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Detoxification and Substance Abuse Treatment (Updated) - Part 1

Overview, Essential Concepts, and Definitions in Detoxification

1. All of the following pertain to detoxification, except for:

A. Detoxification includes the acute medical management of life-threatening intoxication and related medical problems.

B. Detoxification is a set of interventions aimed at managing acute intoxication and withdrawal.

C. Detoxification denotes a clearing of toxins from the body of the patient who is acutely intoxicated and/or dependent on substances of abuse.

D. Detoxification seeks to minimize the physical harm caused by the abuse of substances.


2. A detoxification program is designed to resolve the long-standing psychological, social, and behavioral problems associated with alcohol and drug abuse.

A. True

B. False


3. Patients undergoing detoxification need to know that:

A. Someone cares about them.

B. Someone respects them as individuals.

C. Someone has hope for their future.

D. All of the above.


4. A cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues use of the substance despite significant substance-related problems, is known as:

A. Substance abuse

B. Substance dependence

C. Substance-induced disorders

D. Substance use disorders


5. Which of the following is involved in treatment / rehabilitation?

A. Ongoing, continual assessment of the patient’s physical, psychological, and social status.

B. An analysis of environmental risk factors that may be contributing to substance use and the identification of immediate relapse triggers as well as prevention strategies for coping with them.

C. The delivery of primary medical care and psychiatric care, if necessary, to help the patient abstain from substance use and minimize the physical harm caused by it.

D. All of the above.


6. The detoxification process consists of all of the following essential components, except for:

A. Evaluation

B. Treatment

C. Stabilization

D. Fostering patient readiness for and entry into treatment


7. A successful detoxification process can be measured, in part, by whether an individual who is substance dependent enters, remains in, and is compliant with the treatment protocol of a substance abuse treatment / rehabilitation program after detoxification.

A. True

B. False


Settings, Levels of Care, and Patient Placement

8. All of the following are specific themes of historical and clinical importance to least restrictive care, except for:

A. Patients should be treated in those settings that least interfere with their civil rights and freedom to participate in society.

B. Patients should not disagree with clinician recommendations for care.

C. Patients should be informed participants in defining their care plan.

D. Careful consideration of State laws and agency policies is required for patients who are unable to act in their own self-interest.


9. The domain of detoxification refers to:

A. The reduction of the physiological and psychological features of withdrawal syndromes.

B. The process of interrupting the momentum of compulsive use in persons diagnosed with substance dependence.

C. Both (A) and (B).

D. None of the above.


10. As a general rule, outpatient treatment is just as effective as inpatient treatment for patients with mild to moderate withdrawal symptoms.

A. True

B. False


11. Ambulatory detoxification is considered appropriate only when:

A. A positive and helpful social support network is available to the patient.

B. Patients have mild to moderate withdrawal symptoms.

C. Physicians and nurses are present in the treatment setting at all times.

D. All of the above.


12. Which of the following is a requisite skill and knowledge base for assessing and treating patients undergoing detoxification?

A. Understanding how to interpret the signs and symptoms of alcohol and other drug intoxication and withdrawal.

B. Understanding the appropriate treatment and monitoring of alcohol and other drug intoxication and withdrawal.

C. The ability to facilitate the individual’s entry into treatment.

D. All of the above.


13. Primary emphasis during medically monitored inpatient detoxification should be placed on all of the following, except for:

A. Ensuring that the patient is medically stable, including the initiation and tapering of medications used for the treatment of substance use withdrawal.

B. Assessing for adequate biopsychosocial stability, quickly intervening to establish this adequately.

C. Providing 24-hour supervision, observation, and support for patients.

D. Facilitating effective linkage to and engagement in other appropriate inpatient and outpatient services.


14. Outpatient treatment should be delivered in conjunction with all components of detoxification.

A. True

B. False


15. Careful screening of patients with withdrawal symptoms is essential to reserve for inpatient treatment for those clients with possibly complicated withdrawal, such as:

A. Patients with subacute medical or psychiatric conditions that in and of themselves would not require hospitalization.

B. Those in danger of seizures or delirium tremens.

C. Both (A) and (B).

D. None of the above.


16. The American Society of Addiction Medicine placement guidelines are always the best guide to placing a patient in the proper setting at the proper level.

A. True

B. False


An Overview of Psychosocial and Biomedical Issues During Detoxification

17. Which of the following is a sign or symptom of conditions that require immediate medical attention?

A. Increasing anxiety and panic

B. Temperature greater than 100.4 degrees Fahrenheit

C. Insomnia

D. All of the above


18. All of the following may be associated with increased risk of violence, except for:

A. Heroin

B. Alcohol

C. Cocaine

D. Amphetamine


19. As a precaution, all patients who are intoxicated should be considered potentially violent.

A. True

B. False


20. All of the following are strategies for de-escalating aggressive behaviors, except for:

A. Speak in a soft voice.

B. Isolate the individual from loud noises or distractions.

C. Ensure that the patient cannot exit the examination room.

D. Offer medications when appropriate.


21. The American Psychiatric Association and the American Society of Addiction Medicine guidelines recommend a period of 1 to 2 weeks of abstinence before attempting to diagnose a psychiatric disorder.

A. True

B. False


22. An evaluation of nutritional status should occur after:

A. The patient is adequately hydrated.

B. The patient has completed detoxification.

C. Both (A) and (B).

D. None of the above.


23. Consuming excessive amounts of caffeine or sugar can compromise the detoxification process and lead to relapse.

A. True

B. False


24. Which of the following is an important and unique consideration for adolescent patients?

A. Adolescents are more likely than adults to drink large quantities of alcohol in a short period of time, making it especially important that detoxification providers be alert to escalating blood alcohol levels in these patients.

B. Adolescents are more likely than adults to use drugs they cannot identify, to combine multiple substances with alcohol, and to ingest unidentified substances.

C. Adolescents are more likely than adults to be unwilling to disclose drug use.

D. All of the above.


25. The consensus panel recommends the use of direct confrontation in helping a person with a substance use disorder begin the process of detoxification and subsequent substance abuse treatment.

A. True

B. False


26. Helping the patient understand that ambivalent feelings about changing substance use behaviors are normal and expected can be particularly useful at which stage?

A. Precontemplation

B. Contemplation

C. Preparation

D. Action


27. Patients are more likely to engage in treatment if they believe the full array of their problems will be addressed, including those needs typically addressed by wraparound services, such as housing, vocational assistance, childcare, and transportation.

A. True

B. False


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