CARN Assessment and Diagnosis 2

Question 1

A patient scoring 15 on the CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol) should be managed with which intervention?

Accepted Answer

Pharmacological treatment with benzodiazepines

Answer

Outpatient monitoring only

Answer

Immediate discharge with written instructions

Answer

Non-pharmacological comfort measures alone

Question 2

When assessing a patient for opioid use disorder, which physical finding is most consistent with chronic opioid use?

Accepted Answer

Track marks and venous sclerosis at injection sites

Answer

Pupillary dilation

Answer

Hypertension and tachycardia at rest

Answer

Skin flushing and diaphoresis

Question 3

The DSM-5 diagnoses substance use disorder on a severity continuum. Which combination of criteria count correctly defines 'severe' SUD?

Accepted Answer

6 or more criteria

Answer

2-3 criteria

Answer

4-5 criteria

Answer

1 criterion plus hospitalization

Question 4

A patient in opioid withdrawal reports severe muscle cramping, diarrhea, and yawning. Using the COWS scale, which domain captures the yawning symptom?

Accepted Answer

Autonomic signs

Answer

GI upset

Answer

Restlessness

Answer

Sweating

Question 5

Which screening tool is specifically validated for identifying unhealthy alcohol use in primary care settings?

Accepted Answer

AUDIT-C

Answer

DAST-10

Answer

CAGE-AID

Answer

PHQ-9

Question 6

A nurse is assessing a patient who uses methamphetamine daily. Which psychiatric symptom is most commonly associated with stimulant use disorder?

Accepted Answer

Paranoid psychosis

Answer

Hypersomnia during intoxication

Answer

Opioid-like euphoria

Answer

Severe respiratory depression

Question 7

During a comprehensive addiction assessment, which domain is assessed by asking about a patient's employment, legal history, and living situation?

Accepted Answer

Biopsychosocial functioning

Answer

Medical history

Answer

Withdrawal severity

Answer

Family genogram