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

Question 1

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 the person would test positive on breath analysis.

Answer 1

as long as the person would test positive on breath analysis.

Question 2

Urine toxicology testing can fail to detect many misused drugs.

Answer 2

True

Question 3

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.

Answer 3

very common for the treatment of most medical conditions.

Question 4

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 5

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.

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

Question 6

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 (memories associated with particular scents).
D)spousal permission or "enabling" to go and abuse chemicals.

Question 7

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 8

Willpower is best thought of as

A)a fixed commodity.
B)something that only exists in adults.
C)an endless supply.
D)nonexistent in most people.

Question 9

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

A)his or her coping skills at the time of the individual's first lapse.
B)his or her past legal history, as measured by both misdemeanor and felony offenses.
C)whether he or she is facing current legal charges for a violent crime.
D)the amount of money spent in pursuit of alcohol or drugs prior to the individual's admission to a rehabilitation facility.

Question 10

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

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 11

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 12

The rare social user of marijuana will have detectable traces of THC on a standard urine test for

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

Question 13

Which part of the brain is particularly active during a REM dream?

A)The amygdala
B)The hippocampus
C)The striate nucleus
D)The substantia nigra

Question 14

The stance that substance abuse rehabilitation must be effective the first time and that individuals 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 15

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

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

Question 16

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 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 17

Patients with acute injury and have a history of substance abuse

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 18

Moderate drinkers are to have a prescription for antihypertensive and lipid control agents filled when compared to nondrinkers being treated for the same condition.

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

Question 19

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 20

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

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

Question 21

Discuss some of the most common causes of relapse.

Question 22

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

Question 23

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

Question 24

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.

Question 25

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

Question 26

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.

Question 27

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.

Question 28

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

Question 29

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