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ANCB-CARN exam Format | ANCB-CARN Course Contents | ANCB-CARN Course Outline | ANCB-CARN exam Syllabus | ANCB-CARN exam Objectives

Type of Exam: Computer-based test (CBT).
Number of Questions: 175 multiple-choice questions.
- 150 scored questions
- 25 unscored pretest questions (used for future exam development).
Time Allotted: 3 hours (180 minutes).
Question Types: Multiple-choice questions with four answer options (only one correct answer).

1. Foundations of Addiction Nursing 15%
2. Pharmacology of Addictive Substances 15%
3. Assessment and Diagnosis 20%
4. Treatment Modalities and Interventions 20%
5. Special Populations 15%
6. Legal and Ethical Issues 15%

- Foundations of Addiction Nursing
- Substance Use Disorder (SUD)
- Addiction
- Dependence
- Tolerance
- Withdrawal
- Relapse
- Recovery
- Harm Reduction
- Stigma

- Historical perspectives on addiction
- Neurobiology of addiction
- brain reward system
- neurotransmitters like dopamine
- serotonin
- GABA
- Psychological and social factors contributing to addiction
- Ethical and legal considerations in addiction nursing
- Scope and standards of addiction nursing practice

- Pharmacology of Addictive Substances
- Opioids
- Stimulants
- Depressants
- Hallucinogens
- Cannabinoids
- Alcohol
- Nicotine
- Pharmacokinetics and pharmacodynamics

- Mechanisms of action of addictive substances
- Effects of substances on the body and brain
- Common drug interactions
- Medication-Assisted Treatment (MAT)
- methadone
- buprenorphine
- naltrexone
- Overdose prevention and management (e.g., naloxone administration)

- Assessment and Diagnosis
- Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
- Screening tools
- AUDIT
- DAST
- CAGE
- Biopsychosocial exam
- Co-occurring disorders (dual diagnosis)

- Comprehensive patient exam
- Identifying signs and symptoms of substance use disorders
- Differentiating between intoxication, withdrawal, and overdose
- Assessing for co-occurring mental health disorders
- Cultural competence in exam

- Treatment Modalities and Interventions
- Detoxification
- Withdrawal management
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing (MI)
- 12-Step Programs (e.g., AA, NA)
- Relapse prevention
- Trauma-Informed Care

- Evidence-based treatment approaches
- Individual and group therapy techniques
- Role of the nurse in interdisciplinary teams
- Patient education and counseling
- Continuum of care (inpatient, outpatient, aftercare)

- Special Populations
- Adolescents
- Pregnant women
- Older adults
- Veterans
- LGBTQ+ populations
- Homeless individuals

- Unique challenges and needs of special populations
- Tailoring interventions for diverse groups
- Addressing barriers to treatment
- Cultural sensitivity and inclusivity

- Legal and Ethical Issues
- Confidentiality (HIPAA)
- Informed consent
- Mandatory reporting
- Duty to warn
- Ethical dilemmas

- Legal frameworks governing addiction treatment
- Ethical principles in addiction nursing
- autonomy
- beneficence
- nonmaleficence
- justice
- Handling ethical conflicts in patient care
- Documentation and reporting requirements

- Prevention and Education
- Primary, secondary, and tertiary prevention
- Health promotion
- Risk reduction
- Public health initiatives

- Strategies for preventing substance use disorders
- Community education and outreach
- Role of the nurse in public health campaigns
- Educating patients and families about addiction and recovery

- Professional Role and Practice
- Scope of practice
- Advocacy
- Leadership
- Interprofessional collaboration

- Role of the addiction nurse in various settings
- hospitals
- clinics
- community programs
- Advocating for patients and reducing stigma
- Leadership and mentorship in addiction nursing
- Continuing education and professional development

- Co-Occurring Disorders
- Dual diagnosis
- Mental health disorders
- depression
- anxiety
- PTSD
- Integrated treatment
- Understanding the relationship between addiction and mental health
- Strategies for managing co-occurring disorders
- Collaborative care models

- Relapse and Recovery
- Relapse triggers
- Recovery capital
- Aftercare planning
- Peer support
- Identifying and managing relapse triggers
- Supporting patients in long-term recovery
- Developing individualized aftercare plans
- Role of family and community in recovery

- Research and Evidence-Based Practice
- Evidence-based practice (EBP)
- Clinical guidelines
- Research methodologies
- Applying research findings to clinical practice
- Staying updated with current trends and guidelines in addiction treatment
- Evaluating the effectiveness of interventions

- Crisis Intervention and Emergency Care
- Overdose
- Withdrawal syndromes
- Psychiatric emergencies
- Recognizing and managing acute withdrawal symptoms
- Responding to overdose emergencies
- Crisis intervention techniques
- Suicide risk exam and prevention

- Health Promotion and Wellness
- Holistic care
- Self-care
- Wellness planning
- Promoting physical, emotional, and spiritual wellness in patients
- Encouraging healthy lifestyle changes
- Addressing the impact of addiction on overall health

- Documentation and Communication
- SOAP notes
- Electronic health records (EHR)
- Therapeutic communication
- Accurate and thorough documentation
- Effective communication with patients, families, and healthcare teams
- Maintaining confidentiality and professionalism

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