FREE CARN Assessment and Diagnosis Questions and Answers

Question 1

A nurse is using the SBIRT model to address substance use with a patient in a primary care setting.
After the initial screening indicates risky alcohol consumption, what is the immediate next step according to this model?

Accepted Answer

Engage the patient in a brief intervention.

Answer

Provide a referral to a specialty treatment center.

Answer

Complete a full psychiatric evaluation.

Answer

Administer a medication for alcohol craving.

Question 2

When assessing a patient for alcohol withdrawal, the nurse uses the Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar) scale. Which of the following clusters of symptoms are all components of this assessment tool?

Accepted Answer

Nausea/vomiting, tremor, anxiety, and paroxysmal sweats

Answer

Pupil size, bone aches, and yawning

Answer

Respiratory rate, blood glucose, and skin turgor

Answer

Cravings, depression, and sleep-wake cycle

Question 3

According to the DSM-5, the severity of a substance use disorder is determined by the number of diagnostic criteria met within a 12-month period. A patient who meets four criteria would be diagnosed with which level of severity?

Accepted Answer

Moderate

Answer

Mild

Answer

At-Risk

Answer

Severe

Question 4

A CARN is performing a substance use screening using the CAGE-AID questionnaire. The 'A' in the acronym CAGE-AID prompts the nurse to ask which of the following questions?

Accepted Answer

"Have people Annoyed you by criticizing your drinking or drug use?"

Answer

"Have you ever felt you needed to cut down on your drinking or drug use?"

Answer

"Have you ever had a drink or used drugs first thing in the morning (Eye-opener)?"

Answer

"Have you ever felt bad or Guilty about your drinking or drug use?"

Question 5

A patient is being assessed for opioid withdrawal using the Clinical Opiate Withdrawal Scale (COWS). The nurse observes a resting heart rate of 115 bpm, beads of sweat on the patient's forehead, and the patient is unable to sit still for more than a few seconds. These objective findings would contribute to which components of the COWS score?

Accepted Answer

Resting Pulse Rate, Sweating, and Restlessness

Answer

GI Upset, Tremor, and Yawning

Answer

Bone/Joint Aches, Pupil Size, and Anxiety/Irritability

Answer

Runny Nose/Tearing, Gooseflesh Skin, and Tremor

Question 6

Which of the following scenarios best illustrates the DSM-5 diagnostic criterion of 'risky use' for a substance use disorder?

Accepted Answer

A patient continues to drive their commercial truck after smoking cannabis, despite company policy and safety warnings.

Answer

A patient reports needing to drink more alcohol than before to feel the same effects.

Answer

A patient has tried to stop using cocaine multiple times but has been unsuccessful.

Answer

A patient misses several important family events because they are recovering from the effects of binge drinking.

A nurse is using the SBIRT model to address substance use with a patient in a primary care setting.After the initial screening indicates risky alcohol consumption, what is the immediate next step according to this model?

A nurse is using the SBIRT model to address substance use with a patient in a primary care setting.
After the initial screening indicates risky alcohol consumption, what is the immediate next step according to this model?