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The Opioid Crisis and the African American Population

Introduction/Opioids In Black/African American Communities: Context

1. Which of the following statements best describes an opioid use disorder?

A. Having a heroin use disorder in the past 6 months.

B. Having a pain reliever use disorder related to misuse of prescription pain relievers in the past year.

C. Having both a heroin use disorder or pain reliever use disorder related to an individual's misuse of prescription pain relievers in the past 6 months, or if an individual had both disorders.

D. Having either a heroin use disorder or pain reliever use disorder related to an individual's misuse of prescription pain relievers in the past year, or if an individual had both disorders.


2. A fellow health care professional has questions regarding synthetic opioids. Which of the following informational points of interest should be communicated to the health care professional?

A. Synthetic opioids are not affecting opioid death rates among non-Hispanic Blacks.

B. Synthetic opioids are only affecting opioid death rates among non-Hispanic Blacks living on the west coast of the U.S.

C. Tramadol is considered to be a synthetic opioid.

D. Fentanyl is not considered to be a synthetic opioid.


3. Which of the following may be considered to be a natural opioid?

A. Morphine

B. Methadone

C. Oxycodone

D. Hydrocodone


4. A fellow health care professional has questions regarding fentanyl and fentanyl analogues. Which of the following informational points of interest should be communicated to the health care professional?

A. Currently, illicit street drugs are increasingly laced with fentanyl and fentanyl analogues leading to a reduction in opioid-related overdose deaths.

B. Currently, illicit street drugs are increasingly laced with fentanyl and fentanyl analogues leading to more opioid-related overdose deaths.

C. Fentanyl is 5 to 10 times more potent than morphine.

D. Fentanyl is 10 to 20 times more potent than morphine.


5. According to the text, which of the following best represents an adverse outcome associated with Black/African Americans' lower access to prescription opioids?

A. The myth that Black/African Americans are not being "protected" from the opioid crisis.

B. The myth that Black/African Americans are affected by the current opioid crisis.

C. The potential for an increase in the over-treatment of pain in Black/African American patient populations.

D. The potential for severe under-treatment or mistreatment of pain for Black/African Americans.


6. According to the text, which of the following best represents the findings of studies related to buprenorphine?

A. In recent years, buprenorphine treatment has increased in lower-income areas.

B. In recent years, buprenorphine treatment has decreased in higher-income areas that have lower percentages of Black/African American individuals.

C. Among individuals with OUD, Black/African Americans in the U.S. were more likely to receive buprenorphine compared to Whites.

D. Among individuals with OUD, Black/African Americans in the U.S. were less likely to receive buprenorphine compared to Whites.


Strategies to Address Opioid Misuse and OUD in Black/African American Communities

7. A 18-year-old female patient has questions regarding MAT. Which of the following educational points should be expressed to the patient?

A. Typically, medications are only used to treat individuals over the age of 22.

B. MAT does not include psychosocial interventions.

C. Patients undergoing MAT may receive cognitive behavioral therapy.

D. MAT only lasts for approximately 1 - 2 weeks.


8. Which of the following statements regarding methadone is most accurate?

A. Methadone increases withdrawal symptoms and cravings and blocks the euphoric effects of opioids like heroin.

B. Methadone is typically administered via intranasal spray.

C. Methadone is not often associated with serious side-effects or addiction.

D. Methadone must be prescribed and dispensed from a federally regulated opioid treatment program.


9. A fellow health care professional has questions regarding buprenorphine. Which of the following informational points of interest should be communicated to the health care professional?

A. Buprenorphine is more likely than methadone to cause intoxication or dangerous side effects such as respiratory suppression.

B. Buprenorphine is commonly administered as a pill or buccal film that must be dissolved sublingually or attached to the cheek.

C. Buprenorphine subdermal implants typically last for approximately 2 weeks.

D. Buprenorphine must be prescribed and dispensed from inside a federally regulated opioid treatment program.


10. A 30-year-old female patient has questions regarding naltrexone. Which of the following educational points should be expressed to the patient?

A. Naltrexone is a medication that blocks the euphoric and sedative effects of opioids.

B. Naltrexone is an opioid.

C. Naltrexone is both intoxicating and addictive.

D. Naltrexone may only be administered orally.


11. A 28-year-old male patient has questions regarding Naloxone. Which of the following educational points should be expressed to the patient?

A. Naloxone cannot reverse the toxic effects of an opioid overdose.

B. Naloxone may be administered via intranasal spray.

C. Naloxone implants are available for individuals over the age of 18.

D. Naloxone may only be used inside federally regulated opioid treatment programs.


12. According to key informants, how can health care professionals effectively implement the following strategy: implement a comprehensive, holistic approach?

A. Acknowledge that addiction does not go beyond the neuroreceptor level.

B. Present medications as the "magic bullet" for treating opioid use disorders.

C. Limit the introduction of harm reduction networks.

D. Utilize community-led needs assessments.


13. How can health care professionals effectively implement the following strategy: increase culturally relevant public awareness?

A. Avoid cultural trends.

B. Avoid the use of health communication campaigns.

C. Incorporate actors and images of people over the age of 65 into health communication campaigns.

D. Incorporate actors and images of people that look like the intended audience into health communication campaigns.


14. How can health care professionals effectively implement the following strategy: employ culturally specific engagement strategies?

A. Acknowledge that Black/African American cultures do not place value on one-on-one connections.

B. Avoid the use of support groups.

C. Avoid partnerships with community-based organizations.

D. Collaborate and partner with faith-based organizations and institutions.


15. Which of the following statements is most accurate? 

A. As a whole, Black/African American communities have embraced naloxone use.

B. Some community members express concern that the availability of naloxone could promote substance use among Black/African Americans.

C. Members of Black/African American communities indicate that Black/African Americans prefer to receive naloxone from law enforcement officers.

D. Members of Black/African American communities indicate that African Americans prefer to receive naloxone from EMTs because there is often no fear of punitive consequences.


16. A fellow health care professional has questions regarding the City of Huntington, WV's QRT. Which of the following informational points of interest should be communicated to the health care professional?

A. QRTs do not include law enforcement officers.

B. QRTs include faith leaders.

C. QRTs do not put an emphasis on involving the faith community.

D. QRTs do not offer naloxone education.


17. How can health care professionals effectively implement the following strategy: create a culturally relevant and diverse workforce?

A. Use social media channels to recruit a diverse patient population consisting of individuals over the age of 18.

B. Recruit and train a diverse workforce of health care professionals.

C. Limit the creation of billable funding structures.

D. Limit buprenorphine programs.


18. A fellow health care professional has questions regarding the RECOVER program and the use of peer recovery coaches. Which of the following informational points of interest should be communicated to the health care professional?

A. The use of peer recovery coaches should be avoided.

B. Eligibility to be a peer recovery coach includes being in recovery for at least two months.

C. Peer recovery coaches are required to complete 100 hours of recovery coach work.

D. Typically, recovery coaches have to be State certified.


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