CARN Ethical and Legal Principles 5

Question 1

Which of the following is an example of distributive justice in addiction treatment?

Accepted Answer

A program implements sliding-scale fees to ensure equitable access regardless of income

Answer

Distributive justice requires fair allocation of resources; sliding-scale fees promote equitable access to treatment across socioeconomic levels.

Question 2

A CARN suspects a patient is selling their prescribed buprenorphine. The nurse's initial response should be to:

Accepted Answer

Conduct a clinical assessment, discuss concerns with the patient, and consult the prescriber

Answer

Clinical assessment and direct therapeutic discussion with the patient, followed by prescriber consultation, balances patient care needs with program integrity.

Question 3

A nurse in an addiction program is asked by law enforcement to confirm whether a specific individual is enrolled in the program. Under 42 CFR Part 2, the nurse should:

Accepted Answer

Neither confirm nor deny that the individual is a patient without a court order or patient consent

Answer

42 CFR Part 2 prohibits even confirming or denying program enrollment to law enforcement without a specific court order or patient consent.

Question 4

Which scenario best illustrates a dual relationship that a CARN must avoid?

Accepted Answer

Providing addiction counseling to a close personal friend who enters the program

Answer

Treating a close personal friend creates a dual relationship that compromises clinical objectivity and violates professional boundaries.

Question 5

A patient in opioid treatment is pregnant and refuses naltrexone, requesting buprenorphine instead. The ethical principle supporting the nurse's advocacy for the patient's preferred treatment is:

Accepted Answer

Autonomy

Answer

Autonomy supports the patient's right to participate in treatment decisions and choose among clinically appropriate options.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Ethical and Legal Principles 5