What are the two primary tools for relapse prevention?
12-step facilitation and meditation
Addiction counseling and medication-assisted therapy
Cognitive behavioral therapy and mind-body relaxation
Family therapy and yoga
The Correct Answer is B
Choice A reason: While 12-step facilitation and meditation can support recovery, they are not considered the primary evidence-based tools for relapse prevention. Meditation may help with stress management, but it lacks the structured approach needed to address triggers and cognitive distortions.
Choice B reason: Addiction counseling and medication-assisted therapy (MAT) are the two most validated and widely used tools for relapse prevention. Counseling provides behavioral strategies, coping mechanisms, and emotional support, while MAT addresses physiological cravings and withdrawal symptoms through medications like buprenorphine, methadone, or naltrexone.
Choice C reason: Cognitive behavioral therapy is a core component of relapse prevention, but pairing it with mind-body relaxation alone does not encompass the full scope of treatment. Relaxation techniques are supportive but not primary.
Choice D reason: Family therapy and yoga may enhance recovery by improving relationships and reducing stress, but they are adjunctive rather than primary tools. They do not directly target the mechanisms of relapse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Carbamazepine is a potent inducer of cytochrome P450 enzymes, particularly CYP3A4, which metabolizes buprenorphine. This induction accelerates buprenorphine clearance, reducing its plasma concentration and therapeutic effect. Clinical evidence supports that co-administration can lead to subtherapeutic levels and relapse risk.
Choice B reason: Amitriptyline is a tricyclic antidepressant that does not significantly affect buprenorphine metabolism. While it may contribute to sedation or other side effects, it does not reduce buprenorphine efficacy.
Choice C reason: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) and a CYP2D6 inhibitor. It does not significantly impact buprenorphine metabolism via CYP3A4 and is unlikely to reduce its efficacy.
Choice D reason: Erythromycin is a CYP3A4 inhibitor, which could potentially increase buprenorphine levels rather than decrease them. It is not associated with reduced efficacy of buprenorphine.
Correct Answer is C
Explanation
Choice A reason: The power of nursing boards is unrelated to the classification of a case as civil or criminal. Boards regulate licensure and professional conduct but do not determine legal case types.
Choice B reason: Hiring a good attorney may influence the outcome of a case but does not determine whether it is civil or criminal. The nature of the act and intent are the key factors.
Choice C reason: Civil cases typically involve negligence or malpractice where harm results from a lack of due care, not criminal intent. Since the NP did not act with malice or intent to harm, the case is classified as civil, focusing on compensation rather than punishment.
Choice D reason: Criminal charges are filed by the state, not the patient. A patient cannot “drop” criminal charges. The classification depends on the nature of the act, not the victim’s decision.
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