CARN Treatment Planning & Implementation 2

Question 1

A patient with alcohol use disorder presents with co-occurring major depression. Which treatment planning approach is most appropriate?

Accepted Answer

Implement integrated dual-diagnosis treatment simultaneously

Answer

Integrated dual-diagnosis treatment addressing both disorders simultaneously produces better outcomes than sequential approaches.

Question 2

When establishing treatment goals with a patient, the CARN nurse should ensure goals are:

Accepted Answer

Specific, measurable, achievable, relevant, and time-bound (SMART)

Answer

SMART goals provide clear benchmarks for progress and are more likely to be achieved than vague objectives.

Question 3

A patient refuses to include family members in their treatment plan. The nurse should:

Accepted Answer

Document the refusal and respect the patient's autonomy

Answer

Patient autonomy must be respected; the nurse documents the refusal and continues individualized care without violating confidentiality.

Question 4

Which level of care is most appropriate for a patient with moderate opioid withdrawal, no psychiatric comorbidities, and a stable home environment?

Accepted Answer

Intensive outpatient program (Level 2.1)

Answer

Intensive outpatient (ASAM Level 2.1) provides structured treatment while allowing the patient to utilize their stable home support.

Question 5

A patient on buprenorphine/naloxone maintenance reports persistent cravings during evening hours. The most appropriate plan modification is:

Accepted Answer

Add split dosing so part of the dose is taken in the evening

Answer

Split dosing buprenorphine/naloxone can address end-of-dose craving by maintaining more stable blood levels throughout the day.

(CARN) Certified Addictions Registered Nurse Practice Test