In: Nursing
Identify a screening/measurement tool to assess for alcohol use disorder and alcohol withdrawal. Include a link or copy of the screening/measurement tool.
Screening/measurement tool to assess for alcohol use disorder
Please circle the answer that is correct for you.
1. How often do you have a drink containing alcohol?
a.NEVER MONTHLY OR LESS
b.TWO TO FOUR TIMES A MONTH
c. TWO TO THREE TIMES A WEEK
d.FOUR OR MORE TIMES A WEEK NOTE:
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
a. 1 OR 2
b.2 OR 4
c.5 OR 6
d.7 TO 9
e.10 OR MORE
3. How often do you have six or more drinks on one occasion?
a.NEVER LESS THAN MONTHLY
b. MONTHLY
c.WEEKLY
d. DAILY OR ALMOST DAILY
4. How often during the last year have you found that you were not able to stop drinking once you had started?
a.NEVER LESS THAN MONTHLY
b.MONTHLY
c. WEEKLY
d. DAILY OR ALMOST DAILY
5. How often during the last year have you failed to do what was normally expected from you because of drinking?
a. NEVER LESS THAN MONTHLY
b. MONTHLY
c.WEEKLY
d.DAILY OR ALMOST DAILY
6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
a. NEVER LESS THAN MONTHLY
b. MONTHLY
c.WEEKLY
d.DAILY OR ALMOST DAILY
7. How often during the last year have you had a feeling of guilt or remorse after drinking?
a.NEVER LESS THAN MONTHLY
b. MONTHLY
c. WEEKLY
d. DAILY OR ALMOST DAILY
8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
a. NEVER LESS THAN MONTHLY
b.MONTHLY WEEKLY
c.DAILY OR ALMOST DAILY
9. Have you or someone else been injured as a result of your drinking?
a.NEVER YES, BUT NOT IN THE LAST YEAR
b. YES DURING THE LAST YEAR
10. Has a relative or friend, or a doctor or other health worker been concerned about your drinking or suggested you cut down?
a. NEVER YES, BUT NOT IN THE LAST YEAR
b. YES DURING THE LAST YEARera ou
Scoring Rules for the AUDIT Screening Questionnaire
Item 1
0 = Never 1 = Monthly or less 2 = Two to four times a month 3 = Two to three times a week 4 = Four or more times a week
Item 2
0 = 1-2 drinks 1 = 3-4 drinks 2 = 5-6 drinks 3 = two to three times a week 4 = four or more times a week
Item 3-8
0 = Never 1 = Less than monthly 2 = Monthly 3 = Weekly 4 = Daily or almost daily
Item 9-10
0 = No 1 = Yes, but not in the last year 2 = Yes, during the last year.
Maximum possible score = 40.
A score of 8 or more indicates a strong likelihood of hazardous or harmful alcohol consumption, and warrants more careful assessment.tbreak