CASAC Relapse Prevention and Recovery Support 1

Question 1

In Marlatt and Gordon's cognitive-behavioral model of relapse, what is the first step in the relapse process?

Accepted Answer

An encounter with a high-risk situation

Answer

Marlatt and Gordon's model begins with exposure to a high-risk situation, which challenges the individual's coping skills and self-efficacy.

Question 2

According to relapse prevention theory, what is the 'abstinence violation effect' (AVE)?

Accepted Answer

The guilt and self-blame that follows a lapse and often leads to full relapse

Answer

The AVE describes how a client who lapses may experience intense guilt and self-blame, leading them to abandon recovery efforts entirely.

Question 3

Which of the following is an example of an internal high-risk situation for relapse?

Accepted Answer

Experiencing negative emotions such as anger or loneliness

Answer

Internal high-risk situations include negative emotional states, stress, and boredom — all of which can trigger cravings without external cues.

Question 4

The acronym HALT in relapse prevention reminds clients to check if they are:

Accepted Answer

Hungry, Angry, Lonely, Tired

Answer

HALT stands for Hungry, Angry, Lonely, Tired — four common vulnerability states that increase relapse risk.

Question 5

A client reports experiencing strong urges to use substances but has not used. The CASAC counselor should FIRST:

Accepted Answer

Explore the triggers associated with the craving and review coping strategies

Answer

Exploring the triggers and reinforcing coping strategies is the appropriate clinical response to reported cravings, as it builds skills to manage future urges.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Relapse Prevention and Recovery Support 1