A 44-year-old male who admits to drinking "a few beers now and then" presents to your clinic. After obtaining a full history and physical, you suspect he
... [Show More] is a heavy alcohol user. Your next best action is to
A) Obtain liver enzymes
B) Administer the CAGE questionnaire
C) Advise him about the hazards of excessive alcohol use
D) Confront the patient with your observations - B) administer the CAGE questionnaire
Which of the following is not a component of the CAGE questionnaire?
A) Have you ever felt you should cut down on your drinking?
B) Have you been annoyed by people criticizing your drinking?
C) Have you ever felt guilty about your drinking?
D) Have you ever engaged in a violent act while drinking? - D) Have you ever engaged in a violent act while drinking?
Which of the following contains the greatest amount of alcohol?
A) 12 oz (360 ml) of beer (9 proof)
B) 4 oz (120 ml) of wine (22 proof)
C) 3.5 oz (105 ml) of mixed drink (30 proof)
D) 3 oz (90 ml) of liquor (80 proof) - D) 3 oz (90 ml) of liquor (80 proof)
DSM-5 criteria for substance use disorder include all of the following except
A) Substance use in larger amounts or over longer period than intended
B) Substance overuse resulting in hospitalization
C) Craving or strong desire to use
D) Substance use in potentially hazardous positions - B) substance overuse resulting in hospitalization
The DSM-5 criteria for substance use tolerance includes
A) Diminished effect with the same amount of substance used
B) Desiring to get an amplified effect with higher doses
C) Ability to decrease the frequency of substance use
D) Absence of withdrawal symptoms when substance is not used for a prolonged period - A) diminished effect with the same amount of substance used
During an office visit, a 38-year-old female states "I drink way too much, but I don't know what to do to stop." According to Prochaska's change framework, her statement is most consistent with a person in the stage of
A) precontemplation
B) Contemplation
C) Preparation
D) Action - B) contemplation
Prochaska's five stages of preparation for change:
Precontemplation: the patient is not interested in change and might be unaware that the problem exists or minimizes the problem's impact
Contemplation: the patient is considering change and looking at its positive/negative aspects, often reports feeling "stuck" with the problem
Preparation: the patient exhibits some change behaviors or thoughts and often reports feeling that he or she does not have the tools to proceed
Action: the patient is ready to go forth with change, often takes concrete steps toward change, but is inconsistent with carrying through
Maintenance/Relapse: the patient learns to continue the change and has adopted/embraced the healthy habit. Relapse may occur. The patient learns to deal with backsliding
You can consider presenting treatment options and support for change after the patient has moved into which of Prochaska's stages?
A) precontemplation
B) contemplation
C) preparation
D) action - B) contemplation [Show Less]