Deck 12: Assessing Substance Use Disorders

Question 1

Although the DSM is a classification system based on categories of disorders, it can be advantageous to conceptualize substance use along a continuum because:

A) A continuum model facilitates an accurate assessment of usage
B) A continuum model is better at accounting for cultural differences
C) A continuum model is better able to differentiate dependence from abuse
D) All of the above

Answer 1

All of the above

Question 2

When counselors initially screen individuals for substance abuse it is recommended that they assess which of the following factors:

A) Interpersonal and physical consequences of substance use
B) Family members use of substances and attitudes towards substances
C) Age at which the substance was first used and what that experience was like
D) All of the above

Answer 2

Interpersonal and physical consequences of substance use

Question 3

Assessment of substance use will focus on differentiating abuse from dependence. Dependence differs from abuse in that it is considered to be:

A) A less severe problem
B) A more severe problem
C) A maladaptive pattern
D) A pattern of usage that occurs for at least one year

Answer 3

A more severe problem

Question 4

All of the following are standardized measures for assessing alcohol abuse over one's lifetime, except for:

A) Michigan Alcohol Screening Test
B) Alcohol Use Disorders Identification Test
C) Global Appraisal of individual Needs
D) Drug Abuse Screening Test

Question 5

Which of the following substance abuse measures has a scale to identify individuals who respond with minimization or denial?

A) TWEAK
B) Fast Alcohol Screening Test
C) SASSI-3
D) AUDIT

Question 6

Which of the following measure has a scoring system that is used to determine a recommend level of intervention?

A) SASSI-3
B) CAGE
C) MAST
D) AUDIT

Question 7

The concept of tolerance is defined as:

A) The essential symptom of substance abuse
B) Needing a greater amount of a substance to produce the same desired effect
C) Experiencing less effects from the same amount or dose of the drug
D) (b) and (c)

Question 8

A standard interview screening question for substance abuse or dependence is:

A) Have your siblings used drugs?
B) Did you ever bring alcohol or other drugs to school?
C) Have you ever tried to stop or cut down on your use?
D) When was the last time you had a drink?

Question 9

One of the limitations of most of the standardized measures for assessing substance use is:

A) Most clients do not respond honestly to them
B) They may have less validity when used with some racial or ethnic groups
C) There only English versions
D) They cannot be used with adolescents

Question 10

An advantage in using the AUDIT to screen for alcohol abuse or dependence is that:

A) It was designed to be used cross-culturally
B) It can assess current and lifetime use
C) It is designed to detect individuals who deny or minimize usage
D) It assesses an individual's readiness to change

Question 11

Although interview questions can be useful for assessing a person's degree of substance use, brief questionnaires can be helpful supplements to the interview because:

A) A diagnosis of dependence or abuse can be determined from scores on most questionnaires
B) They help to identify the degree of functional impairment and consequences of substance usage
C) People tend to be more honest about substance use when responding to questionnaires
D) Readiness for change is best evaluated with questionnaires

Question 12

When interviewing clients about substance use it is recommend that counselors:

A) Inquire about substances that people tend to have less sensitivity about, e.g. caffeine, before asking about other drugs
B) Inquire first about the substance that is most widely used in the persons' culture
C) Challenge clients who appear to be minimizing substance use
D) Wait until a strong therapeutic relationship has been established before inquiring about substance use.

Question 13

Which brief screening measure is intended to be given as part of a clinical interview?

A) Michigan Alcohol Screening Test
B) CAGE
C) Drug use Screening Inventory-Revised
D) DAST

Question 14

One benefit in using the Drug Abuse Screening Test is that it:

A) Assesses mostly how drug use has impacted the individual
B) Assesses frequency and quantity of use within the past month
C) Contains multiple choice questions
D) Assesses treatment motivation and resistance to treatment

Question 15

Although the Global Appraisal of Individual Needs-Initial (GAIN) has been used more typically in research setting it can be beneficial to use in counseling settings because:

A) In some groups scores on the GAIN correlate with other indicators of substance use
B) It assesses both current and lifetime usage
C) Assesses withdrawal symptoms
D) All of the above

Question 16

Why is the AUDIT considered one of the more appropriate substance use measures to use with individuals who represent a variety of different cultures?

Question 17

What is the difference between substance abuse and dependence?

Question 18

When would you consider using both an interview and questionnaires to assess problematic substance use?

Question 19

What are common interview questions counselors can ask to assess how substance use has impacted the person?

Question 20

What are two cultural limitations of using standardized substance use measures?