CADC Alcohol and Drug Counselor Relapse Prevention

Question 1

According to Gorski's CENAPS model, relapse is best understood as:

Accepted Answer

A process beginning with warning signs before substance use resumes

Answer

A sudden return to substance use triggered primarily by peer pressure

Answer

An inevitable consequence of addiction without proper medication management

Answer

A single unpredictable event with no prior warning signs

Question 2

The HALT acronym used in relapse prevention stands for which combination of states?

Accepted Answer

Hungry, Angry, Lonely, Tired

Answer

Happy, Angry, Lonely, Tired

Answer

Hurt, Anxious, Listless, Troubled

Answer

High-risk, Avoidance, Lapse, Triggers

Question 3

Which of the following best illustrates an 'apparently irrelevant decision' (AID) in relapse prevention?

Accepted Answer

Agreeing to meet a sober friend at a bar 'just for coffee'

Answer

Calling a sponsor when experiencing a craving

Answer

Attending a weekly relapse prevention group session

Answer

Practicing mindfulness meditation before a stressful event

Question 4

Post-acute withdrawal syndrome (PAWS) is clinically significant in relapse prevention because:

Accepted Answer

It can persist for months and sustain ongoing vulnerability to relapse

Answer

It occurs exclusively in the first 72 hours after detoxification

Answer

It only affects individuals dependent on opiates

Answer

Its symptoms are purely physical and easily managed with medication

Question 5

Urge surfing, a relapse prevention technique developed by Marlatt, involves:

Accepted Answer

Observing cravings as temporary waves that rise and fall without acting on them

Answer

Avoiding all situations where cravings might arise

Answer

Using medication to immediately suppress urges when they occur

Answer

Calling a support person every time a craving is experienced

Question 6

In Marlatt's relapse prevention model, negative emotional states are classified as:

Accepted Answer

One of the most common high-risk situations associated with relapse

Answer

Covert antecedents that are hidden and clinically irrelevant

Answer

Irrelevant to relapse risk when the client has strong social support

Answer

Manageable exclusively through pharmacotherapy

Question 7

The abstinence violation effect (AVE) can escalate a lapse into a full relapse by:

Accepted Answer

Triggering shame, guilt, and all-or-nothing thinking that promotes continued use

Answer

Causing immediate physiological dependence after a single use episode

Answer

Removing the client's social support network following the lapse

Answer

Inducing severe withdrawal symptoms that require immediate medical treatment