Question 1

Alcohol can be detected in a urine sample for about

Accepted Answer

A) 8 hours after the person's last drink. 
B) 4 hours after the person's last drink. 
C) 2 hours after the person's last drink. 
D) as long as the person would test positive on breath analysis. 
A) 8 hours after the person's last drink. 
B) 4 hours after the person's last drink. 
C) 2 hours after the person's last drink. 
D) as long as the person would test positive on breath analysis. D

Question 2

A popular misconception about urine toxicology testing is that it

Accepted Answer

A) identifies people who are impaired by the substances identified. 
B) will identify all drugs of abuse. 
C) does not involve the risk of cross-reactions between various compounds possibly in the person's body. 
D) does not require that the person report over-the-counter medications taken when the urine sample was collected. 
A) identifies people who are impaired by the substances identified. 
B) will identify all drugs of abuse. 
C) does not involve the risk of cross-reactions between various compounds possibly in the person's body. 
D) does not require that the person report over-the-counter medications taken when the urine sample was collected. A

Question 3

Research suggests that % of persons on methadone maintenance programs present with a severe chronic pain syndrome.

Accepted Answer

A) 17 
B) 6 
C) 37 
D) 11 
A) 17 
B) 6 
C) 37 
D) 11 C

Question 4

Clients' attempts to manipulate a urine toxicology test so that it does not identify actual substance abuse are actually very uncommon.

Accepted Answer

A) True 
 B)False

Question 5

Patients with acute injury and have a history of substance abuse

Accepted Answer

A) are more likely to have inadequate pain control than nonabusers. 
B) are more likely to be left in pain until the physician orders medications to treat the pain from their injuries. 
C) may experience inadequate treatment for very real pain symptoms. 
D) are easier to treat following a painful injury because their substance use helps with their need for analgesia. 
A) are more likely to have inadequate pain control than nonabusers. 
B) are more likely to be left in pain until the physician orders medications to treat the pain from their injuries. 
C) may experience inadequate treatment for very real pain symptoms. 
D) are easier to treat following a painful injury because their substance use helps with their need for analgesia.

Question 6

Under normal conditions, cocaine can be detected on urine toxicology tests for

Accepted Answer

A) up to 12 hours after the person's last use of this compound. 
B) 72-96 hours after the person's last use of this compound. 
C) 1-4 weeks after the person's last use of this compound. 
D) about 8 hours after the person's last use of this compound. 
A) up to 12 hours after the person's last use of this compound. 
B) 72-96 hours after the person's last use of this compound. 
C) 1-4 weeks after the person's last use of this compound. 
D) about 8 hours after the person's last use of this compound.

Question 7

Those individuals who are least likely to break down in a stressful situation are those

Accepted Answer

A) who are able to withdraw into a fantasy land or dream world. 
B) who retreat from the stressor as much as possible. 
C) with higher self-efficacy regarding their ability to cope. 
D) who are able to prioritize the stressors into those that do, and do not, affect the "self." 
A) who are able to withdraw into a fantasy land or dream world. 
B) who retreat from the stressor as much as possible. 
C) with higher self-efficacy regarding their ability to cope. 
D) who are able to prioritize the stressors into those that do, and do not, affect the "self."

Question 8

Describe some of the ways clients may attempt to deceive urine toxicology testing.

Accepted Answer

Clients may attempt to deceive urine tox

Question 9

Evaluate the strengths and weaknesses of the notion of controlled drinking as it applies to the person with an alcohol use disorder, including a discussion of the literature and research relevant to this issue.

Accepted Answer

The notion of controlled drinking as a t

Question 10

Patients who have a substance use disorder and a chronic pain disorder might not respond to prescribed medications because of partial tolerance that has developed due to the medications being prescribed.

Accepted Answer

A) True 
 B)False

Question 11

Discuss the idea of treatment noncompliance and some of the reasons for it.

Accepted Answer

Treatment noncompliance refers to a pati

Question 12

Surprisingly, treatment noncompliance is

Accepted Answer

A) very common for the treatment of most medical conditions. 
B) common for some medical conditions. 
C) rare for most conditions, but there are exceptions. 
D) most common in the treatment of addiction. 
A) very common for the treatment of most medical conditions. 
B) common for some medical conditions. 
C) rare for most conditions, but there are exceptions. 
D) most common in the treatment of addiction.

Question 13

Research has suggested that the "false-positive" rate for some "on-site" urine toxicology testing kits is as high as ________%.

Accepted Answer

A) 30-35 
B) 25-30 
C) 45-50 
D) 15-20 
A) 30-35 
B) 25-30 
C) 45-50 
D) 15-20

Question 14

Urine toxicology testing can fail to detect many misused drugs.

