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CARN-AP Test Exam 2025 Questions and Verified Answers 100%, Exams of Philosophy

This document contains a complete set of verified questions and answers for the 2025 CARN-AP (Certified Addictions Registered Nurse – Advanced Practice) exam. It covers all critical domains, including advanced addiction nursing practice, clinical assessment, pharmacological interventions, therapeutic strategies, and professional standards. Tailored for nurses preparing for the advanced-level CARN-AP certification with up-to-date and accurate material.

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CARN-AP Test Exam 2025 Questions and Verified Answers 100%
1. Who is credited with the Disease Model: - E.M. Jellinek
2. Disease Model: - originally applied to alcohol
- addiction is a primary disease
- exists in and of itself and is not secondary to some other condition
3. Biopsychosocial Model: - both a philosophy of clinical care and practical clinical guide
- understanding how suffering, disease and illness are affected by multiple levels of
organizations
- societal to molecular
- understanding the pt's subjective experience as an essential contributor to accurate dx,
health outcomes and humane care
4. Clinician: - individual client care
- care of a group of clients
- counselor
5. Consultant: - expert in field of addictions
6. Educator: - client education
- education of other nurses
7. Leadership/Management: - leader in field of addictions
- manager in some circumstances
8. Researcher: - conducts/participates in research
- utilizes research evidence in practice
9. AA step 1: - We admitted we were powerless over alcohol and that our lives had become
unmanageable.
10. AA step 2: - Came to believe that a Power greater than ourselves could restore us to
sanity.
11. AA step 3: - Made a decision to turn our will and our lives over to the care of God as we
understood Him.
12. AA step 4: - Made a searching and fearless moral inventory of ourselves.
13. AA step 5: - Admitted to God, to ourselves, and to another human being the exact
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CARN-AP Test Exam 2025 Questions and Verified Answers 100%

  1. Who is credited with the Disease Model: - E.M. Jellinek
  2. Disease Model: - originally applied to alcohol
  • addiction is a primary disease
  • exists in and of itself and is not secondary to some other condition
  1. Biopsychosocial Model: - both a philosophy of clinical care and practical clinical guide
  • understanding how suffering, disease and illness are affected by multiple levels of organizations
  • societal to molecular
  • understanding the pt's subjective experience as an essential contributor to accurate dx, health outcomes and humane care
  1. Clinician: - individual client care
  • care of a group of clients
  • counselor
  1. Consultant: - expert in field of addictions
  2. Educator: - client education
  • education of other nurses
  1. Leadership/Management: - leader in field of addictions
  • manager in some circumstances
  1. Researcher: - conducts/participates in research
  • utilizes research evidence in practice
  1. AA step 1: - We admitted we were powerless over alcohol and that our lives had become unmanageable.
  2. AA step 2: - Came to believe that a Power greater than ourselves could restore us to sanity.
  3. AA step 3: - Made a decision to turn our will and our lives over to the care of God as we understood Him.
  4. AA step 4: - Made a searching and fearless moral inventory of ourselves.
  5. AA step 5: - Admitted to God, to ourselves, and to another human being the exact

nature of our wrongs.

