CARN Managing Co-Occurring Disorders 3

Question 1

A patient with PTSD and alcohol use disorder is most at risk for relapse when:

Accepted Answer

Experiencing trauma triggers or PTSD symptom exacerbation

Answer

PTSD symptom activation, including intrusive memories and hyperarousal, significantly increases craving and relapse risk in patients with co-occurring alcohol use disorder.

Question 2

Which antidepressant class is generally preferred for treating depression co-occurring with alcohol use disorder due to its safety profile and evidence base?

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs)

Answer

SSRIs are preferred for co-occurring depression and alcohol use disorder due to their favorable safety profile, low abuse potential, and evidence of efficacy.

Question 3

A CARN is treating a patient with borderline personality disorder (BPD) and opioid use disorder. Which therapeutic approach has the strongest evidence for treating BPD in this population?

Accepted Answer

Dialectical Behavior Therapy (DBT)

Answer

DBT was originally developed for BPD and has been adapted for co-occurring substance use disorders, with strong evidence supporting its effectiveness.

Question 4

In integrated dual diagnosis treatment (IDDT), the primary advantage over sequential treatment is:

Accepted Answer

Both disorders are addressed simultaneously by the same treatment team

Answer

IDDT ensures that both disorders are treated concurrently by the same team, eliminating gaps and inconsistencies that occur with sequential approaches.

Question 5

A nurse notices a patient with major depressive disorder has significantly increased alcohol use over the past week. The most appropriate initial intervention is:

Accepted Answer

Explore the relationship between depressive symptoms and increased alcohol use

Answer

Exploring the relationship between mood symptoms and substance use is essential to understanding the functional connection and guiding integrated treatment.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Managing Co-Occurring Disorders 3