Nursing Interventions and Treatment 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 Nursing Interventions and Treatment flashcards as text
A patient with opioid use disorder refuses all medications and prefers an abstinence-based program. What is the nurse's most appropriate response using a person-centered approach?
Answer: Respect the patient's preference, provide education on MOUD benefits and risks of refusal, and support their chosen treatment plan
Person-centered care requires respecting patient autonomy while ensuring informed consent by educating patients about all evidence-based options including MOUD benefits.
Which assessment tool is most appropriate for a nurse to use to quickly screen for unhealthy alcohol use in an outpatient primary care setting?
Answer: AUDIT-C
The AUDIT-C (three-item Alcohol Use Disorders Identification Test-Consumption) is a validated, brief screening tool for unhealthy alcohol use in primary care.
A patient with co-occurring PTSD and alcohol use disorder is beginning treatment. Which integrated treatment approach is recommended over sequential treatment?
Answer: Providing simultaneous treatment for both conditions in a coordinated plan
Integrated treatment addressing both PTSD and substance use disorder simultaneously produces better outcomes than sequential or parallel non-coordinated approaches.
A nurse is administering a daily supervised dose of buprenorphine/naloxone. The patient states they feel 'sick' despite taking the medication. What is the most likely cause?
Answer: The dose is insufficient and the patient is in partial withdrawal
Persistent withdrawal symptoms on sublingual buprenorphine/naloxone typically indicate an insufficient dose, as naloxone has negligible sublingual absorption.
When developing a discharge plan for a patient completing inpatient detoxification from alcohol, which element most strongly reduces the risk of relapse and mortality?
Answer: Initiating pharmacotherapy (e.g., naltrexone or acamprosate) and linking to ongoing outpatient care before discharge
Warm handoff to continuing care and initiation of FDA-approved pharmacotherapy before discharge significantly reduce post-detox relapse and overdose death.
A nurse notices a colleague taking controlled substances from a patient's medication tray. What is the nurse's immediate legal and ethical obligation?
Answer: Report the observation to a supervisor immediately per facility policy and state nursing board requirements
Diversion of controlled substances is illegal; nurses have a mandatory obligation to report suspected diversion immediately to protect patients and public safety.
Which statement accurately describes the concept of 'therapeutic limit setting' in addiction nursing practice?
Answer: Establishing clear, consistent boundaries that protect the therapeutic relationship and patient safety while conveying respect
Therapeutic limit setting involves communicating clear, non-punitive expectations that maintain safety and structure while preserving the dignity of the nurse-patient relationship.