CADC Alcohol and Drug Counselor Relapse Prevention 3

Question 1

In relapse prevention, triggers are most accurately described as:

Accepted Answer

Both internal and external stimuli — including people, places, emotions, and thoughts — that increase craving and relapse risk

Answer

Exclusively external environmental cues such as drug paraphernalia

Answer

Only negative emotional states that precede substance use

Answer

Situations involving substance availability that only arise in early recovery

Question 2

The primary goal of mindfulness-based relapse prevention (MBRP) is to:

Accepted Answer

Increase awareness of triggers and cravings so clients can respond without automatic reactivity

Answer

Replace substance use cravings entirely through daily meditation practice

Answer

Teach clients to permanently avoid all situations associated with past substance use

Answer

Eliminate negative thoughts about substances through cognitive restructuring alone

Question 3

Peer support groups such as 12-step programs contribute to relapse prevention primarily by:

Accepted Answer

Offering accountability, fellowship, and role models for long-term recovery

Answer

Providing professional clinical oversight and case management for members

Answer

Replacing individual counseling as the primary evidence-based treatment modality

Answer

Focusing exclusively on spiritual development and higher-power concepts

Question 4

When using a 'decision matrix' tool in relapse prevention, the counselor helps the client:

Accepted Answer

Compare the immediate and long-term consequences of using versus not using substances

Answer

Schedule daily activities to minimize exposure to environmental triggers

Answer

Assign numerical risk scores to identified high-risk situations

Answer

Select the most appropriate 12-step sponsor for their recovery stage

Question 5

A client reports recurring dreams about using substances. In relapse prevention, the clinically appropriate response is to:

Accepted Answer

Explore the dreams as a potential early warning sign and incorporate findings into the relapse prevention plan

Answer

Dismiss the dreams as normal sleep content with no clinical significance

Answer

Interpret the dreams as definitive proof the client plans to relapse

Answer

Treat the dreams exclusively with medication to suppress REM content

Question 6

According to harm reduction principles, when a client experiences a relapse, the counselor should:

Accepted Answer

Re-engage the client in treatment and use the relapse as a learning opportunity to strengthen the recovery plan

Answer

Immediately terminate treatment to enforce accountability for non-compliance

Answer

Withhold further services until the client demonstrates 30 days of continuous sobriety

Answer

Increase confrontation in sessions to break through the client's denial

Question 7

In Marlatt's relapse prevention model, a 'high-risk situation' is most precisely defined as:

Accepted Answer

Any situation that challenges the client's perceived sense of control over their substance use

Answer

Any situation that requires the client to make a significant life decision

Answer

Situations that involve other people who currently use substances

Answer

Any circumstance that reduces overall stress levels in daily life