CARN Recovery and Relapse Prevention

Question 1

According to ASAM's definition, which statement best describes recovery from addiction?

Accepted Answer

A process of change through which individuals improve health, wellness, and self-direction

Answer

Complete lifelong abstinence from all mood-altering substances

Answer

Successful completion of a 28-day inpatient rehabilitation program

Answer

Achieving one consecutive year of sobriety verified by drug testing

Question 2

Which relapse prevention model identifies high-risk situations, coping responses, and self-efficacy as its core components?

Accepted Answer

Marlatt's Cognitive-Behavioral Model

Answer

Prochaska's Transtheoretical Model

Answer

Gorski's CENAPS Model

Answer

Miller's Motivational Enhancement Model

Question 3

A patient in recovery identifies 'people, places, and things' associated with past drug use as things to avoid. This concept is best described as:

Accepted Answer

Environmental cue conditioning

Answer

Negative reinforcement patterns

Answer

Emotional dysregulation triggers

Answer

Cognitive distortions about use

Question 4

Which of the following is a relapse WARNING SIGN rather than an external trigger?

Accepted Answer

Increased social isolation and withdrawal from support

Answer

Passing a bar where the patient used to drink

Answer

Smelling alcohol at a family gathering

Answer

Seeing friends who continue to use substances

Question 5

In Marlatt's relapse prevention model, 'seemingly irrelevant decisions' (SIDs) refers to:

Accepted Answer

Small choices that cumulatively set up high-risk relapse situations

Answer

Minor relapses that do not significantly impact overall recovery

Answer

Decisions made while under the influence of substances

Answer

Life decisions unrelated to substance use

Question 6

A nurse explains to a patient that a 'lapse' differs from a 'relapse' in that:

Accepted Answer

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

Answer

A lapse is planned, while relapse is always unplanned

Answer

A lapse involves only alcohol, while relapse involves illicit substances

Answer

A lapse requires hospitalization, while relapse can be managed outpatient

Question 7

Which statement accurately reflects the evidence base for peer support in recovery?

Accepted Answer

Both 12-Step programs and SMART Recovery have evidence supporting effectiveness

Answer

Only 12-Step programs (AA/NA) have significant evidence for long-term outcomes

Answer

Only SMART Recovery has randomized controlled trial support

Answer

Neither mutual aid approach has sufficient evidence to recommend