CASAC Relapse Prevention and Recovery Support 4

Question 1

A client in recovery reports feeling restless, irritable, and discontent but has not used substances. According to HALT-R, what additional state does the 'R' represent?

Accepted Answer

Resentment

Answer

HALT-R expands the classic HALT acronym by adding Resentment as a high-risk emotional state that can trigger cravings and relapse.

Question 2

Which of the following best describes the 'abstinence violation effect' (AVE) in relapse prevention?

Accepted Answer

A client's belief that one slip means total failure, leading to continued use

Answer

The abstinence violation effect describes the cognitive-emotional response where a person attributes a lapse to personal failure and uses this as justification for continued substance use.

Question 3

A client's recovery support plan should ideally include which of the following as a 'recovery capital' component?

Accepted Answer

Social, human, physical, and cultural resources that support recovery

Answer

Recovery capital encompasses the breadth and depth of internal and external resources—social networks, skills, housing, and cultural identity—available to support long-term recovery.

Question 4

During a relapse prevention session, a client says, 'I can have just one drink at a wedding without it being a problem.' What cognitive distortion is this client demonstrating?

Accepted Answer

Controlled use rationalization

Answer

Controlled use rationalization is a common cognitive distortion where a client minimizes their loss of control by believing they can manage substance use socially without risk of relapse.

Question 5

Which statement about peer recovery support specialists (PRSS) is most accurate in the context of relapse prevention?

Accepted Answer

PRSS provide lived experience-based support and are not bound by clinical licensure requirements

Answer

Peer recovery support specialists use their own lived experience with recovery to provide non-clinical mentoring and support, operating under different credentialing than licensed counselors.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Relapse Prevention and Recovery Support 4