Practice Question
The purse in a community health clinic is using the SBIRT (Screening, Brief Intervention, and Referral to Treatment) model to address substance use Which client scenario is most appropriate for the nurse to apply SBIRT?
Answer Choices:
Correct Answer:
A teenager who reports using recreational marijuana occasionally
Rationale:
🟪 SBIRT is designed for early identification and intervention in individuals with risky or harmful substance use, before a severe substance use disorder develops.
🟪 A teenager using recreational marijuana occasionally represents early or at-risk use, making them an ideal candidate for brief screening, counseling, and possible referral.
🟪 The goal is to motivate behavior change, provide education, and prevent progression to dependence.
🟪 SBIRT is especially useful in primary care and community settings where early patterns of use can be detected and addressed.
❌ Incorrect Options
🟪 Client with anxiety disorder seeking therapy
💥This is a mental health issue, not specifically substance-related, so SBIRT isn’t the primary tool.
🟪 Client who smokes daily and wants to quit
💥This client still needs intervention, but tobacco cessation may follow its own structured protocols such as nicotine replacement and formal quit programs.
💥SBIRT can be used for tobacco, but the teen with early drug use is the more classic SBIRT target.
🟪 Adult with long history of opioid dependence in recovery
💥This client most likely needs specialized addiction treatment and long-term follow-up, which goes beyond a brief SBIRT-style intervention.
💥SBIRT is not meant as the main intervention for severe or long-standing substance use disorders.
Want to practice more questions like this?
This question is from ☑️ Exam 3 Modules 3 and 4 which contains 77 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🏞 Community Health
- Answer Choices: 4