Master Addiction Counselor Exam Relapse Prevention and Recovery Support 3

Question 1

When a client returns to substance use after a period of abstinence, the MAC counselor's first priority should be:

Accepted Answer

Conducting a functional analysis of the relapse to identify triggers and re-engage treatment

Answer

Discharging the client for noncompliance

Answer

Increasing consequences to motivate change

Answer

Referring the client to a higher level of care immediately without discussion

Question 2

A client in recovery reports feeling invincible and believes they can now use substances occasionally without problems. This thinking is an example of:

Accepted Answer

Addictive thinking / euphoric recall

Answer

Healthy self-efficacy

Answer

Positive reframing

Answer

Motivational enhancement

Question 3

Which of the following best supports long-term recovery in the community?

Accepted Answer

Recovery housing combined with peer support and mutual aid participation

Answer

Inpatient treatment alone

Answer

Prescription monitoring without counseling

Answer

Quarterly check-ins with a primary care physician

Question 4

Mindfulness-based relapse prevention (MBRP) is designed to help clients:

Accepted Answer

Observe cravings and negative emotions without automatically reacting to them

Answer

Replace substance use with physical exercise

Answer

Eliminate all stressors from their environment

Answer

Develop a spiritual program of recovery

Question 5

A client asks why they still crave alcohol two years after stopping. The most accurate counselor response is:

Accepted Answer

Cravings can persist long after abstinence due to neurological changes and conditioned cues

Answer

Cravings always disappear within 30 days of abstinence

Answer

Persistent cravings indicate the client has not truly committed to recovery

Answer

Cravings after two years mean the client needs detoxification again

Question 6

Which of the following is the primary goal of aftercare planning in addiction treatment?

Accepted Answer

Ensuring continuity of recovery support after formal treatment ends

Answer

Closing the client's case as efficiently as possible

Answer

Scheduling the client's next detoxification episode

Answer

Transferring clinical responsibility to the client's family