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Question
Your client informs you that he is currently taking Suboxone. You know that this is used in the treatment of ________ dependence.a. methamphetamine
b. alcohol
c. opiate
d. nicotine
Answer
This answer is hidden. It contains 1 characters.
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What percentage of those who join AA will abstain from alcohol for the rest of their lives?a. 20 percent b. 5 percent c. 75 percent d. 50 percent
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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.
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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.
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Urine toxicology testinga. 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.
Q:
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.
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Methadone is thought to be effective because it
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b. binds to narcotic analgesic molecules in the blood, preventing them from forming chemical bonds with blood proteins and thus being more easily removed from the circulation.
c. is able to block 50 percent of the mu receptor sites without activating them.
d. activates only the kappa opioid receptor sites, causing dysphoria should the individual abuse opioids.
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A danger when using a pharmaceutical as an adjunct to the treatment of an addiction to drugs is that the a. physician prescribing the drug must guess at the effective dose.b. patient is already enamored with drugs, and pharmacotherapy might serve as a relapse trigger. c. synergistic effect between pharmaceuticals prescribed is rarely taken into account.d. psychopharmaceuticals utilized might work at cross purposes with the treatment staff's goals.
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An advantage of using the anticonvulsant carbamazepine over benzodiazepines for the treatment of alcohol withdrawal is that ita. is not addictive. b. is not sedating.c. creates nausea in the user. d. is much cheaper.
Q:
Clinical research has demonstrated that
a. one year after assessment, 50 percent of those assessed as having an SUD did not demonstrate even one symptom of the disorder.
b. those admitted to treatment appear to be more likely to achieve abstinence than those who do not seek admission.
c. the best treatment controls every aspect of clients' lives until they are able to deal with the problems they will encounter in that area of their lives.
d. rehabilitation programs play a stronger role in the client's life than social forces.
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Nowinski's model suggests that the first step in recovery is thea. acceptance phase. b. declarative phase.c. decision to work towards natural recovery. d. surrender phase.
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A person in recovery is especially vulnerable to what categories of "cues" to continued substance use?a. Internal and externalb. Internalized conflict over past abuse situations c. Home conflicts or work conflictsd. Concurrent medical cues
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Research suggests that only ______of clients reach the maintenance phase of recovery. a. 30 percentb. 15 percent c. 5 percent d. 20 percent
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The treatment approach in which a client is awarded points for continued abstinence (or loss of points for proven substance use), which they can later trade in for items is thea. motivational contingency approach. b. vertical achievement approach.c. voucher system.d. anticipatory contingency approach.
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Which of the following seems to be foundational in the client's ability to recover?
a. The severity of the SUD
b. The client's interpersonal relationships
c. The client's expectations and selfevaluation
d. All of these answers
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Jose, a substance abuse counselor, is working with Melynda, who has an SUD. They are currently coming up with a continuing plan to support Melynda's desire to work towards recovery. She is currently attending weekly group therapy, going to three AA meetings per week, as well as meeting with Jose every week. She is proud that she has been sober for two weeks. Melynda is most likely in which stage of change, according to Prochaska's model?a. Pre-contemplation b. Maintenancec. Actiond. Contemplation