The Addictions Nursing
Certification Board
Candidate Handbook
The Addictions Nursing Certification Board
Candidate Handbook
Table of ConTenTs
Copyright © 2013. Applied Measurement Professionals, Inc. (AMP). All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy or recording, or any information and retrieval system, without permission in writing from AMP.
Rev. 9/19/2013
QUESTIONS ABOUT CERTIfICATION . . . 1
HOW TO CONTACT AMP . . . 1
ABOUT THE AddICTIONS NURSINg CERTIfICATION BOARd . . . 1
STATEMENT Of MISSION ANd PURPOSE . . . 1
TESTINg AgENCy . . . 1
NONdISCRIMINATION POlICy . . . 1
EXAMINATION AdMINISTRATION . . . 1
ASSESSMENT CENTER lOCATIONS . . . 1
SPECIAl ARRANgEMENTS fOR CANdIdATES WITH dISABIlITIES . . . 2
TElECOMMUNICATION dEVICES fOR THE dEAf . . . 2
ElIgIBIlITy CRITERIA – CARN . . . 2
ElIgIBIlITy CRITERIA – CARN-AP . . . 2
AlTERNATIVE TO dISCIPlINE POlICy . . . 3
APPEAlS . . . 3
EXAMINATION fEES . . . 3
lATE APPlICATION fEE . . . 3
REfUNd, TRANSfER, ANd WITHdRAWAl POlICIES . . . 3
CARN ANd CARN-AP EXAMINATIONS . . . 4
CARN CONTENT OUTlINE . . . 4
CARN-AP CONTENT OUTlINE . . . 7
SAMPlE ITEMS . . . 10
SCHEdUlINg AN EXAMINATION . . . 10
RESCHEdUlINg OR CANCElINg AN EXAMINATION . . . . 11
MISSEd APPOINTMENTS ANd CANCEllATIONS . . . 11
INClEMENT WEATHER, POWER fAIlURE OR EMERgENCy . . . 11
TAkINg THE EXAMINATION . . . 11
IdENTIfICATION . . . 11
SECURITy . . . 12
PERSONAl BElONgINgS . . . 12
EXAMINATION RESTRICTIONS . . . 12
MISCONdUCT . . . 12
COPyRIgHTEd EXAMINATION QUESTIONS . . . 12
COMPUTER lOgIN . . . 13
PRACTICE EXAMINATION . . . 13
TIMEd EXAMINATION . . . 13
CANdIdATE COMMENTS . . . 13
fOllOWINg THE EXAMINATION . . . 13
SCORINg Of EXAMINATIONS . . . 14
SCORES CANCEllEd By ANCB OR AMP . . . 14
If yOU PASS THE EXAMINATION . . . 14
If yOU dO NOT PASS THE EXAMINATION . . . 14
fAIlINg TO REPORT fOR AN EXAMINATION . . . 14
QUESTIONS . . . 14
CONfIdENTIAlITy . . . 14
dUPlICATE SCORE REPORT . . . 14
CERTIfICATION RENEWAl PROgRAM . . . 15
SUggESTEd REfERENCES fOR EXAMINATION PREPARATION . . . 15
CHECklIST fOR CARN APPlICATION . . . 17
CHECklIST fOR CARN-AP APPlICATION . . . 17
AddICTIONS NURSINg CERTIfICATION EXAMINATION APPlICATION . . . 18
VERIfICATION Of EXPERIENCE IN NURSINg RElATEd TO AddICTIONS fOR CARN . . . 20
VERIfICATION Of SUPERVISEd AdVANCEd-PRACTICE NURSINg EXPERIENCE RElATEd TO AddICTIONS fOR CARN-AP . . . 21
VERIfICATION Of 30 HOURS Of CONTINUINg EdUCATION IN AddICTIONS NURSINg fOR CARN . . . 22
REQUEST fOR SPECIAl EXAMINATION ACCOMMOdATIONS . . . 23
The Addictions Nursing Certification Board
Candidate Handbook
QUesTIons aboUT CerTIfICaTIon
All questions and requests for information about certification should be directed to:
ANCB Certification Program Addictions Nurses Certification Board
P.O. Box 14846 Voice: 913-895-4622
fax: 913-895-4652 Website: www.intnsa.org
HoW To ConTaCT aMP
All questions and requests for information about the examination process should be directed to:
Applied Measurement Professionals, Inc. 18000 W 105th St.
Olathe, kS 66061-7543 Phone: 913-895-4600
fax: 913-895-4650 Website: www.goAMP.com
aboUT THe addICTIons nUrsIng
CerTIfICaTIon board
The Addictions Nursing Certification Board (ANCB) was established in 1989 for the purpose of promoting the highest standards of addictions nursing practice through development, implementation, and coordination of all aspects of certification for addictions nurses.
Certification attests to attainment of specialized knowledge beyond the basic nursing credential. Certification serves to maintain and to promote quality nursing care by providing a mechanism for nurses to demonstrate their proficiency in a nursing specialty area. It documents that special knowledge has been achieved, elevates the standards of addictions nursing practice, and provides for expanded career opportunities and advancement within the specialty of addictions nursing. Thus, certification benefits the nurse, the profession of nursing, and the public.
The parent society for ANCB is Inter-national Nurses Society on Addictions (IntNSA). IntNSA membership provides many benefits including reduced rates
for their educational conference and paid subscription to the Journal of Addictions Nursing. for membership information, please visit http://www.intnsa.org or call 913-895-4622 or request an application at intnsa@intnsa.org.
sTaTeMenT of MIssIon and PUrPose
The mission of ANCB is to establish an addictions nurs-ing specialty certification as the standard of excellence by which all stakeholders recognize quality addictions nursing. The purpose of ANCB is to provide a mechanism for certifi-cation of a quality specialty nursing certificertifi-cation program for addiction nursing.
TesTIng agenCy
Applied Measurement Professionals, Inc. (AMP) is engaged in educational and occupational measurement and provides examination development and administration to a variety of client organizations. AMP assists ANCB in the development, administration, scoring and analysis of the Certified Addictions Registered Nurse (CARN) Examination and the Certified Addictions Registered Nurse – Advanced Practice (CARN-AP) Examination. AMP, located in the greater kansas City area, is a leading provider of licensing and certification examinations for professional organizations.
nondIsCrIMInaTIon PolICy
AMP does not discriminate among candidates on the basis of age, gender, race, color, religion, national origin, disability, marital status or any other protected characteristic.
eXaMInaTIon adMInIsTraTIon
Examinations are delivered by computer at approximately 190 AMP Assessment Centers located throughout the United States. The examination is administered by appointment only Monday through friday at 9:00 a.m. and 1:30 p.m. Saturday appointments may be scheduled based on availability. Available dates will be indicated when scheduling your examination. Candidates are scheduled on a first-come, first-served basis.
assessMenT CenTer loCaTIons
AMP Assessment Centers have been selected to provide accessibility to the most candidates in all states and major metropolitan areas. A current listing of AMP Assessment Centers, including addresses and driving directions, may be viewed at AMP’s website located at www.goAMP.com. Specific address information will be provided when you schedule an examination appointment.
