CARN Patient Assessment and Diagnosis 2

Question 1

A patient presents with diaphoresis, tachycardia, and hypertension 18 hours after last alcohol use. Which assessment finding most indicates impending severe withdrawal?

Accepted Answer

Onset of visual hallucinations

Answer

Temperature of 99.1°F

Answer

Tremors of the hands and tongue

Answer

Mild anxiety and insomnia

Question 2

When using the CRAFFT screening tool with adolescent patients, the nurse should understand it is designed to assess risk related to:

Accepted Answer

Alcohol and other substance use while in cars, alone, or to relax/forget

Answer

Chronic pain and opioid misuse

Answer

Tobacco dependence severity

Answer

Gambling and behavioral addictions

Question 3

A nurse is assessing a patient for opioid use disorder. Which finding from the urine drug screen requires the most immediate clinical follow-up?

Accepted Answer

Negative result in a patient on MOUD who denies recent use

Answer

Positive for prescribed buprenorphine

Answer

Positive for cocaine metabolites

Answer

Positive for caffeine metabolites

Question 4

Which DSM-5 criterion distinguishes a substance use disorder from substance dependence in clinical assessment?

Accepted Answer

DSM-5 removed the abuse/dependence dichotomy and uses a single spectrum disorder with severity specifiers

Answer

DSM-5 requires 30 days of continuous use for diagnosis

Answer

DSM-5 diagnosis requires both physical and psychological symptoms

Answer

DSM-5 requires failed detox attempts before diagnosis

Question 5

During a motivational assessment, a patient states: 'I know drinking is causing problems, but I'm not sure I want to quit.' This statement best reflects which stage of the Transtheoretical Model?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action

Question 6

A patient being assessed for stimulant use disorder reports paranoia, insomnia, and 72 hours without sleep. Which physiological assessment finding would the nurse most expect?

Accepted Answer

Tachycardia, hypertension, and mydriasis

Answer

Bradycardia and miosis

Answer

Hypotension and respiratory depression

Answer

Hypothermia and bradypnea

Question 7

Which screening tool is validated for use in primary care settings to identify unhealthy alcohol use in adults and includes a single-question screen?

Accepted Answer

Single Alcohol Screening Question (SASQ)

Answer

CAGE questionnaire

Answer

AUDIT-C

Answer

CIWA-Ar