CARN Professional and Ethical Responsibilities 3

Question 1

The concept of 'therapeutic use of self' in addiction nursing most closely relates to which professional responsibility?

Accepted Answer

Using the nurse-patient relationship as a healing tool while maintaining boundaries

Answer

Therapeutic use of self means deliberately using one's personality and relationship skills as a clinical tool while maintaining professional boundaries.

Question 2

A CARN working in a rural area is asked to provide addiction counseling services beyond the nursing scope of practice due to staff shortages. The nurse should:

Accepted Answer

Decline and document the facility's failure to address the staffing gap

Answer

Practicing outside the scope of licensure is illegal and unethical regardless of facility need; the nurse should decline and formally report the gap.

Question 3

Which scenario represents an appropriate use of clinical supervision for a CARN?

Accepted Answer

Discussing a challenging case with a supervisor to process countertransference reactions

Answer

Clinical supervision provides a structured space to process countertransference and complex clinical reactions that can affect patient care.

Question 4

A newly certified CARN is asked by a patient to recommend a specific 12-step sponsor. The most professionally appropriate response is to:

Accepted Answer

Provide general guidance about sponsor qualities without making specific recommendations

Answer

Nurses can educate patients about what qualities to look for in a sponsor without making specific personal recommendations that could create dual relationships.

Question 5

The ethical principle of veracity in addiction nursing practice requires the nurse to:

Accepted Answer

Provide truthful information even when it may be difficult for patients to hear

Answer

Veracity obligates nurses to be truthful with patients, which includes honest communication about prognosis, risks, and treatment limitations.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Professional and Ethical Responsibilities 3