The Addictions Nursing Certification Board
Candidate Handbook
sPeCIal arrangeMenTs for CandIdaTes
WITH dIsabIlITIes
AMP complies with the Americans with disabilities Act and strives to ensure that no individual with a disability as defined by the AdA as a person who has a physical or mental impairment that substantially limits one or more major life activities, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment is deprived of the opportunity to take the examination solely by reason of that disability. AMP will provide reasonable accommodations for candidates with disabilities. Candidates requesting special accommodations must call AMP at 888-519-9901 to schedule their examination.
1. Wheelchair access is available at all established
Assessment Centers. Candidates must advise AMP at the time of scheduling that wheelchair access is necessary. 2. Candidates with visual, sensory, physical or learning
disabilities that would prevent them from taking the examination under standard conditions may request special accommodations and arrangements and will be reviewed by AMP.
Verification of the disability and a statement of the specific type of assistance needed must be made in writing to AMP at least 45 calendar days prior to your desired examination date by completing the Request for Special Examination Ac-commodations form. AMP will review the submitted forms and will contact you regarding the decision for accommo-dations.
TeleCoMMUnICaTIon deVICes
for THe deaf
AMP is equipped with Telecommunication devices for the deaf (Tdd) to assist deaf and hearing-impaired candidates. Tdd calling is available 8:30 a.m. to 5:00 p.m. (Central Time) Monday-friday at 913-895-4637. This Tdd phone option is for individuals equipped with compatible Tdd machinery.
elIgIbIlITy CrITerIa – Carn
To be determined eligible to participate in the certification examination, candidates must meet the following
requirements:
1. Hold a current, full, and unrestricted license as a
registered nurse (RN) in the United States, its possessions or Canada. If licensed in more than one jurisdiction, the candidate must hold full and unrestricted licenses in all jurisdictions. Non-US nurses who meet the eligibility
criteria are also invited to apply for the CARN
examination, but must submit evidence of equivalent licensure as RN.
2. Have a minimum of 2000 hours (one year) of nursing experience related to addictions as an RN in a staff, administrative, teaching, private practice, consultation, counseling, or research capacity and;
3. 30 hours of continuing education related to addictions nursing within the last three (3) years.
elIgIbIlITy CrITerIa – Carn-aP
To be determined eligible to participate in the certification examination for advanced practice in addictions nursing, a candidate must meet the following requirements:
1. Hold a current, full, and unrestricted license as a registered nurse (RN) in the United States, its possessions, or Canada. If licensed in more than one jurisdiction, the candidate must hold full and unrestricted licenses in all jurisdictions. Non-US or Canadian nurses who meet eligibility criteria must submit evidence of equivalent licensure as an RN.
2. Hold a master’s degree or higher in nursing.
3. The applicant must provide documentation verifying a minimum of 500 hours of supervised, direct client contact in advanced clinical practice working with individuals and families impacted by addictions/dual diagnoses. All 500 hours may be earned while in the master’s program.
Submit a copy of the candidate’s master’s program transcript verifying the hours of supervised clinical practice.
ANd/OR:
Submit the enclosed Verification form(s), signed by the consultant(s)/supervisor(s), to verify completion of post-master’s hours of supervised direct client/patient contact which together with hours of supervised practice in the master’s program, equal 500 or more hours.
It is preferable that the post-master’s consultation/ supervision be provided by a professional with ex-perience and expertise in the field of addictions. The consulting/ supervising professional may be one of the following: a) an addictions nurse specialist with a master’s or higher degree and CARN certification; b) a master’s prepared licensed/certified mental health social worker; c) a psychiatrist; d) a psychologist pre-pared at the doctoral level and listed in the National Registry of Health Service Providers in Psychology; or
The Addictions Nursing Certification Board
Candidate Handbook
e) a psychologist prepared at the doctoral level in an APA-accredited program in one of the following clini-cal areas: cliniclini-cal psychology, counseling, psychology, or school psychology.
alTernaTIVe To dIsCIPlIne PolICy
ANCB recognizes the positive impact nurses in recovery bring to the specialty of addiction nursing.
Alternative to Treatment Program Involvement: 1. If license is surrendered or if nurse has violated the
agreement, applicant will be found ineligible to sit for the exam.
2. If the nurse has a license with restrictions a letter from the monitoring program will be required before applicant may sit for the exam. The monitoring program letter will need to support that the license is active, the applicant is complying with his/her agreement and that the monitoring program supports the applicant sitting for the exam.
3. Each applicant will be expected to abide by their state nurse practice act and the laws of their state regarding alternative to discipline programs.
aPPeals
An appeals process is available to certification candidates. A letter of appeal, detailing the issues should be directed to ANCB.
eXaMInaTIon fees
Members of IntNSA who are eligible for certification may apply at a reduced fee. Membership in IntNSA must be current through the date of the examination to be eligible for the reduced fee. If you are not currently a member you will receive one year membership to IntNSA by selecting the New Member category. If you do not wish to receive the membership you may choose the non-member category. for more information on membership benefits visit www.intnsa.org.
laTe aPPlICaTIon fee
The regular fee applies to applications filed by the deadline date indicated. late applications received after the dead-line, but prior to the final cutoff date are assessed a late fee of $25.00, which must be included with the application.
refUnd, Transfer, and WITHdraWal
PolICIes
After an individual’s eligibility has been confirmed, applications may not be withdrawn. The fees are non-refundable and non-transferrable.
spring Testing Period May 1-15 Carn examination
fee* examination fee*Carn-aP application receipt deadline receipt deadline*late application
Member $195.00 $295.00
April 1 April 8
new Member $395.00 $495.00
non-Member $455.00 $555.00
*Applications received between April 2 and April 8 will require an additional $25 late fee. Applications received afTer
April 8 will be processed for the next examination period.
fall Testing Period october 1-15 Carn examination
fee* examination fee*Carn-aP application receipt deadline receipt deadline*late application
Member $195.00 $295.00
September 1 September 8
new Member $395.00 $495.00
non-Member $455.00 $555.00
*Applications received between September 2 and September 8 will require an additional $25 late fee. Applications received afTer September 8 will be processed for the next examination period.
The Addictions Nursing Certification Board
Candidate Handbook
Carn and Carn-aP eXaMInaTIons
The ANCB Certification examinations are based on a Role delineation Study (RdS), also known as a practice analysis, which was completed in 2012. The purpose of that study was to identify the content specifications separately for the two examinations, based on survey responses of addictions nurses and advanced practice nurses, as interpreted by a panel of subject matter experts. An executive summary of each study is available at www.intsna.org. The RdS resulted in the detailed Content Outlines that are shown here. Each examination will include 120 items used to compute candidates’ scores, as specified in the outlines. In addition, 25 unscored pretest items will be presented to candidates, in scrambled order, to allow ANCB to evaluate the quality of those items for use on future examination forms.
