Deck 18: Approaches to Relapse Prevention

Question 1

It is suggested that relapse be viewed as:

A) Client failure
B) Learning opportunity
C) Treatment failure
D) Road to abstinence

Answer 1

Learning opportunity

Question 2

Approximately _______ of clients will relapse at least once during the first year after treatment.

A) 80%
B) 25%
C) 50%
D) 100%

Answer 2

80%

Question 3

When is relapse most prevalent?

A) Within the first year of recovery
B) Within the first six months of recovery
C) Within the first three months of recovery
D) Within the first month of recovery

Answer 3

Within the first three months of recovery

Question 4

All of the following are goals of relapse management except:

A) Timing of relapse
B) Length of relapse
C) Frequency of relapse
D) Severity of relapse

Question 5

______________is defined as an interruption in one's attempt to change a behavior.

A) Relapse
B) Relapse management
C) Prevention
D) Abstinence

Question 6

What model provides a more accurate and less evaluative understanding of relapse?

A) Behavioral and social learning model
B) Moral model
C) Biopsychosocial model
D) Developmental model

Question 7

According to the biopsychosocial model, sadness, loneliness, and stress are _____________ factors that may increase the likelihood of relapse.

A) Cognitive
B) Affective
C) Social
D) Psychological

Question 8

According to the biopsychosocial model, minimal stimulation, physical detriment, and social isolation are _____________ factors that may increase the likelihood of relapse.

A) Psychological
B) Environmental
C) Social
D) Biological

Question 9

According to the biopsychosocial model, triggering the brain's reward pathway (even in the absence of the drug) that leads to cravings is an example of _____________ factors that may increase the likelihood of relapse.

A) Biological
B) Genetic
C) Social
D) Behavioral

Question 10

Why was it important that the American Medical Association labeled alcoholism a disease in 1956?

A) It diffused the perception that drug and alcohol use was solely a matter of willpower and personal choice
B) It shifted the focus of treatment of addiction to medical professionals
C) It allowed therapists to receive reimbursement from insurance providers
D) It prohibited individuals to receive a psychiatric diagnosis of addiction

Question 11

When is it appropriate for a therapist to begin preparing for relapse with a client?

A) Maintenance stage
B) Action stage
C) Preparation stage
D) At the beginning of treatment

Question 12

What is the definition of relapse prevention?

A) A program of abstinence
B) A plan of how to reenter recovery when relapse occurs
C) A program to teach individuals who are trying to change their behavior how to anticipate and cope with the problem of relapse
D) An interruption in one's attempt to change a behavior

Question 13

In the Relapse Prevention Model, relapse is viewed from what perspective?

A) Dichotomous
B) Continuous
C) Negative
D) Positive

Question 14

A single return to drug or alcohol use after an individual enters recovery is called:

A) Abstinence violation effect
B) Prolapse
C) Relapse
D) Lapse

Question 15

After a lapse, if an individual returns to abstinence, what is this called?

A) Abstinence violation effect
B) Prolapse
C) Relapse
D) Lapse

Question 16

What is a full-scale relapse, according to the Relapse Prevention Model?

A) An individual returns to baseline substance use after entering recovery
B) An individual returns to abstinence after returning to substances for a brief period of time
C) Any single return to drug or alcohol use after an individual enters recovery
D) Any multiple returns to drug or alcohol use after an individual enters recovery

Question 17

In the RPM model, what interventions is a client taught in order to avoid lapses and decrease the probability of a relapse?

A) Situational
B) Global
C) Situational and Global
D) Biopsychosocial

Question 18

According to the RPM model, clients should achieve a balance between perceived obligations and pleasurable activities in his or her life. This is an example of:

A) Environmental change
B) Behavioral change
C) Situational lifestyle change
D) Global lifestyle change

Question 19

In the RPM model, all of the following are examples of high risk situations except:

A) Social pressure
B) Interpersonal conflict
C) Exposure to stimuli continuously paired with the drug of abuse
D) Negative emotional states

Question 20

_____________ is a combination of affective and cognitive responses to the perceived forfeiting of one's goal of abstinence.

A) Positive Outcome Expectancies
B) Cognitive Distortion
C) Forfeiture
D) Abstinence Violation Effect

Question 21

What is mindfulness?

A) Awareness that emerges through paying attention on purpose in the present moment and nonjudgmentally to unfold the experience moment by moment
B) Awareness of current thoughts, feelings, and behaviors
C) Awareness of the present moment and placing judgment on the inner experience
D) Awareness of the past, present, and future

Question 22

Mindfulness-based relapse prevention is an integration of what relapse prevention efforts?

A) Mindfulness and biopsychosocial
B) Mindfulness and cognitive
C) Mindfulness and behavioral
D) Mindfulness and cognitive-behavioral

Question 23

All of the following are examples of MBRP strategies except:

A) Mindful reflection on past addictive behaviors
B) Mindful eating
C) Mindful meditation
D) Body scan

Question 24

Which relapse prevention approach was developed most recently?

A) Biopsychosocial model
B) CENAPS
C) RPM
D) Mindfulness-based relapse prevention

Question 25

Gorski's CENAPS model of relapse prevention is based on:

A) CBT
B) Biopsychosocial model
C) CBT and biopsychosocial model
D) CBT and mindfulness

Question 26

Gorski's CENAPS model of relapse prevention provides a structured protocol to prevent relapse during which stage of recovery?

A) Early
B) Middle
C) Late
D) Early, middle, and late

Question 27

What is the primary protective factor against relapse?

A) Spirituality
B) Environment
C) Social support
D) Self-efficacy

Question 28

Relapse is common.

Question 29

Relapse is unique to the addictions field.

Question 30

Relapse carriers a heavier stigma than relapse in other facets of life or in the realm of mental health.

Question 31

In 1956, the American Medical Association labeled alcoholism a disease.

Question 32

Counselors should wait until the maintenance stage of change to begin addressing potential barriers to sustained abstinence, as any earlier would instill hopelessness in the client.

Question 33

Increasing self-efficacy serves to decrease the probability of relapse.

Question 34

There is limited research to support RPM in treating individuals with drug and alcohol addiction.

Question 35

Mindfulness-Based Relapse Prevention is a more effective approach for gender and ethnic minority populations than some other relapse prevention models.

Question 36

MBRP focuses solely on the present moment and does not provide clients with coping strategies.

Question 37

Counselors are not allowed to report relapse to third parties, given the client's right to confidentiality.

Question 38

What is relapse prevention? When and how should a counselor work with a client on relapse prevention?

Question 39

Describe the Relapse Prevention Model (RPM).

Question 40

How is Mindfulness-Based Relapse Prevention implemented with clients?

Question 41

Briefly describe Gorski's CENAPS model of relapse prevention. List the key components of the model.

Question 42

What are the strengths and weaknesses of the approaches of relapse prevention?