Chemical Dependency Counselor License Exam Relapse Prevention 3

Question 1

Which of the following MOST accurately describes 'triggers' in relapse prevention?

Accepted Answer

Internal or external cues that elicit urges to use substances

Answer

Medications prescribed to reduce cravings

Answer

Court-ordered conditions of probation related to substance use

Answer

Physical symptoms of withdrawal that require medical attention

Question 2

A client with six months of sobriety begins minimizing the severity of their addiction and skipping meetings. This pattern MOST likely reflects:

Accepted Answer

Complacency and early warning signs of relapse

Answer

Successful integration into normal social functioning

Answer

A normal and healthy reduction in treatment intensity

Answer

Evidence that the client no longer needs counseling

Question 3

Which evidence-based approach incorporates relapse prevention principles and focuses on increasing motivation and resolving ambivalence?

Accepted Answer

Motivational Interviewing (MI)

Answer

Psychoanalytic therapy

Answer

Rational Emotive Behavior Therapy (REBT) only

Answer

Electroconvulsive therapy (ECT)

Question 4

What is the purpose of a 'functional analysis' in relapse prevention?

Accepted Answer

To identify the antecedents, behaviors, and consequences related to substance use

Answer

To assess a client's cognitive function for possible brain damage

Answer

To determine appropriate medication dosing for withdrawal management

Answer

To evaluate a client's employability after treatment

Question 5

Which of the following BEST illustrates the use of 'lifestyle balance' as a relapse prevention strategy?

Accepted Answer

Helping the client develop healthy habits, hobbies, and routines that support sobriety

Answer

Ensuring the client has no free time by filling all hours with structured activities

Answer

Restricting the client's diet to reduce cravings

Answer

Requiring the client to work full-time immediately after discharge

Question 6

A client states, 'I just need to have one drink at my friend's wedding — I can control it this time.' This thinking BEST illustrates:

Accepted Answer

Cognitive distortion and rationalization that increases relapse risk

Answer

Realistic self-assessment and healthy boundary setting

Answer

A rational decision based on the client's progress in treatment

Answer

Evidence that the client has achieved controlled use goals

Question 7

What is the MOST appropriate counselor response when a client discloses a recent lapse?

Accepted Answer

Explore the circumstances of the lapse to identify triggers and reinforce coping skills

Answer

Discharge the client immediately for violating treatment agreements

Answer

Ignore the lapse to avoid reinforcing shame

Answer

Notify law enforcement if the substance is illegal