1. assessment 28
A. Basic assessment considerations
1. Base assessment techniques on theory, research and best practices
2. Assess the effect of interactions among individuals, family, community, and social systems on health and illness
3. Record patients’ health and psychosocial histories 4. Record comprehensive drug and alcohol use history 5. Record physical assessment results, diagnoses, treatment
plans, prescriptions, or outcomes
6. Explore relationship of substance use to the functioning of the family
7. Identify personal risk and protective factors for the patient
8. Identify family risk and protective factors for the patient 9. Identify cultural risk and protective factors for the patient 10. Identify environmental risk and protective factors for the
patient
11. Identify risk and protective factors related to spirituality for the patient
12. Identify the adverse consequences (e.g., legal,
relationship, occupational, physical) of alcohol and drug use for the patient
13. Validate information with patient, other healthcare professionals and/or significant others
B. Observe, interview, and assess patients to identify care needs
1. Assess degree of risk for alcohol or drug misuse 2. Assess degree of risk for relapse
3. Assess degree of intoxication for alcohol use by visualization or field sobriety testing methods 4. Assess degree of intoxication for drugs of abuse 5. Assess stage of withdrawal for alcohol use 6. Assess stage of withdrawal for drugs of abuse
7. Assess factors that affect pain management in the patient with addiction
8. Identify behavioral effects of alcohol use 9. Identify behavioral effects of drug use
10. Recognize early signs and symptoms of alcohol abuse 11. Recognize early signs and symptoms of drug abuse 12. Recognize acute/chronic effects of alcohol use 13. Recognize acute/chronic effects of drug use 14. Recognize acute/chronic effects of nicotine
15. Identify behavioral effects of impulse control disorders 16. Identify associated behaviors of eating disorders 17. Assess patient’s readiness for behavioral change 18. Assess patient’s health literacy
C. Initiate and interpret diagnostic tests and procedures relevant to the patient’s current status
1. Evaluate physiological consequences of substance use 2. Utilize screening tools to assess alcohol use
3. Utilize screening tools to assess drug use
4. differentiate symptoms related to psychiatric disorders from those related to substance abuse
5. differentiate symptoms related to medical conditions from those related to substance abuse
6. Utilize standardized instruments for assessment and evaluation
2. diagnosis 12
A. Base diagnoses on criteria consistent with accepted classifications B. Derive and prioritize nursing diagnoses from the assessment data
using complex clinical reasoning C. Actual diagnosis
D. Risk diagnosis
E. Health promotion diagnosis
3. Identifying outcomes 14
A. Identify expected outcomes that incorporate scientific evidence and are achievable through implementation of evidence-based practices
B. Identify expected outcomes that incorporate cost and clinical effectiveness, patient satisfaction, and continuity and consistency among providers
C. Modify plan of care based on changes in patient’s healthcare status
D. Account for the entire wellness-addictions continuum E. Differentiate outcomes that require care process interventions
from those that require system-level interventions F. Identify assessment strategies, diagnostic strategies, and
therapeutic interventions that reflect current evidence, including data, research, literature, and expert clinical knowledge G. Identify with consideration of the patient’s age, ethnicity and
socioeconomic and environmental circumstances
4. Planning of Care 20
A. Collaborate with multidisciplinary team in developing treatment plan
Carn ConTenT oUTlIne
# of Items
The Addictions Nursing Certification Board
Candidate Handbook
B. Tailor treatment plan to accommodate patients’ health needs, beliefs, and practices
C. Include specific interventions with measurable treatment goals rooted in evidence-based practice
D. Engage the patient and family in the development of the treatment plan
E. Integrate gender differences in the development of the treatment plan
F. Integrate ethnic differences in the development of the treatment plan
G. Integrate cultural differences in the development of the treatment plan
H. Present plan to patient in understandable terms
I. Integrate patient’s readiness for behavioral change in the development of the treatment plan
J. Integrate identified risk and protective factors for the patient and family into the development of the treatment plan
K. Integrate acute and chronic pain management in the treatment plan
5. Implementation of Care 36
A. Principles of nursing implementation
1. Use systems, organizations, and community resources to implement the plan
2. Use continuous quality improvement principles to improve patient outcomes
3. Collaborate with nursing and other colleagues to implement the plan
4. Utilize best practices in implementation of the plan 5. Promote a safe environment for implementation of the
plan
6. Use therapeutic communication skills to improve patient outcomes
7. Use patient-centered care principles to improve patient outcomes
B. Coordination of care
1. Provide care with consideration of patient’s needs and desired outcomes
2. Collaborate with healthcare team to monitor health conditions of patients
3. lead the coordination of integrated patient care services
C. Health teaching and health promotion
1. Advocate on behalf of the patient/family 2. Educate patients and family members about
co-occurring mental health, physical health, and addiction disorders
3. Educate patients and family members about preventive health measures and self care
4. Educate patients and family members about expected effects and potential side effects of medications 5. Educate patients and family members about relapse
prevention
6. Utilize motivational enhancement strategies to promote
behavioral change
7. Utilize brief interventions to promote behavioral change 8. Utilize evidence-based literature to educate patient and
family about the neurobiological basis of addictions 9. Employ learning theory models when designing health
information programs
10. Employ behavioral change theories when designing health information programs
11. design health information and patient education appropriate to the patient’s developmental level 12. design health information and patient education
appropriate to the patient’s readiness to learn 13. design health information and patient education
appropriate to the patient’s cultural values and beliefs 14. Evaluate health information resources (e.g., print
materials, web sites) in the area of practice for accuracy, readability, and comprehensibility to help patients access quality health information
15. Provide anticipatory guidance to individuals, families, groups, and communities to promote health and prevent or reduce the risk of health problems
D. Provide evidence based education related to:
1. Substance use disorders across life span 2. Alcohol use
3. drug abuse 4. Nicotine use 5. Process addictions
E. Provide evidence based education about:
1. The risks of alcohol use in pregnancy 2. The risks of nicotine use in pregnancy 3. The risks of drug use during pregnancy 4. The risks of eating disorders in pregnancy 5. Risky health behaviors
6. Proper nutrition
7. The importance of regular exercise
8. The biological consequences of substance use 9. The psychosocial consequences of substance use
F. Consultation
1. facilitate the effectiveness of a consultation by involving the patient and significant others in decision-making 2. Base consultation on mutual respect and defined role
responsibility
G. Treatment
1. Ensure safe detox
2. Offer emotional support to patient
3. Provide specialized direct and indirect care to inpatients and outpatients
4. Offer counseling regarding changes in behavior and thinking
5. Offer one-to-one counseling for the patient and family 6. Establish boundaries in treatment with patients 7. Administer medication for management of alcohol
withdrawal symptoms
The Addictions Nursing Certification Board
Candidate Handbook
8. Administer medication for management of drug withdrawal symptoms
9. Administer medications to reduce cravings from alcohol 10. Monitor patient’s response to medications for
management of alcohol withdrawal symptoms 11. Monitor patient’s response to medications for
management of drug withdrawal symptoms 12. Monitor patient’s response to medications to reduce
cravings from alcohol
13. Initiate treatment based on vital signs and/or laboratory results for patients with substance use disorders
14. Manage symptoms of concurrent psychiatric disorders in patients with substance use disorders
15. follow evidence-based protocols to treat patients with addictions
16. Evaluate therapeutic and potential adverse effects of pharmacological treatments
17. Evaluate therapeutic and potential adverse effects of non-pharmacological treatments
