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Trauma Patients Alcohol Screening and Brief Interventions

Trauma Centers Response to Alcohol Problems

1. Alcohol is a significant factor in injuries that require trauma center services. Which of the following is an accurate statement about alcohol problems in the U.S. and how these problems may affect trauma services?

A. For every U.S. adult who is dependent on alcohol, more than8 other adults who are not dependent are at risk of or have already experienced problems from their drinking

B. Evenif we were able to “cure” the 5.3% who are dependent, we would not have addressed the largest portion of the U.S. alcohol problem, which is the 18.7% who are not dependent but have experienced problems or have significant risks related to their drinking

C. A high proportion of at-risk drinkers find their way to trauma centers, where almost 30% of patients have positive blood alcohol concentrations (BAC)

D. Brief alcohol interventions conducted in trauma centers have been shown to reduce trauma recidivism by as much as 50%


2. Alcohol Screening and Brief Intervention (SBI) in trauma centers is a simple three step process that includes screening patients, conducting a brief intervention, and follow-up. Each of the following is part of the brief intervention step EXCEPT:

A. Providing information or feedback about screening results, BAC upon admission, the link between drinking and injury, guidelines for low-risk alcohol consumption, and methods for reducing or stopping drinking

B. Understanding the patient’s view of drinking and encouraging patients to think about how drinking may have contributed to their injury, what they like and dislike about their current drinking pattern, and how they might want to reduce their risks

C. Discussing options for available services including 12-step programs, community education, and counseling alternatives

D. Giving clear and respectful professional advice about the need to reduce risk by cutting down or quitting drinking and avoiding high-risk alcohol-related situations


3. Before implementing a program, trauma centers are required to identify at least one member of the trauma staff to receive training in how to administer SBI and to monitor and evaluate program activities.

A. True

B. False


4. Screening for alcohol use with trauma patients helps determine whether a brief intervention should be offered to a patient. Additionally, when the alcohol screening process is part of the trauma center's normal routine, it helps the patient feel as though he or she has not been singled out or already labeled as a person with a drinking problem.

A. True

B. False


5. One of the screening instruments that may be used with trauma patients identifies four different levels of risk and asks questions about alcohol consumption during the past year, symptoms of alcohol dependence, and alcohol-related problems. This instrument is called:

A. Consumption and CAGE Questionnaire

B. Alcohol Use Disorders Identification Test (AUDIT)

C. CRAFFT Assessment

D. None of the above


6. Research evidence clearly shows that brief interventions for at-risk drinking result in health, social, and economic benefits for the individual and society. However, trauma centers should withhold brief interventions from patients with the most severe drinking problems, as they need more intensive professional treatment.

A. True

B. False


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