CARN Counseling and Therapeutic Modalities 4

Question 1

A patient with alcohol use disorder is receiving Cognitive Processing Therapy (CPT). Which 'stuck point' is MOST commonly addressed in patients with co-occurring PTSD and addiction?

Accepted Answer

'I deserved what happened to me'

Answer

CPT targets stuck points — maladaptive beliefs like self-blame ('I deserved it') that maintain PTSD symptoms and often drive substance use as coping.

Question 2

Which motivational interviewing spirit component emphasizes collaborative decision-making rather than the counselor directing the patient?

Accepted Answer

Partnership

Answer

Partnership (formerly 'collaboration') in MI means the counselor and patient work together as equals rather than the counselor acting as the expert directing change.

Question 3

During group therapy, a patient with opioid use disorder idealizes the counselor and devalues peers. A psychodynamically-informed nurse would MOST likely interpret this as:

Accepted Answer

Transference

Answer

Transference occurs when a patient projects feelings and attitudes from past relationships onto the therapist or group leader.

Question 4

A nurse co-facilitating a process group notices that new members are unusually silent. According to Yalom's group therapy principles, which therapeutic factor is MOST impaired by this dynamic?

Accepted Answer

Interpersonal learning

Answer

Interpersonal learning — gaining insight through feedback and interaction with others — is most impaired when members are silent and not engaging with each other.

Question 5

Acceptance and Commitment Therapy (ACT) uses 'defusion' techniques in addiction treatment to help patients:

Accepted Answer

Observe thoughts without being controlled by them

Answer

Defusion in ACT helps patients create distance from their thoughts, viewing them as just thoughts rather than truths that must be acted upon.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Counseling and Therapeutic Modalities 4