Recovery and Relapse Prevention Flashcards
7 cards from real CARN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Recovery and Relapse Prevention flashcards as text
According to SAMHSA's four dimensions of recovery, which dimension encompasses meaningful daily activities, employment, and financial independence?
Answer: Purpose
SAMHSA's 'Purpose' dimension includes engaging in meaningful daily activities such as a job, school, volunteering, and achieving financial independence.
The 'abstinence violation effect' (AVE) describes which phenomenon?
Answer: Guilt and self-attribution following a lapse that can precipitate full relapse
The AVE refers to feelings of guilt, shame, and perceived personal failure following a lapse, which can trigger a cognitive-emotional cascade leading to full relapse.
A patient 3 months into recovery states, 'I can go to parties where everyone is drinking — I have strong willpower now.' The nurse recognizes this as:
Answer: A cognitive distortion that significantly increases relapse risk
Overconfidence and underestimating high-risk situations ('I'm cured') is a cognitive distortion common in early recovery that substantially elevates relapse risk.
In Prochaska's Transtheoretical Model, which stage is characterized by the patient making specific plans to change behavior within the next 30 days?
Answer: Preparation
The Preparation stage involves intending to take action soon (within 30 days) and beginning to make specific plans, such as calling a treatment center.
Which craving management technique is MOST strongly supported by evidence in addiction treatment?
Answer: 'Urge surfing' — mindfully observing the craving without acting on it
'Urge surfing,' a mindfulness-based technique in which patients observe cravings nonjudgmentally until they naturally peak and subside, is well-supported by clinical evidence.
Which statement about Medication-Assisted Treatment (MAT) and recovery is most accurate?
Answer: MAT combined with counseling consistently improves long-term recovery outcomes
Strong evidence shows that MAT (buprenorphine, methadone, naltrexone) combined with psychosocial treatment significantly improves retention, reduces relapse, and lowers mortality.
A nurse counsels a patient with alcohol use disorder who has achieved 6 months of sobriety. What is accurate about ongoing relapse risk?
Answer: Relapse risk is highest in the first year and remains elevated for several years
Relapse risk is highest during the first year of recovery and remains significantly elevated for several years, reflecting the chronic nature of addiction.