Self-Assessment Answers for Section 1: Opioid Analgesics in the Management of Acute & 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: Medial Errors & Clinician Burnout
21 . According to recent research, medical errors are estimated to be the ____________ leading cause of death in the United States? 22 . Which of the following categories is the leading cause of medical errors? 23 . Which of the following best describes the difference between a root cause analysis of an incident of medical error and a more traditional analysis? 24 . Which of the following statements most accurately describes an important aspect of burnout among physicians? 25 . Which best describes the relationship between medical errors and symptoms of physician burnout? 26 . Which of the following is an example of systems-level intervention to help reduce physician burnout? 27 . Which type of technology has been the focus of literature about the relationship of physician burnout and technology? 28 . How much time do primary care physicians typically spend using electronic health records? 29 . 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? 30 . A web-based Cognitive Behavioral Therapy program has been shown to _________________?
Self-Assessment Answers for Section 3: Intimate Partner Violence: Effective Assessment, Compassionate Care
31 . The term Intimate Partner Violence (IPV) is preferred to the term Domestic Violence, because: 32 . In addition to immediate health effects, such as injuries and death from physical and sexual assault, female survivors of IPV have higher risks of ________. 33 . Approximately what percentage of women survivors of IPV experience post-traumatic stress syndrome (PTSD)? 34 . Studies have shown that which of the following characterizes physicians with respect to screening for domestic violence? 35 . Which of the following is a common potential barrier to a patient disclosing IPV to a clinician? 36 . The “R” in the “RADAR” acronym stands for: 37 . Which of the following is an example of a single question shown to provide an accurate screening for IPV? 38 . “Hurt, Insult, Threaten, Scream” (HITS) is an example of ____________. 39 . 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? 40 . Which of the following words or phrases would be most appropriate when speaking with a survivor of IPV: 41 . The name for the potentially valuable communication and care approach for managing survivors of IPV and their families is the ________________. 42 . Routinely asking about IPV (usually as part of the social history) should take no more than __________. 43 . Which of the following would not typically be part of a safety plan for a patient who has experienced IPV? 44 . What is the best way for a survivor of IPV to handle an order of protection/restraining order? 45 . What is the name of people who have specific training in forensic nursing, evidence collection, and crisis counseling?
Self-Assessment Answers for Section 4: Suicide Assessment & Prevention
46 . In 2017, what was the rank of suicide as a cause of death in the United States? 47 . About how much higher is the suicide rate among Veterans as compared to the non-Veteran population? 48 . The three levels of strategies for suicide prevention are _________, _________, and ____________. 49 . What is the name of the conceptual model that frames suicide risk as a balance between protective factors and risk factors at different levels? 50 . Which of the following is a tenet of the Patient-Centered Care model for suicide prevention? 51 . What is one of the advantages of adopting a Patient-Centered Care model of suicide prevention? 52 . Which of the following is a true statement about suicide risk? 53 . Which of the following is a true statement about suicide risk in Veteran and non-Veteran populations? 54 . Which of the following is a direct warning sign of acute suicide risk? 55 . Which of the following is true about asking patients about suicide or suicidal thinking? 56 . When attempting to elicit suicidal ideation from a patient, it is best if clinicians ________________? 57 . What would be an appropriate course of action for a patient determined to be at an intermediate level of acute suicide risk? 58 . Which non-pharmacological treatment modality has been shown to reduce the risk of suicide attempts by helping patients identify and change problematic thinking and behavioral patterns? 59 . Which non-pharmacological treatment modality focuses on helping patients cope with stressful life experiences by actively working on difficulties? 60 . Which pharmacological therapy has been shown to improve acute suicidal symptoms for up to a week after only a single dose? 61 . Which pharmacological therapy has been shown to reduce suicidal behaviors in patients with schizophrenia or schizoaffective disorder? 62 . What post-acute care modality has been shown to reduce the rate of suicide death following a psychiatric hospitalization for suicidal ideation/attempt? 63 . Which therapeutic modality may allow treatment for suicidal thoughts and behaviors regardless of geographic location or access to traditional care facilities? 64 . Which kind of suicide-prevention initiative has not been found to improve population-level suicide rates, either in the general U.S. population or among Veterans? 65 . In an effort to dispel stigma and foster a culture of support throughout the Department of Defense, which policy has been put into place?