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

SAMHSA's 'Purpose' dimension includes engaging in meaningful daily activities such as a job, school, volunteering, and achieving financial independence.

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

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.

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

Overconfidence and underestimating high-risk situations ('I'm cured') is a cognitive distortion common in early recovery that substantially elevates relapse risk.

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

The Preparation stage involves intending to take action soon (within 30 days) and beginning to make specific plans, such as calling a treatment center.

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

'Urge surfing,' a mindfulness-based technique in which patients observe cravings nonjudgmentally until they naturally peak and subside, is well-supported by clinical evidence.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Recovery and Relapse Prevention 2