CARN Treatment Modalities and Interventions 3

Question 1

A patient with alcohol use disorder is prescribed disulfiram (Antabuse). The nurse educates that a reaction will occur if the patient consumes alcohol because disulfiram inhibits which enzyme?

Accepted Answer

Aldehyde dehydrogenase

Answer

Disulfiram inhibits aldehyde dehydrogenase, causing acetaldehyde accumulation when alcohol is consumed, producing an aversive reaction.

Question 2

Which cognitive-behavioral technique involves identifying high-risk situations for relapse and developing specific coping strategies in advance?

Accepted Answer

Relapse prevention planning

Answer

Relapse prevention planning (Marlatt's model) focuses on identifying triggers and high-risk situations, then building individualized coping strategies to avoid or manage them.

Question 3

A patient with methamphetamine use disorder asks about pharmacological treatment options. The addictions nurse should inform the patient that:

Accepted Answer

No FDA-approved pharmacotherapy currently exists for stimulant use disorder

Answer

As of current guidelines, there is no FDA-approved medication for stimulant use disorder; treatment relies primarily on behavioral interventions such as contingency management.

Question 4

Which brief intervention strategy is most appropriate for a patient in the pre-contemplation stage of change who denies having a substance problem?

Accepted Answer

Raising awareness and planting seeds of doubt about use

Answer

Pre-contemplators are not yet ready to change, so the nurse's role is to raise consciousness and gently introduce the possibility that their use may be problematic.

Question 5

In dialectical behavior therapy (DBT) for co-occurring substance use and borderline personality disorder, which skill module teaches patients to tolerate distress without making it worse?

Accepted Answer

Distress tolerance

Answer

Distress tolerance skills in DBT help patients survive crises and painful emotions without engaging in impulsive behaviors such as substance use.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Treatment Modalities and Interventions 3