Cheap Nursing CEUs

Screening for Drug Use in Primary Care

1. Existing office procedures that should also be applied to screening practices, including:

A. Consent procedures B. Confidentiality C. Storage of records D. All of the above

2. Because it is often difficult to determine reading level, particularly in emergency room situations, material developed for _______ reading level should be used.

A. A 6th grade B. A 7th grade C. An 8th grade D. A 9th grade

3. If a patient declines screening, nurses should advise the patient that they respect that decision but would like to inform him/her about the potential harms of drug use.

A. True B. False

4. Patients should be advised of the limits of confidentiality and insurance coverage for conditions occurring under the influence of alcohol or illicit drugs.

A. True B. False

5. No more than 4 drinks per day and no more than 14 drinks per week is an appropriate alcohol limit for which of the following?

A. Healthy women under the age of 65 and not pregnant. B. Healthy men under the age of 65. C. Healthy men over the age of 65. D. None of the above.

6. Advice from an expert has not been shown to promote change.

A. True B. False

7. To improve patient rapport, nurses should:

A. Avoid tone that the patient might think is judgmental or confrontational. B. Show an interest in what the patient's life is like. C. Highlight patient confidentiality and its limitations. D. All of the above.

8. If a patient is unwilling to quit their drug and/or alcohol abuse, nurses should do all of the following, except:

A. Report their abuse to the local legal authorities. B. Raise awareness about drugs as a health problem. C. Let patients who are not ready know that you will revisit the issue at future visits. D. Have resources available when he/she decides to pursue making a change.

9. Written information release needs to be obtained in order to send the screening results to all providers who will receive referrals.

A. True B. False

10. Followup appointments should be scheduled for moderate- and high-risk patients and low-risk patients in certain groups within _____ of initial screening.

A. 3 days B. 1 - 2 weeks C. 4 - 8 weeks D. 3 months

11. If a patient answers 'no,' seemingly without considering it thoughtfully or is reluctant to give details about drug and/or alcohol abuse, nurses should:

A. Reinforce that all information provided will be kept confidential when possible. B. Not argue with the patient. C. Gently probe with a question like: "Not even when you were in school?" D. All of the above.

12. Blood drug testing is the most common toxicological test of body fluid samples in general medical settings.

A. True B. False

13. Which of the following commonly abused drugs is not included in many drug screens and must be ordered separately?

A. MDMA B. Methadone C. Fentanyl D. All of the above

14. A negative result for a drug test means that drugs have not been used and a positive result may at times reflect consumption of other non-drug substances.

A. True B. False

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