CARN Recovery and Relapse Prevention 2

Question 1

According to SAMHSA's four dimensions of recovery, which dimension encompasses meaningful daily activities, employment, and financial independence?

Accepted Answer

Purpose

Answer

Health

Answer

Home

Answer

Community

Question 2

The 'abstinence violation effect' (AVE) describes which phenomenon?

Accepted Answer

Guilt and self-attribution following a lapse that can precipitate full relapse

Answer

Physical withdrawal symptoms that emerge after stopping substance use

Answer

Legal consequences for violating conditions of probation or parole

Answer

The therapeutic benefit of short-term, planned abstinence periods

Question 3

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:

Accepted Answer

A cognitive distortion that significantly increases relapse risk

Answer

A healthy sign of growing self-confidence in recovery

Answer

Evidence of well-developed coping skills

Answer

An appropriate goal for someone in late-stage recovery

Question 4

In Prochaska's Transtheoretical Model, which stage is characterized by the patient making specific plans to change behavior within the next 30 days?

Accepted Answer

Preparation

Answer

Contemplation

Answer

Action

Answer

Maintenance

Question 5

Which craving management technique is MOST strongly supported by evidence in addiction treatment?

Accepted Answer

'Urge surfing' — mindfully observing the craving without acting on it

Answer

Thought suppression — actively pushing away all thoughts about the substance

Answer

Immediately calling a sponsor every time any craving is experienced

Answer

Engaging in strenuous exercise to eliminate all cravings

Question 6

Which statement about Medication-Assisted Treatment (MAT) and recovery is most accurate?

Accepted Answer

MAT combined with counseling consistently improves long-term recovery outcomes

Answer

Patients maintained on MAT medications are not in 'true' recovery

Answer

MAT is only appropriate for acute detoxification and should not be used long-term

Answer

Participation in 12-Step programs requires patients to discontinue MAT medications

Question 7

A nurse counsels a patient with alcohol use disorder who has achieved 6 months of sobriety. What is accurate about ongoing relapse risk?

Accepted Answer

Relapse risk is highest in the first year and remains elevated for several years

Answer

Relapse risk returns to near zero after 6 months of sustained sobriety

Answer

Completing a 12-Step program eliminates significant relapse risk

Answer

Relapse risk only exists when patients are exposed to environmental triggers