CAC Crisis Intervention and Relapse Prevention 3

Question 1

Which of the following best describes 'relapse' versus 'lapse' in addiction treatment?

Accepted Answer

A lapse is a single episode of use, while a relapse is a return to problematic patterns of use

Answer

A lapse is longer in duration than a relapse

Answer

A relapse only applies to alcohol use disorders

Answer

A lapse requires hospitalization while a relapse does not

Question 2

Under what circumstances is a counselor ethically permitted to break confidentiality during a client crisis?

Accepted Answer

When the client presents an imminent danger to self or others

Answer

When the client misses two consecutive appointments

Answer

When the client's family requests an update on treatment progress

Answer

When the client relapses on any controlled substance

Question 3

A counselor using a strengths-based approach to relapse prevention would MOST likely:

Accepted Answer

Identify and build upon the client's existing coping resources and protective factors

Answer

Focus primarily on the client's history of failed treatment attempts

Answer

Withhold positive feedback to avoid complacency

Answer

Emphasize the consequences of relapse to motivate the client

Question 4

Naloxone (Narcan) is relevant to crisis intervention in addiction counseling primarily because it:

Accepted Answer

Reverses opioid overdose and can save a life in a crisis

Answer

Treats alcohol withdrawal symptoms

Answer

Reduces cravings for stimulant substances

Answer

Is used to manage psychiatric emergencies

Question 5

Which of the following is NOT one of the three phases of relapse according to Gorski's CENAPS model?

Accepted Answer

Recognition of problems

Answer

Internal dysfunction

Answer

Social breakdown

Answer

Denial reactivation

Question 6

A 'crisis safety plan' developed collaboratively with a client in addiction treatment should include:

Accepted Answer

Warning signs, coping strategies, support contacts, and steps to take in an emergency

Answer

Only the client's medication schedule

Answer

The counselor's personal contact information and home address

Answer

A list of substances the client agrees to avoid indefinitely

Question 7

When a client who has recently relapsed returns to treatment, the counselor's MOST therapeutic response is to:

Accepted Answer

Maintain a non-judgmental stance and use the relapse as a learning opportunity

Answer

Immediately place the client on a higher level of care without discussion

Answer

Express disappointment to motivate the client to do better

Answer

Discharge the client for violation of the treatment agreement