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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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