CARN Treatment Modalities and Interventions 2

Question 1

A patient with opioid use disorder is being considered for medication-assisted treatment. Which medication requires a DEA waiver (X-waiver) for outpatient prescribing by physicians?

Accepted Answer

Buprenorphine/naloxone

Answer

Methadone for OUD treatment

Answer

Naltrexone oral formulation

Answer

Naltrexone extended-release injection

Question 2

When using motivational interviewing, a nurse reflects back a patient's ambivalence by saying 'So on one hand you want to quit drinking, but on the other, alcohol helps you cope with stress.' This technique is called:

Accepted Answer

Double-sided reflection

Answer

Simple reflection

Answer

Amplified reflection

Answer

Reframing

Question 3

A patient in early alcohol withdrawal presents with tremors, diaphoresis, and anxiety. Which pharmacological agent is the gold standard for managing alcohol withdrawal symptoms?

Accepted Answer

Benzodiazepines

Answer

Haloperidol

Answer

Gabapentin

Answer

Propranolol

Question 4

Which psychosocial intervention uses a structured 12-step philosophy and emphasizes peer support and spiritual growth as components of recovery?

Accepted Answer

Alcoholics Anonymous facilitation therapy

Answer

Cognitive Behavioral Therapy

Answer

Dialectical Behavior Therapy

Answer

Contingency management

Question 5

A nurse is implementing contingency management for a patient with stimulant use disorder. The core mechanism of this intervention is:

Accepted Answer

Using vouchers or prizes to reinforce abstinence

Answer

Providing insight into unconscious motivations

Answer

Teaching relapse prevention cognitive skills

Answer

Building a therapeutic alliance through empathy

Question 6

Extended-release naltrexone (Vivitrol) is appropriate for a patient who:

Accepted Answer

Has completed opioid detoxification and is opioid-free

Answer

Is currently using opioids daily

Answer

Has acute hepatitis with ALT >10x normal

Answer

Is pregnant and seeking opioid use disorder treatment

Question 7

Which level of care on the ASAM continuum involves medically managed intensive inpatient services (Level 4)?

Accepted Answer

Hospital-based programs with 24-hour physician availability

Answer

Residential treatment without 24-hour medical supervision

Answer

Medically monitored inpatient detoxification only

Answer

Intensive outpatient programs meeting 3 days per week