Which of the following is NOT listed as an impairment caused by maladaptive substance use?

• A. Role Failure
• B. Risky situations
• C. Relationship problems
• D. Financial stability

Answer: (D)

This question tests understanding of what constitutes impairment in maladaptive substance use. In most diagnostic frameworks, impairments are seen in functional areas like fulfilling major role obligations (such as work or home responsibilities), engaging in risky or hazardous situations while using substances, and problems in personal relationships or social functioning due to use. These domains reflect concrete disruptions in daily functioning and safety.

Financial stability, while it can be affected by substance use, is not listed as a separate impairment criterion. It may be an indirect consequence, but it isn’t an explicit impairment category on its own. So the item about financial stability is not a listed impairment, whereas role failure, risky situations, and relationship problems are.