Counseling and Therapeutic Modalities Flashcards
7 cards from real CARN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Counseling and Therapeutic Modalities flashcards as text
A patient with alcohol use disorder is receiving Cognitive Processing Therapy (CPT). Which 'stuck point' is MOST commonly addressed in patients with co-occurring PTSD and addiction?
Answer: 'I deserved what happened to me'
CPT targets stuck points — maladaptive beliefs like self-blame ('I deserved it') that maintain PTSD symptoms and often drive substance use as coping.
Which motivational interviewing spirit component emphasizes collaborative decision-making rather than the counselor directing the patient?
Answer: Partnership
Partnership (formerly 'collaboration') in MI means the counselor and patient work together as equals rather than the counselor acting as the expert directing change.
During group therapy, a patient with opioid use disorder idealizes the counselor and devalues peers. A psychodynamically-informed nurse would MOST likely interpret this as:
Answer: Transference
Transference occurs when a patient projects feelings and attitudes from past relationships onto the therapist or group leader.
A nurse co-facilitating a process group notices that new members are unusually silent. According to Yalom's group therapy principles, which therapeutic factor is MOST impaired by this dynamic?
Answer: Interpersonal learning
Interpersonal learning — gaining insight through feedback and interaction with others — is most impaired when members are silent and not engaging with each other.
Acceptance and Commitment Therapy (ACT) uses 'defusion' techniques in addiction treatment to help patients:
Answer: Observe thoughts without being controlled by them
Defusion in ACT helps patients create distance from their thoughts, viewing them as just thoughts rather than truths that must be acted upon.
A CARN is applying Motivational Enhancement Therapy (MET) with a patient who is ambivalent about stopping cannabis use. The MOST appropriate nurse response to ambivalence is:
Answer: Explore both sides of the ambivalence without judgment
MET guides nurses to explore ambivalence without confrontation, helping the patient articulate their own reasons for and against change.
Eye Movement Desensitization and Reprocessing (EMDR) is used with SUD patients PRIMARILY because:
Answer: It processes traumatic memories that often underlie or trigger substance use
EMDR targets the unprocessed traumatic memories that frequently contribute to the development and maintenance of substance use disorders.