CADC Alcohol and Drug Counselor Relapse Prevention 2

Question 1

In relapse prevention terminology, a 'lapse' is best defined as:

Accepted Answer

A brief, isolated episode of substance use following a period of abstinence

Answer

A permanent return to prior substance use patterns

Answer

The planning stage that occurs before a full relapse begins

Answer

The complete breakdown of a client's treatment plan

Question 2

Self-efficacy in the context of Marlatt's relapse prevention model refers to:

Accepted Answer

A client's belief in their capacity to cope with high-risk situations without using substances

Answer

A client's comprehensive knowledge of substance pharmacology

Answer

A therapist's confidence in delivering evidence-based treatment

Answer

A client's motivation to attend 12-step meetings consistently

Question 3

Covert antecedents to relapse are best characterized as:

Accepted Answer

Internal states such as substance-related fantasies, rationalizations, and cravings

Answer

Visible environmental triggers such as seeing drug paraphernalia

Answer

Social invitations to events where substances will be available

Answer

Peer pressure from friends or acquaintances who still use substances

Question 4

According to Marlatt, the primary mechanism by which lifestyle imbalance increases relapse risk is:

Accepted Answer

An excess of obligations over pleasures generates chronic stress that substances may be sought to relieve

Answer

Imbalance limits access to formal treatment services and support groups

Answer

Repeated failures reduce self-efficacy to the point where recovery seems impossible

Answer

Imbalance decreases the time available for 12-step meeting attendance

Question 5

A comprehensive relapse prevention plan should include all of the following EXCEPT:

Accepted Answer

A guarantee that the client will never use substances again

Answer

Identified personal high-risk situations and triggers

Answer

Early warning signs specific to the individual client

Answer

Coping strategies and emergency support contacts

Question 6

The primary clinical purpose of identifying early warning signs in a client's relapse prevention plan is:

Accepted Answer

To enable timely intervention before the situation escalates to a full relapse

Answer

To create documentation of non-compliance for legal or insurance purposes

Answer

To satisfy treatment program accreditation and regulatory requirements

Answer

To provide a rationale for adjusting the client's medication regimen

Question 7

Family enabling behavior is addressed in relapse prevention primarily because:

Accepted Answer

Enabling removes the natural consequences of substance use, undermining motivation for sustained recovery

Answer

Family members share legal responsibility for the client's sobriety

Answer

Insurance policies require documented family participation in treatment

Answer

Families must formally co-sign the client's relapse prevention plan