Self-Assessment Answers for Section 1: Opioid Analgesics in the Management of Acute and Chronic Pain
1 . Which type of pain is characterized by aberrant signal processing in the peripheral or central nervous system? 2 . What term describes the phenomenon of pain being caused by a normally innocuous stimulus such as light touch? 3 . What is the likely physiological basis for opioid-induced hyperalgesia? 4 . Which statement best summarizes the CDC finding about opioids for chronic pain? 5 . Opioid pain medications should not be combined with _______________? 6 . Which of the following topics should be routinely covered as part of patient education about opioid analgesics? 7 . Although the absolute risk for inducing opioid misuse or addiction due to prescriptions of opioids for acute pain is low, the large number of such prescriptions means that approximately how many people are at risk each year? 8 . Non-pharmacologic methods for treating acute pain are appropriate for which phase of healing? 9 . Long-acting (LA) and extended-release (ER) formulations of opioids should not be used for __________________? 10 . What is one suggestion for a way to augment opioid treatment in order to help improve a patient’s pain and function 11 . Which of the following is an example of a functional goal? 12 . According to the Centers for Disease Control and Prevention, what amount of opioid analgesic is appropriate for most painful conditions? 13 . Which class of patients might require more frequent or intense monitoring when prescribed an opioid analgesic? 14 . Which of the following characteristics is typical of patients who are addicted to a pain medication? 15 . Most experts agree that opioid dosages should not be increased to _______ without careful justification based on diagnosis and on an individualized assessment of benefits and risks. 16 . The availability of naloxone was increased in 2019 by an FDA decision that ____________. 17 . Which of the following medications is a full mu-receptor agonist used to treat Opioid Use Disorder? 18 . Which of the following medications can be self-administered by patients with a medication obtained from a regular pharmacy? 19 . For which of the following must clinicians obtain a special waiver from the DEA prior to being able to prescribe the medication? 20 . Which of the following is a possible reason for prescribing naloxone to a patient who has been prescribed an opioid analgesic?
Self-Assessment Answers for Section 2: A Clinician's Guide to Recognizing and Responding to Human Trafficking
21 . Which of the following is not an industry in which people who are trafficked often work? 22 . What are two common methods used by human traffickers to control and manipulate their victims? 23 . Which statement best describes the use of the terms “victim” and “survivor” in relation to human trafficking? 24 . In a study of people involved in sex trafficking, what percentage had at least one encounter with a health care provider while they were being trafficked? 25 . Which statement best summarizes the finding of several studies about the role or behaviors of health care providers relating to human trafficking? 26 . What is one possible way to increase the identification in health care settings of people who are being trafficked? 27 . If a patient suspected of being trafficked does not speak English, or is not comfortable speaking English, the best approach is: 28 . Before asking a patient questions of a patient about human trafficking, it’s best if clinicians: 29 . Which statement best describes the clinical goal in relation to instances of human trafficking? 30 . Why is it important, in the context of human trafficking, to train all clinical and non-clinical staff on safety and security procedures?
Self-Assessment Answers for Section 3: Medical Errors and Physician Burnout
31 . According to recent research, medical errors are estimated to be the ____________ leading cause of death in the United States? 32 . Which of the following categories is the leading cause of medical errors? 33 . Which of the following best describes the difference between a root cause analysis of an incident of medical error and a more traditional analysis? 34 . Which of the following statements most accurately describes an important aspect of burnout among physicians? 35 . Which best describes the relationship between medical errors and symptoms of physician burnout? 36 . Which of the following is an example of systems-level intervention to help reduce physician burnout? 37 . Which type of technology has been the focus of literature about the relationship of physician burnout and technology? 38 . How much time do primary care physicians typically spend using electronic health records? 39 . What individual-based practice has been shown to be an independent predictor of lower risk of burnout and higher quality of life among medical students? 40 . A web-based Cognitive Behavioral Therapy program has been shown to _________________?
Self-Assessment Answers for Section 4: Intimate Partner Violence: Effective Assessment, Compassionate Care
41 . The term Intimate Partner Violence (IPV) is preferred to the term Domestic Violence, because: 42 . In addition to immediate health effects, such as injuries and death from physical and sexual assault, female survivors of IPV have higher risks of ________. 43 . Approximately what percentage of women survivors of IPV experience post-traumatic stress syndrome (PTSD)? 44 . Studies have shown that which of the following characterizes physicians with respect to screening for domestic violence? 45 . Which of the following is a common potential barrier to a patient disclosing IPV to a clinician? 46 . The “R” in the “RADAR” acronym stands for: 47 . Which of the following is an example of a single question shown to provide an accurate screening for IPV? 48 . “Hurt, Insult, Threaten, Scream” (HITS) is an example of ____________. 49 . What is an example of a protocol recommended to make it easier for victims of IPV to talk about the situation with a healthcare provider? 50 . Which of the following words or phrases would be most appropriate when speaking with a survivor of IPV: 51 . The name for the potentially valuable communication and care approach for managing survivors of IPV and their families is the ________________. 52 . Routinely asking about IPV (usually as part of the social history) should take no more than __________. 53 . Which of the following would not typically be part of a safety plan for a patient who has experienced IPV? 54 . What is the best way for a survivor of IPV to handle an order of protection/restraining order? 55 . What is the name of people who have specific training in forensic nursing, evidence collection, and crisis counseling?