CARN Nursing Interventions and Treatment 2

Question 1

A patient in alcohol withdrawal scores 15 on the CIWA-Ar. Which medication is the first-line pharmacological intervention?

Accepted Answer

Lorazepam

Answer

Haloperidol

Answer

Naltrexone

Answer

Disulfiram

Question 2

Which nursing intervention is most important when administering methadone in an opioid treatment program (OTP)?

Accepted Answer

Observe the patient swallow the dose to confirm ingestion

Answer

Administer the dose intramuscularly to ensure absorption

Answer

Allow the patient to take the dose home after the first visit

Answer

Hold the dose if the patient appears intoxicated without further assessment

Question 3

A nurse is planning brief motivational interventions for a patient identified through SBIRT screening. What does SBIRT stand for?

Accepted Answer

Screening, Brief Intervention, and Referral to Treatment

Answer

Substance-Based Integrated Rehabilitation and Therapy

Answer

Standardized Behavioral Intervention and Recovery Tracking

Answer

Structured Brief Interview for Relapse and Treatment

Question 4

A patient on buprenorphine/naloxone reports severe withdrawal symptoms 18 hours after their last heroin use. What is the priority nursing action before initiating the first dose?

Accepted Answer

Confirm the patient is in moderate objective opioid withdrawal using a scale like COWS

Answer

Administer the first dose immediately to relieve discomfort

Answer

Obtain a urine drug screen and wait 48 hours for results

Answer

Contact the prescriber to switch to full-agonist methadone

Question 5

Which psychosocial intervention is specifically designed to enhance a patient's internal motivation to change addictive behaviors by exploring ambivalence?

Accepted Answer

Motivational Interviewing (MI)

Answer

Cognitive Behavioral Therapy (CBT)

Answer

Dialectical Behavior Therapy (DBT)

Answer

12-Step Facilitation Therapy

Question 6

A patient with opioid use disorder and HIV is starting medications for opioid use disorder (MOUD). Which MOUD has documented effectiveness in improving HIV antiretroviral therapy adherence?

Accepted Answer

Methadone or buprenorphine

Answer

Naltrexone oral tablets

Answer

Naloxone nasal spray

Answer

Disulfiram

Question 7

During a nicotine cessation counseling session, the nurse teaches the patient about nicotine replacement therapy (NRT). Which statement by the patient indicates a need for further teaching?

Accepted Answer

I should stop NRT immediately if I smoke even one cigarette

Answer

I can use a patch and short-acting gum together for breakthrough cravings

Answer

I should not eat or drink for 15 minutes before using nicotine gum

Answer

I can use NRT even if I have cardiovascular disease after discussing with my doctor