H. Psychotherapy and complementary therapy
1. Base therapeutic modalities on needs of the patient 2. Base therapeutic modalities on current theory, research
and best practices
3. Utilize cognitive behavioral strategies to improve patient outcomes
I. Referral
1. Ensure continuity of care when making referrals to other levels of care
2. Refer patients to specific care providers for additional care based upon patient needs with consideration for benefits and costs
3. Maintain confidential information in accordance with legal standards
6. evaluation of Care 10
A. Evaluate patient’s and family’s response to interventions B. Revise diagnoses and plan of care as needed
C. Ensure ongoing evaluation involving other care providers
Total 120
The Addictions Nursing Certification Board
Candidate Handbook
1. assessment 31
A. Basic assessment considerations
1. Base assessment techniques on theory, research and best practices
2. Assess the effect of interactions among individuals, family, community, and social systems on health and illness
3. Record patients’ health and psychosocial histories 4. Record comprehensive drug and alcohol use history 5. Record physical assessment results, diagnoses, treatment
plans, prescriptions, or outcomes
6. Explore relationship of substance use to the functioning of the family
7. Identify personal risk and protective factors for the patient
8. Identify family risk and protective factors for the patient 9. Identify cultural risk and protective factors for the
patient
10. Identify environmental risk and protective factors for the patient
11. Identify genetic risk and protective factors for the patient
12. Identify risk and protective factors related to spirituality for the patient
13. Identify the adverse consequences (e.g., legal,
relationship, occupational, physical) of alcohol and drug use for the patient
14. Validate information with patient, other healthcare professionals and/or significant others
B. Observe, interview, and assess patients to identify care needs
1, Assess degree of risk for alcohol or drug misuse 2. Assess degree of risk for relapse
3. Assess degree of intoxication for alcohol use by visualization or field sobriety testing methods 4. Assess degree of intoxication for drugs of abuse 5. Assess stage of withdrawal for alcohol use 6. Assess stage of withdrawal for drugs of abuse 7. Assess factors that affect pain management in the
patient with addiction
8. Identify behavioral effects of alcohol use 9. Identify behavioral effects of drug use
10. Recognize early signs and symptoms of alcohol abuse 11. Recognize early signs and symptoms of drug abuse 12. Recognize acute/chronic effects of alcohol use 13. Recognize acute/chronic effects of drug use 14. Recognize acute/chronic effects of nicotine
15. Identify behavioral effects of impulse control disorders 16. Identify associated behaviors of eating disorders 17. Assess patient’s readiness for behavioral change 18. Assess patient’s health literacy
C. Initiate and interpret diagnostic tests and procedures relevant to the patient’s current status
1. Evaluate physiological consequences of addictive disorders (e.g., including lab tests)
2. Utilize screening tools to assess alcohol use 3. Utilize screening tools to assess drug use
4. differentiate symptoms related to psychiatric disorders from those related to substance abuse
5. differentiate symptoms related to medical conditions from those related to substance abuse
6. Utilize standardized instruments for assessment and evaluation
2. diagnosis 19
A. Basic diagnosis considerations
1. Base diagnoses on criteria consistent with accepted classifications
B. Derive and prioritize nursing diagnoses from the assessment data using complex clinical reasoning
1. Actual diagnosis 2. Risk diagnosis
3. Health promotion diagnosis
C. Formulate differential diagnoses by systematically analyzing clinical and other related findings
1. diagnose alcohol and drug intoxication 2. diagnose withdrawal related to addictions 3. diagnose substance use disorders 4. diagnose substance abuse disorders 5. diagnose substance dependence disorders 6. diagnose process addictions
7. diagnose eating disorders
3. Identifying outcomes 11 A. Identify expected outcomes that incorporate scientific evidence
and are achievable through implementation of evidence-based practices
B. Identify expected outcomes that incorporate cost and clinical effectiveness, patient satisfaction, and continuity and consistency among providers
C. Modify plan of care based on changes in patient’s healthcare status
D. Account for the entire wellness-addictions continuum E. Differentiate outcomes that require care process interventions
from those that require system-level interventions F. Identify assessment strategies, diagnostic strategies, and
therapeutic interventions that reflect current evidence, including data, research, literature, and expert clinical knowledge G. Identify with consideration of the patient’s age, ethnicity and
socioeconomic and environmental circumstances
H. Lead the design and development of interprofessional processes to address the identified diagnosis or issue
Carn-aP ConTenT oUTlIne
The Addictions Nursing Certification Board
Candidate Handbook
4. Planning of Care 16 A. Collaborate with multidisciplinary team in developing treatment
plan
B. Tailor treatment plan to accommodate patients’ health needs, beliefs, and practices
C. Include specific interventions with measurable treatment goals rooted in evidence-based practice
D. Engage the patient and family in the development of the treatment plan
E. Integrate gender differences in the development of the treatment plan
F. Integrate ethnic differences in the development of the treatment plan
G. Integrate cultural differences in the development of the treatment plan
H. Integrate genetic differences in the development of the treatment plan
I. Present plan to patient in understandable terms
J. Integrate patient’s readiness for behavioral change in the development of the treatment plan
K. Integrate identified risk and protective factors for the patient and family into the development of the treatment plan
L. Integrate acute and chronic pain management in the treatment plan
5. Implementation of Care 31 A. Principles of nursing implementation
1. Use systems, organizations, and community resources to implement the plan
2. Use continuous quality improvement principles to improve patient outcomes
3. Collaborate with nursing and other colleagues to implement the plan
4. Utilize best practices in implementation of the plan 5. Promote a safe environment for implementation of the
plan
6. Use therapeutic communication skills to improve patient outcomes
7. Use patient-centered care principles to improve patient outcomes
B. Coordination of care
1. Provide care with consideration of patient’s needs and desired outcomes
2. Collaborate with healthcare team to monitor health conditions of patients
3. lead the coordination of integrated patient care services
C. Health teaching and health promotion
1. Advocate on behalf of the patient/family 2. Educate patients and family members about
co-occurring mental health, physical health, and addiction disorders
3. Educate patients and family members about preventive health measures and self care
4. Educate patients and family members about expected effects and potential side effects of medications 5. Educate patients and family members about relapse
prevention
6. Utilize motivational enhancement strategies to promote behavioral change
7. Utilize brief interventions to promote behavioral change 8. Utilize evidence-based literature to educate patient and
family about the neurobiological basis of addictions 9.. Employ learning theory models when designing health
information programs
10. Employ behavioral change theories when designing health information programs
11. Incorporate epidemiological evidence when designing health information programs
12. design health information and patient education appropriate to the patient’s developmental level 13. design health information and patient education
appropriate to the patient’s readiness to learn 14. design health information and patient education
appropriate to the patient’s cultural values and beliefs 15. Evaluate health information resources (e.g., print
materials, web sites) in the area of practice for accuracy, readability, and comprehensibility to help patients access quality health information
16. Provide anticipatory guidance to individuals, families, groups, and communities to promote health and prevent or reduce the risk of health problems
D. Provide evidence based education related to:
1. Substance use disorders across life span 2. Alcohol use
3. drug abuse 4. Nicotine use 5. Eating disorders 6. Process addictions
E. Provide evidence based education about:
1. The risks of alcohol use in pregnancy 2. The risks of nicotine use in pregnancy 3. The risks of drug use during pregnancy 4. The risks of eating disorders in pregnancy 5. Risky health behaviors
6. Proper nutrition
7. The importance of regular exercise
