, it is more important to focus on identifying and treating alcoholism rather than underlying causes because .

A) the exact etiology of alcoholism is known and makes clear that treatment of alcoholism is a primary issue
B) secondary diagnosis has no significance in the treatment of alcoholism
C) even when underlying causes are known, they become problems to be solved in their own right in addition to arresting the alcoholism
D) resolving mental disorders that precipitate alcoholism will resolve the alcoholism

Question 14

Suppose you are a human service professional and a member of mutual-help groups. What concerns might there be?

A) Ethical issues can arise if a professional-personal boundary is blurred.
B) You might be overburdened with having to attend all groups in your area.
C) You will need to attend all of your clients' groups and might burn out.
D) Ethical issues should not be a concern because you are a professional first and foremost.

Question 15

A client demonstrates resistance during an assessment. To apply motivational interviewing skills, you use .

A) confrontation and collaboration
B) confrontation and autonomy
C) accurate empathy and evocation
D) education and evocation

Question 16

During an interview with you, a client threatens to beat up her elderly parent. You believe she is serious. What should you do?

A) Maintain the client's confidentiality and report nothing.
B) Report the threat.
C) You have a duty to warn the parent.
D) Investigate your state's laws if you do not already know what they are, and if required, undertake your duty to warn the appropriate authority

Question 17

A client was underperforming at work recently, although for years his service was excellent. He made a costly mistake, so his employer referred him for treatment. He blames his employer for his being there, saying she is having personal problems and is just taking it out on him. Which term best describes his defense mechanism?

A) Rationalization
B) Projection
C) Repression
D) Involuntary reinforcement

Question 18

Which questionnaire is best used with either adults or adolescents depending on the version) who are defensive or in denial about their substance abuse, due to its indirect questioning and obtrusive measures of substance use disorders?

A) SASSI
B) DAST
C) POSIT
D) AUDIT

Question 19

What are the five factors described by Skinner that influence the validity of self-reports? Describe the factor that Hesselbrock and colleagues identified, and give an example.