  1. AA step 6: - Were entirely ready to have God remove all these defects of character.
  2. AA step 7: - Humbly asked Him to remove our shortcomings.
  3. AA step 8: - Made a list of all persons we had harmed, and became willing to make amends to them all.
  4. AA step 9: - Made direct amends to such people wherever possible, except when to do so would injure them or others.
  5. AA step 10: - Continued to take personal inventory and when we were wrong promptly admitted it.
  • operant conditioning
  • contingency contracting
  • social skills training
  • stress management
  • flooding.
  1. Behavior Theory can be done: - in individual, group, schools or other learning institutions
  2. CognitiveTherapy: - focuses on replacing maladaptive automatic thoughts with adaptive voluntary ones
  3. Cognitive therapy is often associated with: - Aaron Beck
  4. Cognitive distortions: - result of irrational thought processes
  5. Transactional analysis: - person has potential for choice
  • has 3 sides
  1. Transactional analysis was developed by: - Berne in 1960s
  2. 3 sides of individual in Transactional analysis: - parent
  • adult
  • child
  1. Transactional analysis parent side: - values
  • beliefs
  • morals
  1. Transactional analysis adult side: - realistic
  • logic based
  1. Transactional analysis child side: - creative
  • intuitive
  • emotional
  • conforming
  1. Transaction: - exchange of strokes between 2 individuals
  2. Motivational Interviewing: - a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence
  3. Motivational Interview: motivation to change: - elicited from the client
  • not imposed from without
  1. Motivational Interview: client's task: - to articulate and resolve their ambiva- lence
  2. Motivational Interview: direct persuasion: - not an effective method for resolv- ing ambivalence
  3. Motivational Interview: counseling style: - quiet
  • eliciting
  1. Motivational Interview: counselor: - directive in helping the client to examine and
  1. Motivational Interviewing Counseling Characteristics: - seeking to under- stand
  • expressing acceptance and affirmation
  • eliciting and selectively reinforcing
  • monitoring degree of readiness to change
  • affirming client's freedom
  1. Mesolimbic reward pathways: - midbrain neuronal tracts
  2. Mesolimbic reward pathways transmit: - intense pleasure messages from the primitive hindbrain tracts to higher cortical brain levels
  • "rush" and "high"
  1. Four major parts of the neuron: - dendrites
  • cell body
  • axon
  • terminal
  1. In what direction do electrical signals travel in a neuron: - cell body to terminal
  2. Four primary areas of the brain in addiction: - ventral tegmental area
  • nucleus accumbens
  • amygdala
  • prefrontal cortex
  1. Neurons communicate by: - sending signals to each other at specialized connections
  2. What is the connection between two neurons called: - synapse
  3. Terminals of the sending neuron: - have vesicles packed with neurotransmit- ters
  4. Neurotransmitters are released: - when the sending neuron fires
  5. Neurotransmitters send the signal by: - binding to specific receptors on dendrites of the receiving neuron
  6. Neuroplasticity: - brains have the ability to rewire themselves
  • can actually change structure and function in response to changes in the environ- ment and experience
  1. Natural rewards: - food
  • water
  • sex
  • nurturing
  1. Dependence: - a state in which an organism functions normally only in the presence of a drug
  2. Dependence is manifested by: - a physical disturbance when the drug is removed
  • family discord
  • family hx of dependence
  • environmental factors
  1. What is CH3-CH2-OH?: ETOH
  2. Fetal Alcohol Syndrome: - most common preventable cause of adverse CNS development
  1. FAS characteristics: - growth retardation
  • facial malformations
  • small head
  • greatly reduce intelligence
  1. Fetal Alcohol Effect: - milder form of FAS
  2. FAE characteristics: - growth deficiency
  • learning dysfunction
  • nervous system disbailities
  1. Effects of prenatal alcohol: - undeveloped pinna
  • short nose
  • missing groove above lip
  • pointed, small chin
  • small head
  • small eye opening
  • flat face
  • thin lips
  1. ETOH acute effects: - CNS depressant
