Test Bank Template

Chapter 2: Interview, Screening, and Assessment

Multiple Choice Questions:

1. Interview and assessment directly influence which of the following clinical issues?

a. Diagnosis

b. Problem conceptualization

c. Treatment plan

d. Treatment placement

2. Which of the following content is not recommended by Morgen for inclusion in a review of substance use history?

a. Age at first use

b. Frequency, amount, and administration of the substance

c. Reason for first use

d. Any periods of prior abstinence > 30 days

3. As per NIDA, which of the following substances—when combined with alcohol—can result in dangerously low blood pressure?

a. Cocaine

b. Heroin

c. Inhalants

d. Marijuana

4. As per NIDA, which of the following substances—when combined with alcohol—can dangerously increase hear rate?

a. Cocaine

b. Heroin

c. Inhalants

d. Marijuana

5. As per NIDA, which of the following substances—when combined with alcohol—increases the risk of overdose well beyond the risk from just alcohol or this substance alone?

a. Cocaine

b. Heroin

c. Inhalants

d. Marijuana

6. As per NIDA, which of the following substances—when combined with alcohol—increases the risk of cardiovascular slowdown, respiratory slowdown, coma, or death?

a. Cocaine

b. Heroin

c. Inhalants

d. Marijuana

7. As per NIDA, cocaine is associated with all of the following health/medical issues with exception of:

a. liver issues

b. respiratory issues

c. HIV/Hepatitis

d. gastronitestinal

8. As per NIDA, heroin is associated with all of the following health/medical issues with exception of:

a. cardiovasuclar issues

b. respiratory issues

c. muscoskeletal issues

d. liver issues

9. The 2013 Treatment Episode Dataset – Admissions indicated that approximately this percentage of clients entered SUD treatment with a co-occurring psychiatric disorder.

a. 40%

b. 33%

c. 25%

d. 50%

10. Psychiatric symptoms in SUD clients can be due to:

a. intoxication effects

b. subsyndromal experiences

c. withdrawal effects

d. all of the above

11. Which of the following is not a part of the client social history information obtained during the initial intake interview?

a. Financial

b. Educational

c. Criminal justice / legal

d. All of the above are social history components

12. According to SAMHSA, which of the following is NOT a function of drug testing?

a. Prevention of adverse pharmacotherapy effects

b. Mechanism to evaluate appropriate level of care

c. Information to provide to drug courts and the CJS

d. Monitoring of adherence to abstinence and/or pharmacotherapy

13. Which substance besides alcohol is typically evaluated in drug testing?

a. Cocaine metabolites

b. Amphetamines

c. Opiate metabolites

d. All of the above

14. Drug testing technology entails the use of:

a. hair

b. urine

c. sweat

d. all of the above

15. This testing technology has the briefest window of detection.

a. Blood

b. Hair

c. Sweat

d. Urine

16. The NIDA Common Data Elements (CDEs) were designed for use in what type of setting?

a. Counseling

b. K-12 school

c. Medical setting

d. All of the above

17. Which measure is NOT a CDE from the NIDA Clinical Trials Network?

a. DAST-10

b. AUDIT-C

c. BDI

d. PHQ-2

18. The PHQ-2 targets which disorder(s)?

a. Anxiety

b. Depressive

c. Psychotic

d. Both a & b

19. The CDS first consists of what?

a. Single-item screener followed by the DAST-10

b. DAST-10 followed by the single-item screener

c. Single-item screener followed by the AUDIT

d. AUDIT followed by the single-item screener

20. The single question test does NOT target which of the following substances?

a. Heroin

b. Cocaine

c. Marijuana

d. Alcohol

True/False Questions:

21. Hallucinations are part of the content of thought section of the mental status exam.

a. True

b. False

22. Psychiatric symptoms should be included in the initial interview, regardless if these symptoms appear substance-related due to intoxication or withdrawal.

a. True

b. False

23. How and why this client wound up being interviewed is irrelevant data for the clinical interview.

a. True

b. False

24. The level of a metabolite in the urine corresponds with levels in the blood.

a. True

b. False

25. The American Academy of Pediatrics Committee on Substance Abuse (2011) recommended that adolescents are screened for substance use only at mental health related appointments.

a. True

b. False

Essay Questions:

26. What are the challenges to an effective interview for an older adult diagnosed with SUD?

The SMAST-G identifies problems common for older adults, such as drinking after a significant loss. Other alcohol measures designed specifically for the older adult population include an adaptation of the AUDIT (SAMHSA, 2001), with sensitivity and specificity shown for a cutoff score of 5 for older men and 3 for older women.

27. Explain why Laudet, Morgen, and White (2006) is a critical article for understanding the need to include strengths-based assessment into the interview process.

28. What are the components and challenges to assessing psychiatric history in the interview?

The challenges are two-fold. One, there is tremendous overlap between substance use and psychiatric symptoms. For example, experiences of anxiety, depressed mood, or paranoia are symptoms of numerous psychiatric disorders but also occur in various instances of substance intoxication or withdrawal. Considering that many clients enter treatment or an ER setting while still actively using or in the early withdrawal phase, it can become very difficult to tease out the temporal and causal relationship (if any) between substance use and psychiatric symptoms. Two, you are asking about psychiatric symptoms and history with an individual who (due to substance use past and present) is not the best equipped to provide a lucid and organized recollection of all symptoms and experiences.

29. Briefly explain how the interview process fits into the larger assessment, diagnosis, and treatment planning context.