Treatment Modalities and Interventions 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 Treatment Modalities and Interventions flashcards as text
A patient with alcohol use disorder is prescribed disulfiram (Antabuse). The nurse educates that a reaction will occur if the patient consumes alcohol because disulfiram inhibits which enzyme?
Answer: Aldehyde dehydrogenase
Disulfiram inhibits aldehyde dehydrogenase, causing acetaldehyde accumulation when alcohol is consumed, producing an aversive reaction.
Which cognitive-behavioral technique involves identifying high-risk situations for relapse and developing specific coping strategies in advance?
Answer: Relapse prevention planning
Relapse prevention planning (Marlatt's model) focuses on identifying triggers and high-risk situations, then building individualized coping strategies to avoid or manage them.
A patient with methamphetamine use disorder asks about pharmacological treatment options. The addictions nurse should inform the patient that:
Answer: No FDA-approved pharmacotherapy currently exists for stimulant use disorder
As of current guidelines, there is no FDA-approved medication for stimulant use disorder; treatment relies primarily on behavioral interventions such as contingency management.
Which brief intervention strategy is most appropriate for a patient in the pre-contemplation stage of change who denies having a substance problem?
Answer: Raising awareness and planting seeds of doubt about use
Pre-contemplators are not yet ready to change, so the nurse's role is to raise consciousness and gently introduce the possibility that their use may be problematic.
In dialectical behavior therapy (DBT) for co-occurring substance use and borderline personality disorder, which skill module teaches patients to tolerate distress without making it worse?
Answer: Distress tolerance
Distress tolerance skills in DBT help patients survive crises and painful emotions without engaging in impulsive behaviors such as substance use.
A patient is enrolled in an opioid treatment program (OTP) receiving methadone. Federal regulations require that take-home doses be withheld if the patient:
Answer: Tests positive for a non-opioid substance like cocaine
Federal OTP regulations restrict take-home methadone doses when patients have unstable behavior, including recent illicit drug use shown by positive toxicology screens.
The Community Reinforcement Approach (CRA) for substance use disorders primarily works by:
Answer: Restructuring environmental rewards to make sobriety more rewarding than use
CRA rearranges the patient's environment so that sobriety becomes more reinforcing than substance use by enhancing prosocial activities, relationships, and vocational functioning.