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Harm Reduction in Substance Misuse

1. Harm reduction

A. expects people to follow a "clean & sober" lifestyle.

B. is an abstinence-based program.

C. has a clear set of rules and regulations.

D. some ways of using drugs are safer than others.


2. Between December 2021 and November 2022 there were _____ overdose deaths in the United States.

A. 932,000

B. 103,550

C. 92,000

D. 53,550


3. Harm reduction requires that interventions and policies designed to serve people who use substances

A. are specific to the individual and community needs.

B. follow the stages of change.

C. allow for continued substance use.

D. are coordinated with law enforcement.


4. A person in pre-contemplative stage of their substance use

A. is considering that their behavior may be problematic.

B. is ready to make a change around their problematic substance use.

C. may be unaware that their behavior is problematic.

D. has returned to their old behaviors around substance use.


5. Injection drug use accounts for ____ of all adolescent and adult HIV/AIDS cases.

A. 25%

B. 33%

C. 50%

D. 66%


6. Harm reduction DOES NOT

A. minimize or ignore the harm and danger of substance use.

B. empower people who use drugs.

C. provide treatment resources to people who use drugs.

D. recognize peoples social inequalities that may impact drug use.


7. Prescription drug monitoring programs is an example of

A. primary level prevention

B. secondary level prevention

C. tertiary level prevention

D. quaternary level prevention


8. In 2020 _____ people over the age of 12 had a substance use disorder in the past year.

A. 92.2 million

B. 53.5 million

C. 40.3 million

D. 32.2 million


9. One reason people who use drug do not access medical care is

A. they don't want help.

B. they like using drugs.

C. they don't think they have a problem.

D. they do not trust healthcare providers to maintain their privacy from law enforcement.


10. _____ can prevent withdrawal symptoms and reduce cravings in opioid-addicted individuals.

A. MAT

B. CBT

C. Narcan

D. Methadone


11. All the following behavioral therapies have shown to be effective for substance use treatment except

A. Cognitive Behavioral Therapy

B. Contingency Management

C. Motivational Interviewing

D. Exposure Therapy


12. Naloxone can quickly reverse an opioid overdose is also known as

A. Suboxone

B. Methadone

C. Narcan

D. Buprenorphine


13. Medication-assisted treatment works best when

A. it is voluntary.

B. it is mandatory.

C. it is provided as a stand alone treatment.

D. it is limited in its availability.


14. Needle and syringe access programs

A. increase sharing of injection equipment.

B. reduce the spread of blood-borne infections

C. increase substance use.

D. increase needlestick injuries.


15. Overdose prevention sites globally experience on average ____ overdose fatalities/year.

A. 0

B. 100

C. 1,000

D. 10,000


16. Currently available drug test strips can detect

A. fentanyl

B. fentanyl & morphine

C. fentanyl & amphetamines

D. amphetamines & xylazine


17. Good Samaritan Laws main goal is to

A. allow overdose dropoffs at emergency departments.

B. increase naloxone access

C. protect bystanders from criminal charges

D. increase calls for medical assistance during an overdose.


18. ______is an educational strategy to market evidence-based practices to healthcare providers and community stakeholders.

A. Housing First

B. Academic Detailing

C. Recovery Ready Workplace

D. MAT


19. Decreased absenteeism, increased productivity, increased workplace safety, and lower long-term healthcare costs are all benefits of this program.

A. Housing First

B. Academic Detailing

C. Recovery Ready Workplace

D. MAT


20. Harm reduction focuses on ___ rather than the prevention of substance use.

A. the prevention of harm

B. community safety

C. economic benefits

D. education


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