Professional and Ethical Responsibilities Flashcards
7 cards from real CARN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Professional and Ethical Responsibilities flashcards as text
The concept of 'therapeutic use of self' in addiction nursing most closely relates to which professional responsibility?
Answer: Using the nurse-patient relationship as a healing tool while maintaining boundaries
Therapeutic use of self means deliberately using one's personality and relationship skills as a clinical tool while maintaining professional boundaries.
A CARN working in a rural area is asked to provide addiction counseling services beyond the nursing scope of practice due to staff shortages. The nurse should:
Answer: Decline and document the facility's failure to address the staffing gap
Practicing outside the scope of licensure is illegal and unethical regardless of facility need; the nurse should decline and formally report the gap.
Which scenario represents an appropriate use of clinical supervision for a CARN?
Answer: Discussing a challenging case with a supervisor to process countertransference reactions
Clinical supervision provides a structured space to process countertransference and complex clinical reactions that can affect patient care.
A newly certified CARN is asked by a patient to recommend a specific 12-step sponsor. The most professionally appropriate response is to:
Answer: Provide general guidance about sponsor qualities without making specific recommendations
Nurses can educate patients about what qualities to look for in a sponsor without making specific personal recommendations that could create dual relationships.
The ethical principle of veracity in addiction nursing practice requires the nurse to:
Answer: Provide truthful information even when it may be difficult for patients to hear
Veracity obligates nurses to be truthful with patients, which includes honest communication about prognosis, risks, and treatment limitations.
A CARN discovers that a patient's family member has been attending Al-Anon and has been discussing the patient's treatment details with the group. The nurse should:
Answer: Educate the patient about their rights and options regarding this disclosure
The nurse should empower the patient by explaining their confidentiality rights and what recourse, if any, they have regarding this situation.
Which behavior by a CARN would be considered a violation of the ANA Code of Ethics?
Answer: Refusing to care for a patient due to their substance of choice
The ANA Code of Ethics prohibits discrimination in care provision; nurses may not refuse to care for patients based on diagnosis or substance use.