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
Which stage of the Transtheoretical Model is characterized by a patient acknowledging a problem but not yet committed to change within the next 6 months?
Answer: Contemplation
In the contemplation stage, individuals recognize their problem and are thinking about change but have not committed to taking action in the near future.
A CARN uses Contingency Management (CM) with a patient in alcohol recovery. Which core mechanism drives this intervention?
Answer: Operant conditioning through positive reinforcement
Contingency Management is based on operant conditioning, providing tangible rewards (e.g., vouchers) to reinforce abstinence or treatment participation.
During a group therapy session for opioid use disorder, a patient says, 'I'm not as bad as the others here.' Which defense mechanism is this?
Answer: Minimization via social comparison
Comparing oneself favorably to others to minimize one's own problem is a form of minimization through downward social comparison.
What is the primary goal of Seeking Safety, an evidence-based intervention used with patients who have co-occurring PTSD and substance use disorder?
Answer: Teaching coping skills and establishing safety without requiring trauma narration
Seeking Safety focuses on present-focused coping skills and establishing safety without requiring patients to discuss trauma details.
A nurse implementing Brief Strategic Family Therapy (BSFT) with an adolescent's family would MOST focus on:
Answer: Identifying and restructuring maladaptive family interaction patterns
BSFT targets maladaptive family interaction patterns that are believed to maintain the adolescent's substance use behavior.
Which element distinguishes Dialectical Behavior Therapy (DBT) from standard CBT when treating patients with addiction and emotional dysregulation?
Answer: DBT incorporates radical acceptance and distress tolerance skills
DBT adds dialectical philosophy, emphasizing the balance between acceptance and change, including skills like radical acceptance and distress tolerance not central to standard CBT.
When using the FRAMES approach in brief intervention for alcohol misuse, what does the letter 'M' represent?
Answer: Menu of change options
In FRAMES, 'M' stands for Menu, meaning offering a range of strategies and options for the patient to choose from to reduce drinking.