CAADC Relapse Prevention and Recovery Support 4

Question 1

A client in long-term recovery reports feeling invulnerable and skipping mutual aid meetings because 'I've got this figured out.' This attitude is best described as:

Accepted Answer

Complacency as a relapse warning sign

Answer

Overconfidence and reduced engagement with support structures is a classic complacency warning sign that often precedes relapse.

Question 2

Which neurocognitive function most directly impairs a client's ability to recognize their own relapse warning signs?

Accepted Answer

Impaired working memory

Answer

Working memory deficits compromise self-monitoring and the ability to recall and apply relapse prevention strategies in real time.

Question 3

In Marlatt's cognitive-behavioral model, a 'seemingly irrelevant decision' (SID) refers to:

Accepted Answer

An apparently minor decision that moves the client closer to high-risk situations

Answer

SIDs are small, ostensibly unrelated choices that covertly set up relapse opportunities without the client acknowledging the risk.

Question 4

A client with opioid use disorder in medication-assisted treatment (MAT) relapses to alcohol. The counselor's first priority should be:

Accepted Answer

Assessing medical safety and adjusting the treatment plan collaboratively

Answer

Relapse to any substance requires immediate safety assessment and collaborative treatment adjustment while maintaining therapeutic alliance.

Question 5

Which strategy best addresses the 'abstinence violation effect' (AVE) after a lapse?

Accepted Answer

Helping the client attribute the lapse to controllable, situational factors rather than personal failure

Answer

Reframing the lapse as a situational learning opportunity rather than character failure reduces shame and decreases the likelihood of full relapse.

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC Relapse Prevention and Recovery Support 4