8. The biological consequences of substance use 9. The psychosocial consequences of substance use
F. Consultation
1. Synthesize clinical data, theoretical frameworks, and evidence-based practice when providing consultation to healthcare providers to improve patient outcomes 2. facilitate the effectiveness of a consultation by involving
the patient and significant others in decision-making
The Addictions Nursing Certification Board
Candidate Handbook
3. Base consultation on mutual respect and defined role responsibility
G. Treatment
1. Ensure safe detox
2. Offer emotional support to patient
3. Provide specialized direct and indirect care to inpatients and outpatients
4. Offer counseling regarding changes in behavior and thinking
5. Offer one-to-one counseling for the patient and family 6. Establish boundaries in treatment with patients 7. Monitor patient’s response to medications for
management of alcohol withdrawal symptoms 8. Monitor patient’s response to medications for
management of drug withdrawal symptoms 9. Monitor patient’s response to medications to reduce
cravings from alcohol
10. Manage medication for alcohol withdrawal symptoms 11. Manage medication for drug withdrawal symptoms 12. Prescribe medications to reduce cravings from alcohol 13. Prescribe medications for pain management for patient
with substance use disorder
14. Initiate treatment based on vital signs and/or laboratory results for patients with substance use disorders
15. Manage symptoms of concurrent psychiatric disorders in patients with substance use disorders
16. follow evidence-based protocols to treat patients with addictions
17. Initiate evidence-based protocols to treat patients with addictions
18. Evaluate therapeutic and potential adverse effects of pharmacological treatments
19. Evaluate therapeutic and potential adverse effects of non-pharmacological treatments
20. Provide information about costs and alternative treatment options and procedures
H. Psychotherapy and complementary therapy
1. Base therapeutic modalities on needs of the patient 2. Base therapeutic modalities on current theory, research
and best practices
3. Work with the patient to identify ongoing psychotherapy goals
4. Utilize cognitive behavioral strategies to improve patient outcomes
5. Incorporate complementary and alternative therapy options
6. Present theory, research and the practice of
complementary therapies to patient to ensure informed choices
I. Referral
1. Ensure continuity of care when making referrals to other levels of care
2. Refer patients to specific care providers for additional care based upon patient needs with consideration for benefits and costs
3. Maintain confidential information in accordance with legal standards
6. evaluation of Care 12 A. Evaluate patient’s and family’s response to interventions B. Revise diagnoses and plan of care as needed
C. Ensure ongoing evaluation involving significant others D. Ensure ongoing evaluation involving other care providers E. Analyze evaluation results to recommend system changes
including policy, procedure, or protocol revision
Total 120
The Addictions Nursing Certification Board
Candidate Handbook
saMPle ITeMs
The following items are intended to illustrate the format and style for the examination, which is similar for the CARN and the CARN-AP examinations. Specific content will differ for the two examinations. ANCB subject matter experts approve all items as corresponding to the detailed content outline as being appropriate for the respective examination. Some items may be presented as a situational set, in which a scenario is provided, followed by several items pertaining to the scenario.
1. A patient has been on a detoxification unit for
alcoholism and occasional use of marijuana and cocaine. He is now in small group therapy sessions led by a nurse. On his second meeting, he fidgets in his seat and finally says, “I’m having difficulty sitting still. Am I bothering some of you who are here? Maybe I should stop coming to these meetings.” Which of these actions in response to this patient would be appropriate?
A. Encourage him to share his problem with the group members and ask for their help.
B. Recognize that this is manipulative behavior and encourage him to remain in the group.
C. Remove him from the group and further assess his needs.
d. Tell him not to concern himself about the group members and to continue in the group.
Correct response – a
2. A 50 year old is admitted to the detoxification unit for heavy drinking. Orders include oxazepam (Serax) 10mg every 6 hours prn and diphenhydramine hydrochloride (Benadryl) 50 mg every 6 hours prn. (JCHO will not allow “q” anymore) during the nurse’s initial assessment, which of these questions should take priority? A. Have you been taking any over-the-counter
medication?
B. Has you ever had a withdrawal seizure? C. When did you have her last drink? d. What has been your usual daily alcohol
consumption? Correct response – C
3. Mr. Bruce Mann, who is on the chemical dependency unit, tells the nurse that he is having cravings for cocaine. In addition to acknowledging the discomfort, the nurse suggests that he exercise at the gym, where various exercise machines are available. The appropriateness of this decision is based on which of these understandings about cocaine addicts?
A. They are more comfortable alone. B. They need to be kept mentally occupied
C. They are highly motivated to improve their physique. d. They need outlets for physical tension to reduce
craving.
Correct response – d
4. A drug screen was administered to a patient who last used cannabis (marijuana) 48 hours ago. The results will most likely be positive for marijuana. A positive result will remain for
A. 7 hours. B. 7 days. C. several weeks. d. several months. Correct response – C
sCHedUlIng an eXaMInaTIon
After receiving approval of your application, you may schedule your examination by one of the following ways: 1. online scheduling:
go to www.goAMP.com at any time and select “Schedule/Apply for an Exam.”
follow the simple, step-by-step instructions to choose your examination and register for the examination.
OR
2. Telephone scheduling: Call AMP at 888-519-9901 to schedule an examination appointment. This toll-free number is answered from 7:00 a.m. to 9:00 p.m. (Central Time) Monday through Thursday, 7:00 a.m. to 7:00 p.m. on friday, and 8:30 a.m. to 5:00 p.m. on Saturday.
If you contact aMP by 3:00 p.m. Central Time on…
depending on availability, your examination may be
scheduled as early as…
Monday Wednesday Tuesday Thursday Wednesday friday/Saturday
Thursday Monday friday Tuesday
The Addictions Nursing Certification Board
Candidate Handbook
When you schedule your examination appointment, be prepared to confirm a location and a preferred date and time for testing. you will be asked to provide your unique identification number. When you call or go online to schedule your examination appointment, you will be notified of the time to report to the Assessment Center and if an email address is provided you will be sent an email confirmation notice for your review.
If special accommodations are being requested, complete the Request for Special Examination Accommodations form included in this handbook and submit to AMP at least 45 days prior to the desired examination date.
resCHedUlIng or CanCelIng an
eXaMInaTIon
you may reschedule your appointment ONCE at no charge by calling AMP at 888-519-9901 at least 2 business days prior to your scheduled appointment. The following schedule applies.
If the examination is scheduled on . . .
aMP must be contacted by 3:00 p.m. Central Time to reschedule the examination
by the previous . . . Monday Wednesday Tuesday Thursday Wednesday friday Thursday Monday friday Tuesday
MIssed aPPoInTMenTs and
CanCellaTIons
you will forfeit your examination registration and all fees paid to take the examination under the following circumstances. A new, complete application and
examination fee are required to reapply for examination.
you wish to reschedule an examination but fail to contact AMP at least two business days prior to the scheduled testing session.
you wish to reschedule a second time.
you appear more than 15 minutes late for an examination.
you fail to report for an examination appointment.
InCleMenT WeaTHer, PoWer faIlUre or
eMergenCy
In the event of inclement weather or unforeseen emergencies on the day of an examination, AMP will determine whether circumstances warrant the cancellation, and subsequent rescheduling, of an examination. The examination will usually not be rescheduled if the Assessment Center personnel are able to open the Assessment Center.
you may visit AMP’s website at www.goAMP.com prior to the examination to determine if AMP has been advised that any Assessment Centers are closed. Every attempt is made to administer the examination as scheduled; however, should an examination be canceled at an Assessment Center, all scheduled candidates will receive notification following the examination regarding rescheduling or reapplication procedures.
