CARN Counseling and Therapeutic Modalities 5

Question 1

A patient in early recovery asks what 'urge surfing' means. The nurse BEST explains it as:

Accepted Answer

Observing cravings as waves that rise and fall without acting on them

Answer

Urge surfing, from mindfulness-based relapse prevention, teaches patients to ride out cravings like waves — observing them without acting on them until they pass naturally.

Question 2

In Solution-Focused Brief Therapy (SFBT) with an addictions patient, the 'miracle question' is used to:

Accepted Answer

Help the patient envision a future without the problem to identify goals

Answer

The miracle question invites patients to imagine life if the problem were suddenly gone, helping to articulate concrete goals and identify existing strengths.

Question 3

When a nurse identifies countertransference during addiction counseling, the MOST appropriate action is to:

Accepted Answer

Use personal feelings as clinical data and seek supervision

Answer

Countertransference provides clinical data; the nurse should use self-awareness and supervision to prevent it from interfering with patient care.

Question 4

A patient with alcohol use disorder consistently arrives at sessions minimizing consequences and blaming others. Which counselor behavior is MOST consistent with MI principles?

Accepted Answer

Rolling with resistance by asking the patient to explore their own perspective further

Answer

MI principle of 'rolling with resistance' means the counselor avoids arguing and instead explores the patient's perspective, reducing defensiveness.

Question 5

Which of the following BEST describes the purpose of 'decisional balancing' in Motivational Interviewing?

Accepted Answer

Helping patients weigh the pros and cons of changing their substance use

Answer

Decisional balancing involves exploring the benefits and costs of both continuing substance use and making a change to help resolve ambivalence.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Counseling and Therapeutic Modalities 5