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 in early recovery asks what 'urge surfing' means. The nurse BEST explains it as:
Answer: Observing cravings as waves that rise and fall without acting on them
Urge surfing, from mindfulness-based relapse prevention, teaches patients to ride out cravings like waves — observing them without acting on them until they pass naturally.
In Solution-Focused Brief Therapy (SFBT) with an addictions patient, the 'miracle question' is used to:
Answer: Help the patient envision a future without the problem to identify goals
The miracle question invites patients to imagine life if the problem were suddenly gone, helping to articulate concrete goals and identify existing strengths.
When a nurse identifies countertransference during addiction counseling, the MOST appropriate action is to:
Answer: Use personal feelings as clinical data and seek supervision
Countertransference provides clinical data; the nurse should use self-awareness and supervision to prevent it from interfering with patient care.
A patient with alcohol use disorder consistently arrives at sessions minimizing consequences and blaming others. Which counselor behavior is MOST consistent with MI principles?
Answer: Rolling with resistance by asking the patient to explore their own perspective further
MI principle of 'rolling with resistance' means the counselor avoids arguing and instead explores the patient's perspective, reducing defensiveness.
Which of the following BEST describes the purpose of 'decisional balancing' in Motivational Interviewing?
Answer: Helping patients weigh the pros and cons of changing their substance use
Decisional balancing involves exploring the benefits and costs of both continuing substance use and making a change to help resolve ambivalence.
Mindfulness-Based Relapse Prevention (MBRP) differs from standard relapse prevention PRIMARILY by:
Answer: Incorporating formal meditation practices to increase awareness of triggers and cravings
MBRP integrates formal mindfulness meditation to increase non-judgmental awareness of internal triggers, cravings, and high-risk situations.
A CARN facilitating a psychoeducational group on high-risk situations covers the concept of 'HALT.' Which patient statement indicates correct understanding?
Answer: 'I'm most vulnerable to relapse when I'm Hungry, Angry, Lonely, or Tired.'
HALT is a relapse prevention acronym reminding patients that Hungry, Angry, Lonely, and Tired states increase vulnerability to cravings and relapse.