If power to an Assessment Center is temporarily interrupted during an administration, your examination will be
restarted. The responses provided up to the point of interruption will be intact, but for security reasons the questions will be scrambled.
TakIng THe eXaMInaTIon
your examination will be given by computer at an AMP Assessment Center. you do not need any computer experience or typing skills to take your examination. On the day of your examination appointment, report to the Assessment Center no later than your scheduled testing time. If yOU ARRIVE MORE THAN 15 MINUTES AfTER THE SCHEdUlEd TESTINg TIME, yOU WIll NOT BE AdMITTEd.
IdenTIfICaTIon
On the day of your examination appointment, report to the Assessment Center no later than your scheduled testing time. Once you arrive at the location, look for signs indicating AMP Assessment Center check-in. To gain admission to the assessment center, you must present two forms of identification, one government issued with a current photograph. Both forms of identification must be current and include your current name and signature. you will also be required to sign a roster for verification of identity.
you MUST bring one of the following: driver’s license with photograph; state identification card with photograph; passport; military identification card with photograph.
The Addictions Nursing Certification Board
Candidate Handbook
The second form of identification must display your name and signature for signature verification (e.g., credit card with signature, social security card with signature,
If your name on these documents is different than it appears on your identification, you must bring proof of your name change (e.g., marriage license, divorce decree or court order).
seCUrITy
AMP administration and security standards are designed to ensure all candidates are provided the same opportunity to demonstrate their abilities. The Assessment Center is continuously monitored by audio and video surveillance equipment for security purposes.
The following security procedures apply during the examination:
Examinations are proprietary. No cameras, notes, tape recorders, Personal digital Assistants (PdAs), pagers or cellular/smart phones are allowed in the testing room. Possession of a cellular/smart phone or other electronic devices is strictly prohibited and will result in dismissal from the examination.
No calculators are allowed.
No guests, visitors or family members are allowed in the testing room or reception areas.
Personal belongIngs
No personal items, valuables, or weapons should be brought to the Assessment Center. Only wallets and keys are permitted. Coats must be left outside the testing room. you will be provided a soft locker to store your wallet and/or keys with you in the testing room. you will not have access to these items until after the examination is completed. Please note the following items will not be allowed in the testing room unless securely locked in the soft locker.
watches
hats
wallets
keys
Once you have placed everything into the soft locker, you will be asked to pull out your pockets to ensure they are empty. If all personal items will not fit in the soft locker you will not be able to test. The site will not store or be responsible for any personal belongings.
If any personal items are observed in the testing room after the examination is started, you will be dismissed and the administration will be forfeited.
eXaMInaTIon resTrICTIons
Pencils will be provided during check-in.
you will be provided with one piece of scratch paper at a time to use during the examination. you must return the scratch paper to the supervisor at the completion of testing, or you will not receive your score report.
No documents or notes of any kind may be removed from the Assessment Center.
No questions concerning the content of the examination may be asked during the examination.
Eating, drinking or smoking will not be permitted in the Assessment Center.
you may take a break whenever you wish, but you will not be allowed additional time to make up for time lost during breaks.
MIsCondUCT
If you engage in any of the following conduct during the examination you may be dismissed, your scores will not be reported and examination fees will not be refunded. Examples of misconduct are when you:
create a disturbance, are abusive, or otherwise uncooperative;
display and/or use electronic communications
equipment such as pagers, cellular/smart phones, PdAs;
talk or participate in conversation with other examination candidates;
give or receive help or are suspected of doing so;
leave the Assessment Center during the administration;
attempt to record examination questions or make notes;
attempt to take the examination for someone else;
are observed with personal belongings, or
are observed with notes, books or other aids without it being noted on the roster.
CoPyrIgHTed eXaMInaTIon QUesTIons
All examination questions are the copyrighted property of IntNSA and ANCB. It is forbidden under federal copyright law to copy, reproduce, record, distribute or display these examination questions by any means, in whole or in part. doing so may subject you to severe civil and criminal penalties.
The Addictions Nursing Certification Board
Candidate Handbook
CoMPUTer logIn
After your identification has been confirmed, you will be directed to a testing carrel. you will be instructed on-screen to enter your identification number. you will take your photograph which will remain on screen throughout your examination session. This photograph will also print on your score report.
PraCTICe eXaMInaTIon
Prior to attempting the examination, you will be given the opportunity to practice taking an examination on the computer. The time you use for this practice examination is NOT counted as part of your examination time or score. When you are comfortable with the computer testing process, you may quit the practice session and begin the timed examination.
TIMed eXaMInaTIon
following the practice examination, you will begin the timed examination. you will have three hours to complete the examination. Before beginning, instructions for taking the examination are provided on-screen.
A drug screen was administered to a patient who last used cannabis (marijuana) 48 hours ago. The results will most likely be positive for marijuana. A positive result will remain for
7 hours. 7 days. several weeks. several months. D. C. B. A.
Cover Help C ! Time < 1 ▼ >
☞
Candidate’s Picture
Here
The computer monitors the time you spend on the examination. The examination will terminate if you exceed the time allowed. you may click on the “Time” box in the lower menu bar on the screen to monitor your time. A digital clock indicates the time remaining for you to complete the examination. The Time feature may be turned off during the examination.
Only one examination question is presented at a time. The question number appears in the lower right of the screen. Choices of answers to the examination question are identified as A, B, C, or d. you must indicate your choice by either typing in the letter in the response box in the lower left portion of the computer screen or clicking on the option using the mouse. To change your answer, enter a different option by typing the letter in the response box or by clicking on the option using the mouse. you may change your answer as many times as you wish during the examination time limit.
To move to the next question, click on the forward arrow (>) in the lower right portion of the screen. This action will move you forward through the examination question by question. If you wish to review any question or questions, click the backward arrow (<) or use the left arrow key to move backward through the examination.
An examination question may be left unanswered for return later in the examination session. Questions may also be bookmarked for later review by clicking in the blank square to the right of the Time button. Click on the hand icon to advance to the next unanswered or bookmarked question on the examination. To identify all unanswered and bookmarked questions, repeatedly click on the hand icon. When the examination is completed, the number of examination questions answered is reported. If not all questions have been answered and there is time remaining, return to the examination and answer those questions. Be sure to provide an answer for each examination question before ending the examination. There is no penalty for guessing.
CandIdaTe CoMMenTs
during the examination, comments may be provided for any question by clicking on the button displaying an exclamation point (!) to the left of the Time button. This opens a dialogue box where comments may be entered. Comments will be reviewed, but individual responses will not be provided.
folloWIng THe eXaMInaTIon
After completing the examination, you are asked to complete a short evaluation of your examination experience. Then, you are instructed to report to the examination proctor to receive an examination completion report.
