Deck 33: Relapse and Other Problems Frequently Encountered in Substance Abuse Rehabilitation

Question 1

The recovery success rate from a substance use disorder is about

A) the same as that seen in lung cancer.
B) one half that seen in lung cancer.
C) three times that seen in lung cancer.
D) five times that seen in lung cancer.

Answer 1

three times that seen in lung cancer.

Question 2

One way to deal with a client who wishes to share a secret with a staff person is for that staff person to

A) agree to keep the client's secret in confidence as part of the process of building a therapeutic relationship.
B) agree to keep the client's secret in confidence as long it is does not involve a felony offense.
C) suggest the therapeutic environment is not one of trust, and that the client should thus keep this information to him- or herself.
D) inform the client that any information revealed will be made part of a chart note, and thus available only to other staff members and not to other persons in treatment.

Answer 2

inform the client that any information revealed will be made part of a chart note, and thus available only to other staff members and not to other persons in treatment.

Question 3

One factor that has been identified as predictive of the probability of an individual's ability to achieve long-term abstinence is

A) their coping skills.
B) their past legal history.
C) whether they are facing current legal charges.
D) the amount of money spent in pursuit of alcohol or drugs prior to the individual's admission to a rehabilitation facility.

Answer 3

their coping skills.

Question 4

An estimated of the general population in this country suffers from a chronic non-cancer-related pain disorder.

A) 35 percent
B) 45 percent
C) 15 percent
D) 20 percent

Question 5

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

A) can be arrested, but never cured.
B) can only be cured if the person does not relapse in the first five 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 6

Patients with acute injury, who have a history of substance abuse

A) are more likely to have inadequate pain control than non-abusers.
B) are more likely to be left in pain until the physician orders medications to treat the pain from their injuries.
C) will suffer needless pain as do non-abusers.
D) are easier to treat following a painful injury because their substance use helps with their need for analgesia.

Question 7

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

A) are able to withdraw into a fantasy land or dream world.
B) retreat from the stressor as much as possible.
C) believe they can cope.
D) are able to prioritize the stressors into those that do, and do not, affect the "self."

Question 8

A proximal factor for a relapse is one that , while a distal factor is one that predates the relapse by a significant period of time.

A) occurs unexpectedly
B) precedes the relapse by a short period of time
C) might potentially trigger a relapse
D) is comprised of periods of ill humor followed by short periods of remorse interspaced with normal mood

Question 9

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

A) 30 percent
B) 70 percent
C) 25 percent
D) 40 percent

Question 10

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

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

Question 11

It has been discovered that if clients abstain from all chemicals for , they are unlikely to relapse.

A) 6 weeks following discharge from a rehabilitation program
B) 90 days
C) 6 years
D) 16 weeks

Question 12

Moderate drinkers are to have a prescription filled when compared to a nondrinker being treated for the same condition.

A) less likely
B) about as likely
C) more likely
D) one-third as likely

Question 13

Patients who have a substance use disorder and a chronic pain disorder might not respond to prescribed medications because of

A) familial pressure not to take prescribed medications because they may be addictive.
B) partial tolerance to medications being prescribed.
C) substance induced negative alterations in liver function.
D) operant conditioning in which the individual associates the use of a given compound with intravenous administration.

Question 14

Surprisingly, it is not the stress itself that triggers a relapse but

A) fear of the unknown.
B) preoccupation with id-based memories and urges.
C) "command" hallucinations or thought insertion.
D) demoralization and depression in the face of stress.

Question 15

The stance that substance abuse rehabilitation must be effective the first time and that the individual must not ever relapse again

A) identifies those clients who lack commitment to the treatment process.
B) is consistent with the "medical model" that dominates substance abuse rehabilitation programs.
C) tends to force individuals to wait until they are ready to renounce substance abuse before seeking treatment.
D) demonstrates a double standard for substance abuse rehabilitation programs as opposed to other disease treatment programs.

Question 16

A rarely discussed relapse trigger is the individual's

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.
D) spousal permission to go and abuse chemicals.

Question 17

Between of those who successfully complete an inpatient substance abuse rehabilitation program will experience at least one relapse in the first year following discharge.

A) 10 and 25 percent
B) 30 and 50 percent
C) 50 and 90 percent
D) 10 and 60 percent

Question 18

In addition to the percentage of substance abusers who eventually learn to abstain from substance use, what percentage of treatment graduates develop a pattern of more or less problematic use?

A) 50 percent
B) 20 percent
C) 15 percent
D) 30 percent

Question 19

When stressed, adults tend to

A) choose to delay gratification as a way to cope with immediate stressors.
B) activate regions of the brain involved in habitual responses.
C) interpret visual stimuli through the cognitive regions of the brain.
D) activate those regions of the brain active in cognitive assessment and control functions.

Question 20

Surprisingly, treatment noncompliance is

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 21

Discuss the idea of and idea behind controlled drinking as a treatment goal.

Question 22

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

Question 23

The rare social user of marijuana will have detectable traces of THC and its metabolites on standard urine tests for

A) up to 4 weeks.
B) 7-9 days.
C) 20-45 days.
D) 3-5 days.

Question 24

Urine toxicology testing

A) is efficient because of the ease of sample collection.
B) samples a number of compounds that might either directly or indirectly be identified.
C) offers the opportunity for collection of serial samples over a number of days.
D) is not a perfect therapeutic tool.

Question 25

Even in cases where hair samples test "positive" for substances of abuse

A) the hair sample does not accurately indicate when the substance was used.
B) they also identify persons who were only exposed to a chemical, not just those who used it.
C) you must wait 4-6 weeks for the hair to grow long enough to determine whether a person used a compound in the past 24 hours.
D) the rate of hair growth is not variable, but is 1 cm per month.

Question 26

A popular misconception about urine toxicology testing is that it

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.

Question 27

Discuss some of the most common causes of relapse.

Question 28

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

Question 29

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

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 30

Clients' attempts to "deceive" the urine toxicology test so that it does not identify actual substance abuse

A) are very rare.
B) are common.
C) only involve certain compounds such as marijuana.
D) can easily be detected.

Question 31

What percentage of dreams are REM dreams?

A) 45 percent
B) 85 percent
C) 15 percent
D) 30 percent

Question 32

Discuss some of the factors that might contribute to, or protect against, a relapse back to active chemical abuse.

Question 33

Research has suggested that the "false positive" rate for some commercially available urine toxicology testing kits is as high as

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

Question 34

Opioid treatment contracts

A) attempt to strike a balance between the legitimate need for treatment of chronic pain disorders and treatment noncompliance.
B) are lifelong states of being for the average addicted person.
C) are the same in all clients, with little if any variation between persons.
D) are not affected by environmental substance use "cues."

Question 35

Alcohol can be detected in a urine sample for about

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 they would test positive on breath analysis.