Ethical and Legal Principles 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 Ethical and Legal Principles flashcards as text
Which of the following is an example of distributive justice in addiction treatment?
Answer: A program implements sliding-scale fees to ensure equitable access regardless of income
Distributive justice requires fair allocation of resources; sliding-scale fees promote equitable access to treatment across socioeconomic levels.
A CARN suspects a patient is selling their prescribed buprenorphine. The nurse's initial response should be to:
Answer: Conduct a clinical assessment, discuss concerns with the patient, and consult the prescriber
Clinical assessment and direct therapeutic discussion with the patient, followed by prescriber consultation, balances patient care needs with program integrity.
A nurse in an addiction program is asked by law enforcement to confirm whether a specific individual is enrolled in the program. Under 42 CFR Part 2, the nurse should:
Answer: Neither confirm nor deny that the individual is a patient without a court order or patient consent
42 CFR Part 2 prohibits even confirming or denying program enrollment to law enforcement without a specific court order or patient consent.
Which scenario best illustrates a dual relationship that a CARN must avoid?
Answer: Providing addiction counseling to a close personal friend who enters the program
Treating a close personal friend creates a dual relationship that compromises clinical objectivity and violates professional boundaries.
A patient in opioid treatment is pregnant and refuses naltrexone, requesting buprenorphine instead. The ethical principle supporting the nurse's advocacy for the patient's preferred treatment is:
Answer: Autonomy
Autonomy supports the patient's right to participate in treatment decisions and choose among clinically appropriate options.
The NAADAC Code of Ethics obligates addiction professionals to maintain competence by:
Answer: Engaging in ongoing education, supervision, and self-assessment throughout their career
Professional competence requires a career-long commitment to continuing education, supervision, and reflective practice beyond minimum licensure requirements.
A CARN documents inaccurate information in a patient's chart at a supervisor's request to justify a treatment decision that was made incorrectly. This action constitutes:
Answer: Falsification of medical records, which is both illegal and unethical
Falsifying medical records is illegal regardless of who requests it and violates the nurse's ethical obligation to maintain accurate documentation.