  • depression of inhibitory control
  • vasodilation, warm, flushed, reddish skin
  • emotional outburst
  • decreased memory and concentration
  • poor judgement
  • decreased reflexes
  • decreased sexual response
  1. Long term adverse effects of alcohol: - cirrhosis of liver
  • appetite loss
  • poor judgement
  • lost productivity
  • impaired performance
  • motor impairment
  • cost to society
  1. Alcohol distribution: - distributed throughout tissues and body fluids
  • crosses the placenta, exposure to fetus
  1. Alcohol elimination: - urinary excretion
  • exhalation
  • metabolism
  1. When alcohol is consumed, it passes from: - the stomach and intestines into the blood
  • absorption
  1. Alcohol is metabolized by: - alcohol dehydrogenase
  2. alcohol dehydrogenase: - mediates the conversion of alcohol to acetaldehyde
  3. Acetaldehyde is rapidly converted to: - acetate then metabolized to carbon dioxide and water
  4. Alcohol is metabolized in the liver by: - cytochrome P450IIE1 (CYP2E1)
  5. The amount of alcohol in the drinker's blood peaks: - within 30 to 45 min
  6. Standard drink: beer: - 12 ounces
  7. Standard drink: wine: - 5 ounces
  8. Standard drink: distilled spirits: - 1.5 ounces
  9. Disulfiram: - inhibits ALDH
  10. Elevated acetaldehyde: - increased flushing
  • tachy
  • N/V
  • hyperventilation
  1. Alcohol withdrawal treatment: - detoxification with benzo
  • clonidine
  • counseling
  • therapy
  • 12 step meetings
  1. Relapse prevention for alcohol: - naltrexone
  • vivitrol
  • acamprosate
  • disulfiram
  • on going counseling, therapy and 12 step meetings
  1. Ethanol is an antidote for: - methanol
  • ethylene glycol
  • diethylene glycol
  1. GI complications of alcohol: - esophagitis, gastritis, peptic ulcer
  • diarrhea
  • pancreatitis
  1. Korsakoff psychosis: - cognitive dysfunction
  • loss of recent memory
  • inability to learn new information
  • thought to be a chronic form of Wernicke's disease
  1. 4 to 8 hours of last ETOH drink: - symptoms begin
  2. 24 to 48 hours of last ETOH drink: - increased tremulousness
  • diaphoresis
  • agitation
  • tachycardia
  • HTN
  • hyperreflexia
  • insomnia
  1. Alcoholic seizures treatment: - diazepam, phenobarbital and carbamazepine
  • do not use Dilantin, does not work
  1. Delirium Tremens Symptoms: - disorientation
  • hallucinations
  • hyperadrenergism
  • hypervigilance
  • fever
  1. Detoxicfication treatment for ETOH: - Thiamine
  • folate
  • Tegretol
  • Librium/Ativan
  • Clonidine
  • Serax
  1. ETOH detoxification Thiamine: - 100mg IM or PO either daily or BID for 3 days
  • 100mg PO daily for LOS
  1. ETOH detoxification Folate: - 1mg PO Daily for LOS
  2. ETOH detoxification Tegretol: - 200mg PO BID for LOS
  • serum tegretol level after 5 to 7 days
  • wean off
  1. ETOH Detoxification Librium: - 50mg PO Q6hr
  • 25mg PO Q6hr PRN for increased sx of withdrawal
  1. ETOH detoxification Clonidine: - 0.1mg PO Q6hr with holding parameters of Systeolic <100, or HR < 50
  2. ETOH Relapse prevention: - Campral
  • Naltrexone
  • Vivitrol
  1. ETOH relapse prevention Campral: - 666mg TID
  • causes addictions
  • difficult to withdrawal from
  1. Depressant/anxiolytic substances: - alcohol
  • benzos
  • barbiturates
  • rohypnol
  • GHB
  1. Benzo dose equivalencies Alprazolam: - xanax
  • 0.5mg
  1. Benzo dose equivalencies Chlordiazepoxide: - Librium
  • 25mg
  1. Benzo dose equivalencies Clonazepam: - Klonopin
  • 0.25mg
  1. Benzo dose equivalencies Diazepam: - Valium
  • 5mg
  1. Benzo dose equivalencies Lorazepam: - Ativan
  • 1mg
  1. Benzo dose equivalencies Oxazepam: - Serax
  • 15mg
  1. Benzo dose equivalencies Temazepam: - Restoril
  • 10mgs
  1. Detox treatment for depressants/anxiolytics: - long librium or phenobarbital taper
  • antiseizure medication with Tegretol or Depakote
  1. Cannabis: - Marijuana or hashish
  • most widely used illicit drug
  1. Active chemical in Cannabis: - Tetrahydrocannabinol (THC)
  2. THC: - binds to fat cells
  • poor concentration
  • short term memory loss
  • anxiety
  • appetite

  1. Street drug related to morhpine: - heroin
  2. Behavior effects of heorin use: - "rush"
  • withdrawal
  • death by respiratory arrest
  1. Heroin rush: - euphoria
  • reduced anxiety