CARN Professional and Ethical Responsibilities 5

Question 1

A CARN suspects a patient is being coerced by a partner into entering treatment. The most appropriate initial response is to:

Accepted Answer

Assess the patient's safety and voluntariness of consent in a private setting

Answer

Voluntary consent requires assessment of coercion; the nurse must assess the patient privately to ensure genuine willingness to participate.

Question 2

Which action demonstrates the CARN fulfilling the professional responsibility of evidence-based practice?

Accepted Answer

Implementing interventions supported by current research while considering patient preferences

Answer

Evidence-based practice integrates current best research evidence with clinical expertise and patient values to guide decision-making.

Question 3

A CARN working with adolescents must balance parental rights with the minor patient's confidentiality. Which federal protection most directly governs substance use disorder treatment records for minors?

Accepted Answer

42 CFR Part 2, which may protect minor SUD records from parental disclosure

Answer

42 CFR Part 2 can protect a minor's SUD treatment records from disclosure to parents when the minor has independently sought treatment.

Question 4

A CARN disagrees with a treatment team decision that the nurse believes is not in the patient's best interest. The most professional course of action is to:

Accepted Answer

Express concern through appropriate channels such as team meetings or chain of command

Answer

Professional disagreements should be addressed through legitimate channels including team discussion, supervision, or formal chain of command processes.

Question 5

Mandatory reporting obligations for a CARN would most clearly apply in which situation?

Accepted Answer

A patient reveals current plans to harm an identifiable third party

Answer

Duty to warn/protect requires reporting when a patient makes credible threats against an identifiable third party, overriding confidentiality obligations.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Professional and Ethical Responsibilities 5