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1. 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. isconsistentwiththe“medicalmodel”thatdominatessubstanceabuserehabilitationprograms.
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.
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. agreetokeeptheclient’ssecretinconfidenceaspartoftheprocessofbuildingatherapeuticrelationship.
b. agreetokeeptheclient’ssecretinconfidenceaslongitisdoesnotinvolveafelonyoffense.
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.
3. 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
4. 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.
5. 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
6. 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.
7. 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.
8. 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
9. 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. theamountofmoneyspentinpursuitofalcoholordrugspriortotheindividual’sadmissiontoarehabilitation
facility.
10. 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.
11. 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”hallucinationsorthoughtinsertion.
d. demoralization and depression in the face of stress.
12. 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. areabletoprioritizethestressorsintothosethatdo,anddonot,affectthe“self.”
13. 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
14. Ararelydiscussedrelapsetriggeristheindividual’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.
15. 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
16. 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
17. 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.
18. 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
19. 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.
20. 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
21. 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. arenotaffectedbyenvironmentalsubstanceuse“cues.”
22. What percentage of dreams are REM dreams?
a. 45 percent
b. 85 percent
c. 15 percent
d. 30 percent
23. 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.
24. 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. doesnotinvolvetheriskofcrossreactionsbetweenvariouscompoundspossiblyintheperson’sbody.
d. does not require that the person report over-the-counter medications taken when the urine sample was
collected.
25. Researchhassuggestedthatthe“falsepositive”rateforsomecommerciallyavailableurinetoxicologytestingkitsis
as high as
a. 30-35 percent.
b. 25-30 percent.
c. 45-50 percent.
d. 15-20 percent.
26. Clients’attemptsto“deceive”theurinetoxicologytestsothatitdoesnotidentifyactualsubstanceabuse
a. are very rare.
b. are common.
c. only involve certain compounds such as marijuana.
d. can easily be detected.
27. Alcohol can be detected in a urine sample for about
a. 8hoursaftertheperson’slastdrink.
b. 4hoursaftertheperson’slastdrink.
c. 2hoursaftertheperson’slastdrink.
d. as long as they would test positive on breath analysis.
28. 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.
29. 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.
30. Evenincaseswherehairsamplestest“positive”forsubstancesofabuse
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.
31. Discusstheideaoftreatmentnoncomplianceandsomeofthereasonsforit.
32. Discusssomeofthefactorsthatmightcontributeto,orprotectagainst,arelapsebacktoactivechemicalabuse.
33. Discusssomeofthemostcommoncausesofrelapse.
34. Discusstheideaofandideabehindcontrolleddrinkingasatreatmentgoal.
35. Describesomeofthewaysclientsmayattempttodeceiveurinetoxicologytesting.
