Managing Co-Occurring Disorders 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 Managing Co-Occurring Disorders flashcards as text
A patient with PTSD and alcohol use disorder is most at risk for relapse when:
Answer: Experiencing trauma triggers or PTSD symptom exacerbation
PTSD symptom activation, including intrusive memories and hyperarousal, significantly increases craving and relapse risk in patients with co-occurring alcohol use disorder.
Which antidepressant class is generally preferred for treating depression co-occurring with alcohol use disorder due to its safety profile and evidence base?
Answer: Selective serotonin reuptake inhibitors (SSRIs)
SSRIs are preferred for co-occurring depression and alcohol use disorder due to their favorable safety profile, low abuse potential, and evidence of efficacy.
A CARN is treating a patient with borderline personality disorder (BPD) and opioid use disorder. Which therapeutic approach has the strongest evidence for treating BPD in this population?
Answer: Dialectical Behavior Therapy (DBT)
DBT was originally developed for BPD and has been adapted for co-occurring substance use disorders, with strong evidence supporting its effectiveness.
In integrated dual diagnosis treatment (IDDT), the primary advantage over sequential treatment is:
Answer: Both disorders are addressed simultaneously by the same treatment team
IDDT ensures that both disorders are treated concurrently by the same team, eliminating gaps and inconsistencies that occur with sequential approaches.
A nurse notices a patient with major depressive disorder has significantly increased alcohol use over the past week. The most appropriate initial intervention is:
Answer: Explore the relationship between depressive symptoms and increased alcohol use
Exploring the relationship between mood symptoms and substance use is essential to understanding the functional connection and guiding integrated treatment.
Which of the following best describes the 'bidirectional relationship' between mental health disorders and substance use disorders?
Answer: Each disorder can trigger, worsen, or maintain the other disorder
The bidirectional relationship means mental illness can lead to substance use and vice versa, with each disorder reinforcing and complicating the other.
A patient with co-occurring ADHD and stimulant use disorder requires medication management. Which medication is most appropriate?
Answer: Atomoxetine, a non-stimulant ADHD medication
Atomoxetine is a non-stimulant ADHD medication with no abuse potential, making it the preferred choice for patients with co-occurring stimulant use disorder.