1. According to your text, which of the following is NOT one of the roles the assessment process plays?
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
2. It is important to diagnosis an individual based on the results of their SUDs screening.
a. True
b. False
3. The core of the assessment process is
a. having the client complete the SASSI.
b. asking the CAGE questions.
c. a clinical interview.
d. performing the TWEAK.
4. Which of the following is an example of collateral information that may be important to collect during a client
assessment?
a. Information from family members
b. Past treatment records
c. Court documents
d. All of these answers
5. Which of the following is important historical information to compile during a client assessment?
a. Educational and vocational history
b. Legal history
c. Military history
d. All of these answers
6. 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
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.
7. What additional information should Jerry, from the question above, gather about his client, Ned?
a. Where Ned gets his cocaine
b. ThecurrentlevelofcocaineinNed’ssystem
c. Ned’smotivationforseekinganassessment
d. All of these answers
8. Apersonwhohasbeenfoundtohavea“dirty”urinetoxicologytestforthefirsttime________hasasubstance
addiction.
a. possibly
b. definitely
c. cannot possibly (since it is only their first time)
d. and has a high blood alcohol level
9. Theassessor,whilefunctioningasa“gatekeeper”fortheadmissionsprocess
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.
10. 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 them to be sent to a rehabilitation center. Your response would be
a. to help them find a rehabilitation center close to where the employee lives.
b. to assume the employee is addicted.
c. to suggest the need for a complete substance use assessment.
d. refer the individual to an outpatient drug and alcohol counselor you know.
11. The term addiction
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.
12. The CAGE tends to be best for identifying the following subgroup of people
a. women who are binge drinkers.
b. illicit drug abusers.
c. men who are not binge drinkers.
d. adolescents who also abuse illicit drugs.
13. One major disadvantage of paper-and-pencil screening instruments is that they are
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.
14. According to your text, the two-question screening instrument designed by Brown, et. al., is
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.
15. 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
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.
16. The Alcohol Use Disorders Identification Test (AUDIT) is _______ effective in identifying people with an alcohol
use disorder.
a. 70 percent
b. 100 percent
c. 50 percent
d. 90 percent
17. One drawback of the AUDIT is that it
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.
18. One of the problems of the SASSI-3 is that it
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.
19. A score of 5 points on the DAST would
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“5”hasbeenengineeredtobealiedetectionscore
suggestive of attempts at deception.
20. In contrast to the screening phase, during the assessment phase the individual conducting the assessment is
attempting to
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.
21. Aclientreportsspending“only$100”aweekonalcohol,butbecomesindignantwhenyoureportthatthisisover
$5,000 a year for alcohol. This is an example of
a. disengagement.
b. denial.
c. attempt to rationalize.
d. mindfulness.
22. A urine toxicology test reveals that a client has THC in his or her urine. This is proof that the client
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.
23. The MacAndrew Alcohol Scale of the Minnesota Multiphasic Personality Inventory could best be described as
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.
24. 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
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.
25. One way for many substance abusers to avoid having their substance use interfere with their vocational activities is
to be
a. only an on-call worker.
b. an employee of a small company.
c. self-employed.
d. not part of the work force.
26. Wheninquiringabouttheclient’smedicalhistory,itisimportanttoinquireabout
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.
27. One other factor the assessor should attempt to identify is
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.
28. ​DescribethevariousrolestheprocessofassessmentplaysregardingSUDs.
29. ​Discusstheadvantagesanddisadvantagesofpaperandpencilscreeninginstruments.
30. 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?
31. ​Selecttwostandardizedtestsdiscussedinyourtextanddescribetheircharacteristics.
32. ​Althoughthereisnostandardizedformat,discusssomeofthecommonelementsfoundinbetterassessment
processes.
33. An important rule for assessing and diagnosing an individual is to always assume deception unless proven otherwise.
a. True
b. False