The Addictions Nursing Certification Board
Candidate Handbook
sCorIng of eXaMInaTIons
The items on your examination have been subjected to a pretest period in which they were presented on previous examination forms as unscored items to allow for candidates to provide responses to each item without affecting their examination results. After a sufficient number of candidate responses to these items are gathered, they are reviewed based on statistical analyses and candidate comments regarding item content to assure item validity before being placed into scored positions on any current examination form. Also, data acquired during initial examination administrations, along with expert ratings of individual examination item difficulty, were used by ANCB to set a cut score for the examination (for more information, see the fAQ). This process allows all current examination forms to be immediately scored, and score reports to be released on site immediately following examination administration.
sCores CanCelled by anCb or aMP
AMP is responsible for the validity and integrity of the scores they report. On occasion, occurrences, such as computer malfunction or misconduct by a candidate, may cause a score to be suspect. ANCB and AMP reserve the right to void or withhold examination results if, upon investigation, violation of its regulations is discovered.
If yoU Pass THe eXaMInaTIon
If you pass the examination, you will receive a certificate attesting to the attainment of certification and will be able to use the designation earned (CARN or CARN-AP) to indicate certification status. Certification is awarded for a period of four (4) years, contingent upon maintenance of full and unrestricted license as an RN.
If yoU do noT Pass THe eXaMInaTIon
Unsuccessful candidates who wish to retake the
examination must reapply and remit all applicable fees and documentation. you may retake the examination as many times as you wish.
faIlIng To rePorT for an eXaMInaTIon
If you fail to report for an examination, you will forfeit the registration and all fees paid to take the examination. A completed application form and examination fee are required to reapply for examination.
QUesTIons
Refer to the website for a list of frequently Asked Questions (fAQs) and answers. Other questions about any aspect of the ANCB Certification Program are welcome at any time. ANCB is committed to providing complete and accurate responses in a timely manner, but those asking questions should recognize that preparation of some responses may take longer than others. Some questions may be appropriately asked by phone, but in some cases you may be asked to pose your question in writing and send it to ANCB by email or by regular mail. Questions may be directed to:
ANCB CERTIfICATION PROgRAM Addictions Nurses Certification Board
P.O. Box 14846 lenexa, kS 66285 Email: intnsa@intnsa.org Phone: 913-895-4622 fax: 913-895-4652
ConfIdenTIalITy
Information about candidates for testing and their examination results are considered confidential. Studies and reports concerning candidates will contain no information identifiable with any candidate, unless authorized by the candidate.
dUPlICaTe sCore rePorT
you may purchase additional copies of your results at a cost of $25 per copy. Requests must be submitted to AMP, in writing. The request must include your name, identifica-tion number, mailing address, telephone number, date of examination and examination taken. Submit this informa-tion with the required fee payable to AMP in the form of a money order or cashier’s check. duplicate score reports will be mailed within approximately two weeks after receipt of the request and fee. Requests must be submitted within one year of your examination to be processed.
CerTIfICaTIon reneWal PrograM
Successful candidates will receive a certificate attesting to the attainment of certification and will be able to use the designation earned (CARN or CARN-AP) to indicate certification status. Certification is awarded for a period of four (4) years, contingent upon maintenance of full and unrestricted license as an RN.
The Addictions Nursing Certification Board
Candidate Handbook
The certified nurse will be able to renew certification status by:
a. Meeting stated eligibility requirements for certification. b. Submitting completed application form for
recertification and payment of all applicable fees. c. Meeting ONE of the following requirements:
1. Successfully passing the certification examination. 2. Meeting stated requirements for recertification. It is the responsibility of the applicant to notify ANCB of any address changes so that renewal notices are sent to the correct address and to contact ANCB if the renewal notice is not received. failure to receive the renewal notice does not relieve the CARN of the responsibility to apply for certifica-tion renewal. Quescertifica-tions related to the certificacertifica-tion program, including questions about recertification procedures, should be directed to ANCB at the following address:
ANCB CERTIfICATION PROgRAM Addictions Nurses Certification Board
P.O. Box 14846 lenexa, kS 66285 Phone: 913-895-4622
fax: 913-895-4652
sUggesTed referenCes for
eXaMInaTIon PreParaTIon
This list includes materials used as references for the certification examinations. It is not meant to be an exhaustive bibliography for the examination but rather a way of giving you an idea of the examination content. Abadinsky, H. (2011). Drug Use and Abuse (7th ed.). Belmont:
Wadsworth Cengage learning.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition Text Revision. Washington, dC: American Psychiatric Association. Babor, T., Caetano, R., Casswell, S., Edwards, g., giesbrecht, N., graham, k., et al. (2010). Alcohol: No Ordinary Commodity - Research and Public Policy (2nd ed.). Oxford: Oxford University Press.
Beck, k., kub, J., Walton-Moss, B, & Woodruff, k. (2008).
Substance abuse: Commonly abused substances and the addiction process. Brockton, MA: Western Schools. Center for Substance Abuse Treatment. (2006). Addiction
Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice. Technical Assistance Publication (TAP) Series 21. dHHS Publication No. (SMA) 08-4171. Rockville: Substance Abuse and Mental Health Services Administration.
Center for Substance Abuse Treatment. (2004). Substance Abuse Treatment and Family Therapy. Treatment Improvement Protocol (TIP) 39. DHHS Publication No. (SMA) 05-4006.
Rockville: Substance Abuse and Mental Health Services Administration.
Congressional Budget Office (2012), CBO: The Veterans Health Administration’s Treatment of PTSd and Traumatic Brain Injury among Recent Combat Veterans. Report to the Congress of the United States. Accessed at http://www.cbo. gov/sites/default/files/cbofiles/attachments/02‐09‐PTSd.pdf diClemente, Carlo. Stages of Change and Addiction: Clinician’s
Manual. Hazelden Publishing & Educational Services, 2004. doweiko, H. (2012). Concepts of Chemical Dependency (8th ed.).
Belmont: Brooks/Cole.
gossop, M., Stewart, d., & Marsden, J., (2007). Attendance at Narcotics Anonymous and Alcoholics Anonymous meetings, frequency of attendance and substance use outcomes after residential treatment for drug dependence: a 5‐year follow‐ up study. Addiction, 103, 119‐125.
Harris, R., (2006), Embracing your demons: an overview of Acceptance and Commitment Therapy. Psychotherapy in Australia, 12(4); 2‐8.
Hart, C. l., & ksir, C. (2011). Drugs, Society and Human Behavior (14th ed.). New york: Mcgraw-Hill.
Henningfield, J.E., Santora, P.B, Bickel, W. k. (2007). Addiction treatment: Science and policy for the twenty-first century.
Baltimore, Md.: The Johns Hopkins University Press. Inaba, d.S. & Cohen, W. (2011), Uppers, Downers, All Arounders,
Seventh Edition CNS Productions, Inc. Medford OR kelly, J. f., Stout, R., Zywiak, W. & Schneider, R. (2006). A 3‐
year study of addiction mutual‐help group participation following intensive outpatient treatment. Alcoholism: Clinical and Experimental Research, 30(8), 1381–1392.
kelly, J. & White, W. (2012). Broadening the base of addiction mutual aid, Journal of Groups in Addiction & Recovery, 7(2‐4), 82‐101.
kinney, J. (2012). Loosening the Grip (10th ed.). New york: Mcgraw-Hill.
