A 21-year-old male college student presents to the psychiatric-mental health nurse practitioner with a chief complaint of test anxiety. During the evaluation, he reports binge drinking "only on the weekends" with his fraternity brothers. Which of the following would be the most appropriate assessment tools at this time?
Explanation & Rationale
Choice A reason: The MAST is a comprehensive tool used primarily for identifying long-term alcohol abuse. It is less sensitive to recent or episodic binge drinking patterns, especially in younger populations. Choice B reason: The CAGE questionnaire is brief and useful for identifying alcohol dependence, but it lacks sensitivity for detecting binge drinking and is less effective in younger individuals. Choice C reason: CIWA is used to assess the severity of alcohol withdrawal symptoms. It is not appropriate for screening binge drinking or assessing alcohol use patterns in outpatient settings. Choice D reason: The AUDIT is a validated tool designed to detect hazardous and harmful drinking, including binge drinking. It is especially effective in younger populations and provides a broader assessment of alcohol use behaviors.