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Self-Assessment Answers for Section 1: Guidelines for Prescribing Controlled Substances & Addressing Opioid Abuse
1 . When evaluating patients for treatment with extended-release/long-acting (ER/LA) opioid analgesics, which of the following is an important risk to consider?
A.
B.
C.
D.
2 . Which of the following is true of methadone?
A.
B.
C.
D.
3 . Nonpharmacologic therapies for pain treatment
A.
B.
C.
D.
4 . For which of the following pain conditions are ER/LA opioids indicated?
A.
B.
C.
D.
5 . According to assessment tools, which of the following factors heighten risk for opioid-use disorder?
A.
B.
C.
D.
6 . Name one method by which patients should be encouraged to dispose of unused opioids
A.
B.
C.
D.
7 . Name one way patients should be monitored for adherence to medical direction during long-term opioid therapy?
A.
B.
C.
D.
8 . Which of the following is true of potential drug-drug interactions with opioids?
A.
B.
C.
D.
9 . In which of the following clinical scenarios may a patient be discontinued from opioids without taper and management of withdrawal symptoms?
A.
B.
C.
D.
10 . Which of the following is 1 indication for take-home naloxone with opioid prescription?
A.
B.
C.
D.
11 . Increased monitoring of patient response is essential during opioid dose initiation, upward titration, rotation, and addition of other central-nervous system depressants because
A.
B.
C.
D.
12 . Urine drug testing as a monitoring measure can tell the clinician which of the following:
A.
B.
C.
D.
13 . Which of the following factors increases a patient’s risk of opioid misuse?
A.
B.
C.
D.
14 . Recommended frequency to check the prescription drug-monitoring database is:
A.
B.
C.
D.
15 . Which of the following influences the amount of dopamine released and the degree of reward experienced by an opioid user?
A.
B.
C.
D.
Self-Assessment Answers for Section 2: Pick Lists: Medical Error Reduction and Prevention
16 . In a review of malpractice claims, the majority of medication-related errors in ambulatory, inpatient and emergency settings were related to:
A.
B.
C.
D.
17 . In audits conducted in ambulatory care settings, what percentage of active medication lists have failed to match what the patient is actually taking?
A.
B.
C.
D.
18 . The “retract-and-reorder” (RAR) tool identifies orders retracted within 10 minutes of the initial order and then reordered by the same provider for a different patient how soon after retraction?
A.
B.
C.
D.
19 . Medications errors involving patient identification errors (“wrong patient”) have been most often due to:
A.
B.
C.
D.
20 . Although its effectiveness may vary, which method of patient identification verification is likely to be more efficient than the other interventions listed in reducing the risk of wrong patient selection:
A.
B.
C.
D.
21 . Safety-critical industries have identified which of the following as a key factor in committing errors in situations characterized by frequent interruptions of the provider:
A.
B.
C.
D.
22 . A strategy that has been highly endorsed by multiple regulatory and accreditation organizations for mitigating errors associated with look-alike/sound-alike drugs:
A.
B.
C.
D.
23 . Which of the following strategies has been shown in the literature to greatly reduce the risk of both wrong-patient and wrong medication errors, but is often inadequately used by providers?
A.
B.
C.
D.
24 . If a patient has been given the wrong medication or administration due to a pick list error, perhaps the most important step in identifying and rectifying the error is:
A.
B.
C.
D.
25 . One of the most effective best practice strategies for minimizing cognitive load when using pick lists is to:
A.
B.
C.
D.
Self-Assessment Answers for Section 3: A Clinician's Guide to Intimate Partner Violence
26 . The term Intimate Partner Violence is preferred to the term Domestic Violence, because:
A.
B.
C.
D.
27 . Which of the following accurately represents the prevalence of intimate partner violence (IPV) in the United States?
A.
B.
C.
D.
28 . Studies have shown that which of the following characterizes physicians with respect to domestic violence?
A.
B.
C.
D.
29 . A clinician has integrated routine assessment for abuse in his hematology/internal medicine practice. He is seeing a new patient, Ms. Jones. She responds “yes” to the following question in the new patient health self assessment: "Has your partner ever harmed or threatened to harm you or someone you love?" Appropriate follow up questions or statements may include each of the following except:
A.
B.
C.
D.
30 . Which of the following is NOT a typical reason an abuse survivor might remain in a relationship with the abuser?
A.
B.
C.
D.
31 . Which of the following is a common potential barrier to a patient disclosing IPV to a clinician?
A.
B.
C.
D.
32 . The first “R” in the “RADAR” acronym stands for:
A.
B.
C.
D.
33 . Which of the following would not typically be part of a safety plan for a patient who has experienced IPV?
A.
B.
C.
D.
34 . Which statement describes a crucial consideration when clinicians must respond to legal reporting mandates related to IPV?
A.
B.
C.
D.
35 . Which of the following best describes the general pattern of IPV?
A.
B.
C.
D.
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