Semester 1

Question 1

CAGE screening tool

Answer 1

Alcohol Assessment

1. “Have you ever felt that you should Cut down on your drinking?”
2. “Have people Annoyed you by criticizing your drinking?”
3. “Have you ever felt bad or Guilty about your drinking?”
4. “Have you ever had a drink first thing in the morning to steady you nerves or get rid of a hangover (Eye-opener)?”

• Scoring: Two or more positive responses correlate with substance abuse.

Ewing JA. Detecting alcoholism: The CAGE questionnaire. JAMA 252:1905-1907 (1995)

Question 2

Mental Status Exam

MSE

Answer 2

I. Appearance (observed)
II. Behavior (observed)
III. Attitude (observed)
IV. Level of Consciousness (observed)
V. Orientation (inquired)
VI. Speech and Language (observed)
VII. Mood (inquired)
VIII. Affect (observed)
IX. Thought Process/Form (observed/inquired)
X. Thought Content (observed/inquired)
XI. Suicidality and Homicidality (inquired)
XII. Insight and Judgment (observed/inquired)
XIII. Attention Span (observed/inquired)
XIV. Memory (observed/inquired)
XV. Intellectual Functioning (observed/inquired)

Question 3

Treatment Goals

SMART Goals

Answer 3

Specific
Measurable
Actionable
Realistic
Timeframe

Question 4

Strengths-Based Assessment

ROPES

Answer 4

Resources
Options
Possibilities
Exceptions
Solutions

Resources
Personal, Family, Social environment, Organizational, Community

Options
Present focus, Emphasis on choice, What can be accessed now? What is available and hasn’t been tried or utilized?

Possibilities
Future focus, Imagination, Creativity, Vision of the future, Play, What have you thought of trying but haven’t tried yet?

Exceptions
When is the problem not happening? When is the problem different? When is part of the hypothetical
future solution occuring? How have you survived, endured, thrived?

Solutions
Focus on constructing solutions,
not solving problems, What’s working now? What are your successes? What are you doing that you would like to continue doing? What if a miracle happened? (de Shazer, 1985), What can you do now to create a piece of the miracle?

Question 5

Five General Principles of Motivational Interviewing

Answer 5

1. Express empathy
2. Develop discrepancy
3. Avoid argumentation
4. Roll with resistance
5. Support self ­efficacy

Question 6

2 Main Systems Theories

Answer 6

1. General Systems Theory
   - micro
   - mezzo
   - macro
2. Ecological Theory/
   Ecological Systems Theory