FREE CARN Treatment Modalities and Interventions Questions and Answers

Question 1

A patient with alcohol use disorder states, "I know I should cut back for my health, but a few beers with my friends is the only way I can relax after a tough week." Which response by the CARN best demonstrates the principle of developing discrepancy in Motivational Interviewing?

Accepted Answer

"It sounds like on one hand, you value your health, and on the other hand, relaxing with friends is very important to you. How do you see these two things fitting together?"

Answer

"You need to find a healthier way to relax or you'll face serious health consequences."

Answer

"Why don't you just invite your friends to do something that doesn't involve drinking?"

Answer

"It's good that you recognize the need to cut back. Let's set a goal for you to only have two beers next time."

Question 2

A treatment program for stimulant use disorder provides patients with escalating cash-value vouchers for each consecutive drug-free urine sample. This intervention is a primary example of which therapeutic modality?

Accepted Answer

Contingency Management (CM)

Answer

Cognitive Behavioral Therapy (CBT)

Answer

Motivational Interviewing (MI)

Answer

12-Step Facilitation (TSF)

Question 3

A CARN is working at a community clinic with a patient who has a severe opioid use disorder, continues to inject heroin daily, and is not currently interested in abstinence-based treatment. Which of the following interventions is most consistent with a harm reduction approach?

Accepted Answer

Educating the patient on safer injection techniques and providing a naloxone kit.

Answer

Insisting the patient enter a residential treatment program immediately.

Answer

Arranging a family meeting to confront the patient about their drug use.

Answer

Providing education on the stages of change and waiting for the patient to reach the action stage.

Question 4

During a Cognitive Behavioral Therapy (CBT) session, a patient in recovery from cocaine use disorder describes feeling an intense craving whenever they receive their paycheck. According to CBT principles, what is the most appropriate next step for the nurse therapist to take?

Accepted Answer

Help the patient identify the automatic thoughts and feelings linked to the craving and develop alternative coping skills.

Answer

Explore the patient's early childhood experiences related to money.

Answer

Recommend the patient sign up for a 12-step meeting on their payday.

Answer

Advise the patient to have their paycheck deposited into a trust managed by a family member.

Question 5

According to the American Society of Addiction Medicine (ASAM) criteria, which of the following patient profiles would most likely require placement in a Level 3.7, medically monitored intensive inpatient treatment?

Accepted Answer

A patient with a severe, unstable co-occurring medical condition and a high risk of life-threatening withdrawal that requires 24-hour nursing care.

Answer

A patient who is motivated for treatment, has a stable home environment, and is at low risk for withdrawal.

Answer

A patient who has completed residential treatment and needs ongoing support to prevent relapse.

Answer

A patient experiencing moderate withdrawal symptoms that can be managed with ambulatory detoxification and has a supportive family.

Question 6

In a process group for individuals with substance use disorders, a new member tearfully shares their feelings of shame and isolation. An older member responds, "I felt the exact same way when I first came here. You're not alone." According to Irvin Yalom's therapeutic factors, which principle is best demonstrated by the older member's response?

Accepted Answer

Universality

Answer

Catharsis

Answer

Altruism

Answer

Instillation of hope