# Which actions support recovery for a client with alcohol use disorder considering 12-step participation? Select all that apply.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375134&lang=en  
> language: en  
> subject: Basic Care and Comfort  
> category: BCC

## Question

Which actions support recovery for a client with alcohol use disorder considering 12-step participation? Select all that apply.

1

Tell the client that 12-step is the only effective recovery approach and required

2

Plan relapse prevention strategies and identification of triggers

3

Encourage exploring 12-step (AA) as one peer-support option, respecting autonomy

4

Connect with peer recovery navigator and support family education

5

Offer information about medication-assisted treatment (naltrexone, acamprosate, disulfiram)

## Explanation

Evidence-based recovery for alcohol use disorder is multimodal: psychosocial supports (AA/12-step, SMART Recovery, CBT, motivational interviewing), pharmacotherapy (naltrexone, acamprosate, disulfiram), relapse-prevention skills, and peer/family support. AA is one effective option but NOT the only path — autonomy in choosing approach matters. Insisting on a single approach undermines therapeutic alliance.

## In-depth explanation

SMART Recovery is a non-12-step alternative emphasizing self-empowerment and CBT. Match modality to client preferences and beliefs.

## Clinical scenario

Adult after detox. Considering AA. Family ambivalent.

## Key concepts

- **12-step program** — Mutual-help recovery framework (AA, NA) emphasizing acceptance, fellowship, and spiritual principles.
- **medication-assisted treatment** — Use of FDA-approved medications combined with psychosocial care for substance use disorders.
- **relapse prevention** — Skills and strategies to identify triggers and prevent return to substance use.

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