Chemical Dependency Counselor License Exam Relapse Prevention

Question 1

According to Marlatt and Gordon's Relapse Prevention model, what is the primary goal of relapse prevention therapy?

Accepted Answer

To help clients identify and manage high-risk situations

Answer

To ensure complete abstinence through strict monitoring

Answer

To replace substance use with prescription medications

Answer

To eliminate all triggers from the client's environment

Question 2

What does the acronym HALT stand for in relapse prevention?

Accepted Answer

Hungry, Angry, Lonely, Tired

Answer

Help, Accountability, Learning, Treatment

Answer

Hazard, Avoidance, Lapse, Trigger

Answer

Hope, Action, Limits, Tools

Question 3

In relapse prevention, what is the difference between a 'lapse' and a 'relapse'?

Accepted Answer

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

Answer

A lapse involves illegal substances while a relapse involves alcohol

Answer

A lapse requires hospitalization while a relapse does not

Answer

A lapse occurs in early recovery and a relapse occurs after one year of sobriety

Question 4

Which of the following best describes a 'high-risk situation' in the context of relapse prevention?

Accepted Answer

Any circumstance that threatens coping ability and increases relapse risk

Answer

Any situation involving contact with healthcare providers

Answer

A situation where the client earns a high income

Answer

A situation requiring hospitalization or detox

Question 5

What is the 'Abstinence Violation Effect' (AVE) in relapse prevention?

Accepted Answer

Guilt and shame after a lapse that leads a person to continue using

Answer

The physiological withdrawal reaction after stopping substance use

Answer

The legal consequences of violating a sobriety agreement

Answer

The medical protocol for handling overdose situations

Question 6

Which cognitive distortion is MOST associated with increased relapse risk?

Accepted Answer

Apparently irrelevant decisions that lead toward high-risk situations

Answer

Overgeneralization of positive treatment outcomes

Answer

Minimization of substance use history

Answer

Magnification of withdrawal symptoms

Question 7

Which of the following is considered an effective relapse prevention strategy?

Accepted Answer

Developing a written relapse prevention plan with identified coping strategies

Answer

Avoiding all social situations indefinitely

Answer

Discontinuing all counseling after six months of sobriety

Answer

Relying exclusively on willpower to resist cravings