CARN Treatment Modalities and Interventions 4

Question 1

A patient in opioid withdrawal is prescribed clonidine. The nurse understands this medication manages withdrawal by:

Accepted Answer

Suppressing noradrenergic hyperactivity in the locus coeruleus

Answer

Clonidine is an alpha-2 adrenergic agonist that suppresses the noradrenergic overactivity responsible for many opioid withdrawal symptoms such as anxiety, sweating, and tachycardia.

Question 2

A nurse is facilitating a Matrix Model group for stimulant use disorder. This evidence-based approach combines which elements?

Accepted Answer

CBT, family education, 12-step facilitation, and relapse prevention

Answer

The Matrix Model integrates cognitive-behavioral therapy, relapse prevention, family involvement, and 12-step participation into a structured outpatient program for stimulant use disorder.

Question 3

When conducting a SBIRT screening, a patient scores 8–15 on the AUDIT-C alcohol screening tool. The appropriate nurse response is:

Accepted Answer

Provide a brief motivational intervention and refer if needed

Answer

An AUDIT score of 8–15 indicates hazardous or harmful drinking warranting a brief intervention; scores of 20+ indicate possible dependence requiring referral.

Question 4

A nurse is working with a patient who relapses after 6 months of sobriety. Using a therapeutic frame consistent with addictions nursing, the nurse should:

Accepted Answer

Explore the relapse as a learning opportunity and adjust the treatment plan

Answer

Relapse is viewed as a common part of the recovery process; the therapeutic response is to analyze what happened, reinforce engagement, and revise the plan accordingly.

Question 5

Which pharmacotherapy is specifically indicated to reduce heavy drinking days in patients with alcohol use disorder who do not require complete abstinence?

Accepted Answer

Naltrexone

Answer

Naltrexone reduces the rewarding effects of alcohol and has demonstrated efficacy in reducing heavy drinking days even when abstinence is not the stated goal.

(CARN) Certified Addictions Registered Nurse Practice Test

(CARN) Certified Addictions Registered Nurse Practice Test

CARN Treatment Modalities and Interventions 4