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Screening for Drug Use in Medical Settings

Introduction

1. In 2010, an estimated 22.6 million Americans aged 12 or older had used an illicit drug during the month prior to the survey.

A. True

B. False


2. In 2010, of the 23.1 million persons aged 12 or older who needed specialized treatment for a drug or alcohol problem, most—almost _______ million—did not receive it.

A. 12

B. 18

C. 21

D. 26


Before you begin screening patients

3. Drug abuse screening in general medical settings involves additional considerations beyond the typical processes and procedures for patient screening of most common health conditions. Which of the following does this paper recommend?

A. Determine staffing roles

B. Train designated staff to conduct screening, intervention, and referral

C. Decide how screening results will be used and develop a procedure for handling positive and negative results

D. Consider patient reading level when providing educational and support materials

E. All of the above


The NIDA Quick Screen

4. The NIDA Quick Screen and NIDA-modified ASSIST are appropriate for patients age 12 or older.

A. True

B. False


5. The screening process described in this paper consists of three basic steps. Which of the following is NOT one of these steps?

A. Ask about past year drug use

B. Begin the full NIDA-Modified ASSIST

C. Advise patients of the limits of confidentiality and insurance coverage for conditions occurring under the influence of alcohol or illicit drugs

D. Determine risk level


6. According to this paper, if a patient indicates he/she has had one or more days of heavy drinking in the past year, he/she is an at-risk drinker.

A. True

B. False


7. In this process, you are told to go to Step 2 and begin the NIDA-Modified ASSIST if the patient says “Yes” for use of illegal or prescription drugs for nonmedical reasons.

A. True

C. False


Screen, then Intervene: Conducting a Brief Intervention

8. Based on the patient's Substance Involvement (SI) results, which of the following is NOT a possible element of a brief intervention?

A. Advise patient about drug use

B. Assess readiness to quit

C. Assist patient in making changes

D. Alert the proper authorities

E. Arrange treatment or follow-up care


9. Which of the following can help build and sustain rapport with the patient?

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. Acknowledge the patient’s current view of his/her drug use

D. All of the above

E. A and B above


10. Many States mandate reporting of drug use during pregnancy and that failure to do so may be a prosecutable offense.

A. True

B. False


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