CARN Counseling and Therapeutic Modalities 2

Question 1

Which stage of the Transtheoretical Model is characterized by a patient acknowledging a problem but not yet committed to change within the next 6 months?

Accepted Answer

Contemplation

Answer

In the contemplation stage, individuals recognize their problem and are thinking about change but have not committed to taking action in the near future.

Question 2

A CARN uses Contingency Management (CM) with a patient in alcohol recovery. Which core mechanism drives this intervention?

Accepted Answer

Operant conditioning through positive reinforcement

Answer

Contingency Management is based on operant conditioning, providing tangible rewards (e.g., vouchers) to reinforce abstinence or treatment participation.

Question 3

During a group therapy session for opioid use disorder, a patient says, 'I'm not as bad as the others here.' Which defense mechanism is this?

Accepted Answer

Minimization via social comparison

Answer

Comparing oneself favorably to others to minimize one's own problem is a form of minimization through downward social comparison.

Question 4

What is the primary goal of Seeking Safety, an evidence-based intervention used with patients who have co-occurring PTSD and substance use disorder?

Accepted Answer

Teaching coping skills and establishing safety without requiring trauma narration

Answer

Seeking Safety focuses on present-focused coping skills and establishing safety without requiring patients to discuss trauma details.

Question 5

A nurse implementing Brief Strategic Family Therapy (BSFT) with an adolescent's family would MOST focus on:

Accepted Answer

Identifying and restructuring maladaptive family interaction patterns

Answer

BSFT targets maladaptive family interaction patterns that are believed to maintain the adolescent's substance use behavior.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Counseling and Therapeutic Modalities 2