Accepted Answer

A) True 
 B)False

Question 15

A rarely discussed relapse trigger is the individual's

Accepted Answer

A) sense of balance (loss of balance while intoxicated being equated with further substance use). 
B) sense of touch (feel of what it is like to touch the desired substance just one more time). 
C) sense of smell (memories associated with particular scents). 
D) spousal permission or "enabling" to go and abuse chemicals. 
A) sense of balance (loss of balance while intoxicated being equated with further substance use). 
B) sense of touch (feel of what it is like to touch the desired substance just one more time). 
C) sense of smell (memories associated with particular scents). 
D) spousal permission or "enabling" to go and abuse chemicals.

Question 16

The recovery success rate from a substance use disorder is about three times the rate seen in lung cancer treatment.

Accepted Answer

A) True 
 B)False

Question 17

Discuss some of the most common causes of relapse.

Accepted Answer

Some of the most common causes of relaps

Question 18

It has been estimated that 70% of clients with a substance use disorder who successfully complete treatment develop a progressive form of the disorder that might prove fatal.

Accepted Answer

A) True 
 B)False

Question 19

Using the medical or disease model as a template, the addictions

Accepted Answer

A) can be arrested, but never cured. 
B) can only be cured if the person does not relapse in the first 5 years of the recovery program. 
C) can only be considered resolved if the person has not developed any concurrent medical problems before starting abstinence. 
D) and their resolution depend on the assessment of those around the individual. 
A) can be arrested, but never cured. 
B) can only be cured if the person does not relapse in the first 5 years of the recovery program. 
C) can only be considered resolved if the person has not developed any concurrent medical problems before starting abstinence. 
D) and their resolution depend on the assessment of those around the individual.

Question 20

According to Bowen et al.(2014), up to % of those who complete a treatment program for a substance use disorder relapse within the first year.

Accepted Answer

A) 20 
B) 40 
C) 60 
D) 80 
A) 20 
B) 40 
C) 60 
D) 80

Exam 34: Relapse and Other Problems Frequently Encountered in Substance Rehabilitation

Alcohol can be detected in a urine sample for about

A popular misconception about urine toxicology testing is that it

Research suggests that % of persons on methadone maintenance programs present with a severe chronic pain syndrome.

Clients' attempts to manipulate a urine toxicology test so that it does not identify actual substance abuse are actually very uncommon.

Patients with acute injury and have a history of substance abuse

Under normal conditions, cocaine can be detected on urine toxicology tests for

Those individuals who are least likely to break down in a stressful situation are those

Describe some of the ways clients may attempt to deceive urine toxicology testing.

Evaluate the strengths and weaknesses of the notion of controlled drinking as it applies to the person with an alcohol use disorder, including a discussion of the literature and research relevant to this issue.

Patients who have a substance use disorder and a chronic pain disorder might not respond to prescribed medications because of partial tolerance that has developed due to the medications being prescribed.

Discuss the idea of treatment noncompliance and some of the reasons for it.

Surprisingly, treatment noncompliance is

Research has suggested that the "false-positive" rate for some "on-site" urine toxicology testing kits is as high as ________%.

Urine toxicology testing can fail to detect many misused drugs.

A rarely discussed relapse trigger is the individual's

The recovery success rate from a substance use disorder is about three times the rate seen in lung cancer treatment.

Discuss some of the most common causes of relapse.

It has been estimated that 70% of clients with a substance use disorder who successfully complete treatment develop a progressive form of the disorder that might prove fatal.

Using the medical or disease model as a template, the addictions

According to Bowen et al.(2014), up to % of those who complete a treatment program for a substance use disorder relapse within the first year.

Why Worry About Substance Misuse or Substance Use Disorders

The Nature of the Beast

A Brief Introduction to the Science of Pharmacology

An Introduction to Alcohol: Mans Oldest Recreational Chemical

The Alcohol Use Disorders

Misuse of Barbiturates and Barbiturate-Like Compounds

Misuse of Benzodiazepines and Similar Agents

Misuse of Central Nervous System Stimulants and Stimulant Use Disorders

Cocaine Misuse and Cocaine Use Disorder

Marijuana Misuse and Cannabis Use Disorder

Opioid Use and Misuse

Hallucinogen Misuse

Misuse of Inhalants and Aerosols

The Under-Recognized Problem of Steroid Misuse

Tobacco Products and Tobacco Use Disorder

Over the Counter Analgesics

Chemicals and the Neonate

Gender and Substance Use Disorders

Hidden Faces of Substance Use Disorders

Substance Misuse by Children and Adolescents

Substance Use and Substance Use Disorders in College Students

Substance Use Disorders and the Older Adult

Substance Use Disorders and the Family

Codependency and Enabling

The Client With Co-Occurring Disorders: Substance Use Disorders and Mental Illness

The Biopsychosocial Model of the Substance Use Disorders

The Substance Use Disorders As a Disease of the Human Spirit

The Assessment of Suspected Substance Use Disorders

Intervention

Treatment Settings

Treatment Formats

The Process of Treatment

Pharmacological Interventions for Substance Use Disorders

Support Groups to Promote and Sustain Recovery

Substance Use Disorders and Infectious Disease

The Relationship Between Drugs and Crime

The Debate Over Legalization

Filters