CASAC Relapse Prevention and Recovery Support

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

A lapse to substance use

Answer

Loss of self-efficacy

Answer

Negative emotional states only

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

A legal consequence of violating probation terms

Answer

A physical withdrawal symptom after stopping use

Answer

A counselor's intervention when a client relapses

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

Attending a party where alcohol is served

Answer

Driving past a former drug dealer's house

Answer

Receiving a job offer

Question 4

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

Accepted Answer

Hungry, Angry, Lonely, Tired

Answer

Happy, Angry, Lonely, Tired

Answer

Hopeful, Anxious, Lethargic, Tense

Answer

Hungry, Apathetic, Lethargic, Tense

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

Recommend immediate inpatient hospitalization

Answer

Discharge the client for being at high risk

Answer

Contact the client's family without consent

Question 6

Which technique involves a client imagining themselves 'surfing' a craving without acting on it?

Accepted Answer

Urge surfing

Answer

Systematic desensitization

Answer

Flooding

Answer

Cognitive restructuring