Addictions and Mental Health- LO3-
Screening Tools fully solved
T or F-The MAST tool is specific to the older population. - correct answer ✔✔False- The MAST-G
screening tool is specific to the older adult population.
T or F-The CAGE screening tool consists of 8 questions. - correct answer ✔✔False- it consists of 4
questions
T or F- A score of 5 or higher on the MAST-G indicates a drinking problem - correct answer ✔✔True- Five
or more "yes" responses is indicative of an alcohol problem.
T or F- Intoxication cannot be assessed if the patient is unable to answer questions - correct answer
✔✔False- the nurse can assess for observable indications of substance use.
T or F- CIWA tool can be used to guide the safe withdrawal of substances. - correct answer ✔✔True
T or F- Drug testing for illicit substance use is highly accurate with few false positive results. - correct
answer ✔✔False
What are the 5 steps to follow in assessment for substance use? - correct answer ✔✔1. Level of acute
intoxication
2. History and past substance use
3. Medical history
4. Psychiatric history
5. Psychosocial assessment
What topics are "questioned" under demographic and socioeconomic information? - correct answer
✔✔-Age
-Gender
, -Cultural background
-Education, employment, income
-Housing
-Relationships
-Legal (past or current involves with justice system)
What topics are "questioned" under the substance use history? - correct answer ✔✔-Substances used by
patient
-Age of first use
-Pattern of use, including amount, frequency, and duration of use
-Route of substance
-Withdrawal symptoms
-Triggers to substance
-Access and use of harm reduction strategies
What are some potential infections resulting from IV drug use? - correct answer ✔✔Localized and
systemic infections/abscesses
-Cellulitis
-HIV
-Hepatitis B and C
-Infective endocarditis
-Osteomyelitis
This is a 25-point questionnaire designed to provide rapid and effective screening for lifetime alcohol
related problems and alcoholism. - correct answer ✔✔MAST (Michigan Alcoholism Screening Test)
What 4 questions are included in the CAGE questionnaire? - correct answer ✔✔1. Have you felt you
ought to CUT down on your drinking, substance use, or behaviour?
2. Have people ANNOYED you by critisizing your drinking, substance use or behaviour?
3. Have you felt GUILTY about your drinking, substance use, or behaviour?
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