Marlowe, d.B., (2011) Painting the Current Picture: A National Report on Drug Court and other problem solving court programs in the United States; Prepared by the National drug Court Institute, a professional services branch of the National Association of drug Court Professionals (NAdCP). Pg 58. Accessed at http://www.nadcp.org/sites/default/files/nadcp/ PCP%20Report%20fINAl.Pdf
Miller, W., Rollnick, S. (1991). Motivational Interviewing: Preparing people to change addictive behavior. New york: The guilford Press
NACBT (1996‐2012), Online Headquarters, National Association of Cognitive‐Behavioral Therapists Online Headquarters accessed at http://www.nacbt.org/
Naegle, M.A., & d’Avanzo, C.E. (2001). Addictions and Substance Abuse: Strategies for Advanced Practice Nursing. Upper Saddle River, NJ: Prentice-Hall.
National Institute on drug Abuse (NIdA) (2002a). Diagnosis and Treatment of Drug Abuse in Family Practice. Public Health Service, National Institutes of Health (NIH), department of Health and Human 94Services (dHHS) accessed http://www. nida.gov
The Addictions Nursing Certification Board
Candidate Handbook
National Institute on drug Abuse (NIdA) (2002b). Frequently Asked Questions: What is Drug Addiction? Public Health Service, National Institutes of Health (NIH), department of Health and Human Services (dHHS) accessed http://www. nida.gov
NIH, (1999; 2012), Principles of Drug Addiction Treatment: A research‐Based Guide Third Edition. National Institute on drug Abuse; National Institutes of Health U.S. department of Health and Human Services accessed http://www. drugabuse.gov/sites/default/files/podat_1.pdf
NSdUH (2012) Substance Abuse and Mental Health Services Administration, Results from the 2011 National Survey on Drug Use and Health: Summary of National Findings,
NSdUH Series H‐44, HHS Publication No. (SMA) 12‐4713. Rockville, Md: Substance Abuse and Mental Health Services Administration. This publication may be downloaded from http://store.samhsa.gov/home.
Oliver, J., Coggins, C., Compton, P., Hagan, S., Matteliano, d., Stanton, M., St. Marie, B., Strobbe, S., & TAP (2009). U.S. department of Health and Human Services. Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment. http://www.kap.samhsa.gov.
Quick Reference Guide for Clinicians 2008 Update: Treating Tobacco Use and Dependence. (2008). US department of Health and Human Services. April 2009. http://www.ahrq. gov/legacy/clinic/tobacco/tobaqrg.htm.
TIP 35 (1999; 2012). Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series,
No. 35. HHS Publication No. (SMA) 12‐4212. Rockville, Md: Substance Abuse and Mental Health Services Administration,1999; 2012.
Treatment Improvement Protocol Series (TIPSs). Published by US department of HHS, PHS, Substance Abuse and Mental Health Service Administration, Center for Substance Abuse Treatment. Rockville, Md. (Also availableonline at http:// www.samhsa.gov/index.htm).
Turner, H.N., (2012), American Society for Pain Management Nursing Position Statement: Pain Management in Patients with Substance Use disorders, Journal of Addictions Nursing
23(3); 210‐222.
Van Wormer, k., & davis, d. R. (2008). Addiction Treatment: A Strengths Perspective (2nd ed.). Belmont: Brooks/Cole. Walters,S., Rotgers, f.(2012), Treating Substance Abuse: Theory
The Addictions Nursing Certification Board
Candidate Handbook
CHeCklIsT for Carn aPPlICaTIon
Completed and signed application form (printed with black ink or typed). (page 18)
Clear photocopy of current RN license or copy of verification from Board of Nursing website showing expiration date.
Signed Verification of Experience in Nursing Related to Addictions form(s) confirming 2000 hours (1 year) of addictions nursing practice. (page 20)
Evidence of 30 hours of continuing education related to addictions nursing in the past three (3) years.
fee for the certification examination: (Money order or check made payable to addiction nursing Certification board (anCb). Please note ‘CARN examination’ in the memo section of the check.)
$195.00 – IntNSA Member
$395.00 – New-IntNSA Member (includes one year membership to IntNSA)
$455.00 – Non-IntNSA Member
$25.00 – late fee, if applicableCHeCklIsT for Carn-aP aPPlICaTIon
Completed and signed application form (Printed with black ink or typed). (page 18)
Clear photocopy of current RN license or copy of verification from Board of Nursing website showing expiration date.
Copy of transcript verifying master’s degree in nursing.
Evidence of 500 hours of supervised direct patient/ client contact in advanced clinical practice related to addictions. (page 21) Verification forms signed by a faculty preceptor to verify the hours of supervised clinical practice included in the master’s program, OR
Copy of transcript from the master’s program verifying the hours of supervised clinical practice.
fee for the certification examination: (Money order or check made payable to addiction nursing Certification board (anCb). Please note ‘CARN-AP examination’ in the memo section of the check.)
$295.00 – IntNSA Member
$495.00 – New-IntNSA Member
$555.00 – Non-IntNSA MemberANCB Handbook, page 18
addICTIons nUrsIng CerTIfICaTIon eXaMInaTIon aPPlICaTIon
Complete all sections of this application and submit with payment by mail to: AMP, Attn: ANCB Examination Processing, 18000 W. 105th St., Olathe, kS 66061-7543
last Name first Name MI Other Name Used Street Address or PO Box
City State Zip Code Country Home Phone Number Work Phone Number Cell Number Email Address
rn license:
State: ________________________________________________ Permanent Number: __________________________________ date of Original license: _________________________________ Expiration date: ______________________________________
Testing Period:
May 1-15 October 1-15
Application receipt deadline April 1 Application receipt deadline September 1
late application receipt deadline April 8* late application receipt deadline September 8* I am applying for the following exam and IntNSA membership status:
Carn Carn-aP
Member . . . .$195 Member . . . $295
New Member . . . .$395 New Member . . . $495
Non-Member . . . .$455 Non-Member . . . $555
*late fee (if applicable) . . . .$25 *late fee (if applicable) . . . $25
Acceptable forms of payment include personal check, money order, cashier check and credit card. Please make checks payable to IntNSA in U.S. Currency via a U.S. bank. IntNSA Tax Id #: 36-3273621
If paying by credit card, please provide the following: VISA MasterCard American Express discover
Credit Card Account Number Expiration date (Month/year) Please print your name as it appears on the credit card.
Signature date
Denial, Suspension, or Revocation of Certification. The occurrence of any of the following actions will result in the denial, suspension, or revocation of Addictions Nursing Certification: (1) falsification of the CARN application; (2) falsification of any material information requested by the ANCB; (3) any restrictions such as revocation, suspension, probation, or other sanctions of professional RN license by nursing authority; (4) misrepresentation of CARN status; (5) cheating on the CARN examination.
sTaTeMenT of UndersTandIng
I hereby attest that I have read and understand the Addictions Nursing Certification Board’s policy on denial, Suspension, or Revocation of Certification and that its terms shall be binding on all applicants for certification and all certified addictions nurses for the duration of their certification. I hereby apply for certification offered by the Addictions Nursing Certification Board (ANCB). I understand that certification depends upon successful completion of the specified requirements. I further understand that the information accrued in the certification process may be used for statistical purposes and for evaluation of the certification program. I further understand that the information from my certification records shall be held in confidence and shall not be used for any other purpose without my permission. To the best of my knowledge, the information contained in this application is true, complete, correct, and is made in good faith. I understand that the ANCB reserves the right to verify any or all information on this application.
ANCB Handbook, page 19
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