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Treatment of Fetal Alcohol Spectrum Disorders

1. To effectively serve individuals who have or may have an FASD, what is needed most is a nurse who is willing to:

A. Understand the brain-based disabilities that are characteristic of these disorders. B. Set aside the false view that, because an FASD is permanent, "nothing can be done." C. Stretch the schedule, as success with a client who has an FASD can take longer. D. All of the above.

2. For the patient, discussion of a possible FASD can cause feelings of shame, or possibly even anger or disbelief, about being identified with a "brain disorder."

A. True B. False

3. It is critical to take a no-fault, no-shame approach to the topic of FASD, continually reassuring the individual and the family that you are examining the possibility of an FASD only as a way to achieve the best possible treatment outcome.

A. True B. False

4. Individuals with an FASD are frequently misdiagnosed. Given their symptoms, they may be described as meeting criteria for all of the following, except:

A. Attention Deficit / Hyperactivity Disorder B. Oppositional Defiant Disorder C. Antisocial personality disorder D. Bipolar disorder

5. Effective in-house assessment for FASD is build on which core component?

A. Building the right team. B. Accessing the right resources. C. Gathering the right information. D. All of the above.

6. Starting a treatment process without first addressing safety issues is futile and potentially dangerous. Physical safety for someone with an FASD must first be evaluated and includes all of the following, except:

A. Enrollment in school B. Harm to self or others C. Victimization D. Adequate housing and food

7. Possible safety and health concerns for those with an FASD include:

A. Remembering medication schedules B. Decisions about legal and illegal substances C. Driving D. All of the above

8. Nurses should be aware that children with physical, psychological, and sensory disabilities - including FASD - are known to be more vulnerable to violence and maltreatment, or to be at a greater risk of these forms of abuse.

A. True B. False

9. All of the following are ways to intervene to reduce the risk of suicide for individuals with an FASD, except for:

A. Have the individual removed from the home and put into a care facility. B. Address basic needs and increase stability. C. Teach distraction techniques. D. Increase social support.

10. Because of their unpredictable behavior, people with an FASD may need 24-hour supervision.

A. True B. False

11. It is important to establish a network of community service providers who will be available for aftercare to promote ongoing recovery and avoid relapse.

A. True B. False

12. Repetition is key.

A. True B. False

13. All of the following are ways that nurses can help address self-esteem and personal issues, except for:

A. Do not isolate the person. B. Do not use person-first language. C. Do not blame people for what they cannot do. D. Set the person up to succeed.

14. It is important to provide consistency and re-check the retention of information often by:

A. Asking the patient to summarize what you have said. B. Reviewing written materials, such as rules, at each visit. C. Not assuming that the patient is familiar with a concept or can apply it simply because you have reviewed it multiple times. D. All of the above.

15. Adolescents and adults with an FASD should be well informed and consulted about decisions regarding abstinence, contraception, and pregnancy.

A. True B. False

16. Care plans for individuals with an FASD entering substance abuse treatment should include the following:

A. Medications B. Communicable disease assessment C. A pregnancy test D. Vaccinations

17. Medications for individuals with an FASD may not work at rates similar to other populations and/or may require different dosages to work.

A. True B. False

18. When treating a person with an FASD, language is important. Which of the following should a nurse use?

A. Metaphors or similes B. Idiomatic expressions and proverbs C. Literal statements D. Sarcasm

19. It is generally believed that transitional forms of therapy, such as "talk therapy," are the most effective choice when working with adolescents with an FASD.

A. True B. False

20. It is important to think ahead about education on topics such as:

A. Safe sex B. Communicating clearly with partners about consensual activity C. Use of cigarettes and alcohol D. All of the above


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