CARN Addiction Assessment & Diagnosis 4

Question 1

In the context of addiction assessment, 'telescoping' refers to which phenomenon?

Accepted Answer

Women progressing more rapidly from first use to dependence than men

Answer

Telescoping describes the accelerated progression from initiation of substance use to dependence observed in women compared to men.

Question 2

A nurse assessing a patient's readiness to change asks, 'On a scale of 0-10, how important is it for you to change your drinking?' This technique is called:

Accepted Answer

Importance and confidence rulers

Answer

Importance and confidence rulers are motivational interviewing tools that use scaling questions to elicit and explore ambivalence about change.

Question 3

Which condition must be ruled out when a patient presents with auditory hallucinations and agitation in the context of cocaine use cessation?

Accepted Answer

Stimulant-induced psychotic disorder

Answer

Stimulant-induced psychotic disorder can occur during or shortly after cessation of cocaine and must be distinguished from primary psychotic disorders.

Question 4

The ASI (Addiction Severity Index) assesses problem severity across how many life domains?

Accepted Answer

7

Answer

The ASI evaluates seven domains: medical, employment/support, alcohol, drug, legal, family/social, and psychiatric status.

Question 5

Which physical finding is most consistent with chronic intravenous drug use during a physical assessment?

Accepted Answer

Track marks and thrombosed veins

Answer

Track marks (venipuncture scars) and thrombosed or sclerosed veins are characteristic physical findings of chronic IV drug use.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Addiction Assessment & Diagnosis 4