Reference no: EM133617908
Questions
1. Which of the following must be considered before prescribing opioid pain medications?
Depression
History of drug abuse
Previous pain treatments
All of the above
2. Which of the following helps describe tolerance?
Psychological dependence is noted
Extreme behavior is linked to the drug
Increasing doses of the medication are needed to produce an equivalent effect
Anxiety, hypertension, tachycardia, sweating, and a volatile mood are present after the drug is stopped
3. Which of the following is a reason to discontinue chronic opioid therapy?
The medication has been used for over two weeks
The patient gets a speeding ticket
The patient is not progressing toward established goals
The patient experiences constipation
4. Which of the following are goals for pain management?
Pain relief
Improved function
Sedation
A, B
5. Which type of pain is defined as pain that has an abrupt onset and offers a warning of a disease process or a threat to the body?
Chronic
Early
Total
Acute
6. Common side effects of opioids include which of the following?
Constipation
Sedation
Dizziness
Mental status changes
7. Which of the following describes a feeling as though a patient cannot function if they do not have a specific drug?
Addiction
Psychological dependence
Drug abuse
Physical dependence
8. Which of the following is NOT considered a risk factor for opioid misuse?
Those with a history of substance abuse
Those with a history of legal trouble
Untreated psychiatric disorders
Those over 50 years of age
9. Testing for commonly abused substances can be performed on several specimens, such as urine, blood, hair, saliva, sweat, and even breath.
True
False
10. Which kind of juice can potentially increase levels of multiple opioids such as fentanyl, codeine, hydrocodone, and methadone?
Apple
Grapefruit
Orange
All of the above
11. What does the "A" stand for in the acronym OLD CARTS?
Adverse reactions
Alcohol use
Associated symptoms
All of the above
12. A prescriber's lack of training and inexperience never impacts the misuse of medications.
True
False
13. In a follow-up evaluation for a patient on opioid therapy, which of the following should be assessed?
Analgesia
Adverse effects
Any aberrant activities
All of the above
14. Pain lasting more than three to six months is described as which of the following?
Acute pain
Likely feigned
Chronic pain
Likely to lead to opioid dependence
15. Which of the following are reasons patients may misuse medications?
They are seeking to improve function
They have uncontrolled pain
They are using them to manage stress
All of the above
16. Which of the following is NOT a part of the World Health Organization (WHO) analgesic ladder?
Medications should be given subcutaneously or intramuscularly because they are more potent.
Analgesic pain medication for moderate to severe chronic pain should be administered on a fixed schedule.
Non-opioid medications should be used to start in most cases of pain.
Adjunctive medication may be used as part of initial therapy for chronic pain.
17. Which of the following is an example of aberrant drug-related behaviors?
Sedation
Diversion
Taking the medication as prescribed
Mental status changes
18. Which of the following groups may be involved in drug diversion?
Patients
Prescribers
Pharmacists
All of the above
19. Which of the following are ways in which opioids can be ingested?
Intramuscularly
Intravenously
Intranasally
All of the above
20. Which medication is 50-100 times more powerful than morphine?
Hydrocodone
Codeine
Fentanyl
Tramadol
21. Which of the following is true when using long-acting medications to manage chronic pain?
Treatment is typically started with long-acting medication.
The medication dose should be started high and then titrated downwards to ensure adequate pain control.
Short-acting opioids should be administered once or twice an hour.
When long-acting medication is used, breakthrough medication can be given.
22. Opioid misuse may lead to which of the following diseases?
HIV
Sexually transmitted diseases
Hepatitis
All of the above
23. The following are examples of functional goals EXCEPT?
Improved sleeping
Returning to work
Improved regular exercise
Smoking cessation
24. Why might a provider prescribe a controlled substance to a patient at high risk for drug misuse?
Not wanting to confront the patient about medication habits
Wanting the patient to be happy
Time constraints
All of the above
25. Physical examination for suspected opioid intoxication or poisoning should include a search for the classic signs of opioid overdose and include which of the following?
Decreased mental status
Decreased respiratory rate
Constricted pupils
All of the above
26. Which of the following is a short-acting opioid antagonist that temporarily counters the respiratory depressant and, to a small degree, the sedative effects of opioids?
Naloxone
Methadone
Dapsone
Morphine
27. Opioid withdrawal is known to cause brief but severe episodes of depression that can lead to suicide attempts and completed suicide.
True
False
28. Techniques to reduce drug diversion include which of the following?
Using electronic prescribing
Keeping a prescription pad in every exam room
Teaching the patient that pain medications will be prescribed for as long as the patient has pain
Prescribing opioids on the first visit if the patient has been to the emergency department
29. In preventing prescription drug abuse, the prescriber needs to ensure which of the following?
Treatment agreements are used.
Prescription monitoring occurs.
Informed consent is used.
All of the above
30. According to New York Rules and Regulations of Controlled Substances, Which is true?
It is generally unlawful to distribute free samples of controlled substances.
Prior to all cases of controlled substance prescription, the practitioner should consult the family.
No prescriptions can be written for Schedule I or II substances.
All of the above
31. Cachexia is a hypermetabolic state with accelerated body mass loss and typically occurs in chronic inflammatory states such as cancers, HIV/AIDS, and COPD.
True
False
32. Which of the following is a goal of the palliative care team?
Identify physicians and nurses who could be members of the palliative care team.
Identify patients who need palliative care services.
Help patients with financial planning to afford palliative care services in the future.
Identify family members who can help patients pay for palliative care services.
33. When are palliative care services usually offered to patients?
Prior to their diagnosis
At the time of their diagnosis
Within a few months after diagnosis
At a very late stage of their illness
34. Most dying patients express that they want to die where?
At work
At home
In a hospital
In a nursing home
35. Which of the following are legal documents that address a patient's wishes regarding managing their healthcare should they become incapacitated and unable to communicate?
Durable power of attorney
Advanced directives
DNR
None of the above
36. The term "total pain" as it pertains to hospice refers to impairments related to the patient's _________ status.
Physical
Psychological
Spiritual
All of the above
37. The hospice or palliative care physician is ideally board-certified in which of the following?
Hospice and palliative medicine
Family medicine
Pediatrics
Psychiatry
38. The greatest majority of patients who receive palliative care suffer from which of the following?
Acute illnesses
Chronic non-progressive illnesses
Progressive, non-cancerous illnesses
All of the above
39. Shortness of breath in the palliative care patient may be caused by which of the following?
Pneumonia
Pulmonary embolism
Anemia
All of the above
40. In the non-communicative patient, the nurse may assess the pain by which of the following scales?
Pain Assessment in Advanced Dementia
Behavioral Pain Scale
Critical Care Pain Observation Tool
All of the above
41. Pain is the most prevalent symptom/diagnosis experienced by patients requiring palliative care, and it is a crucial area for the interdisciplinary palliative care team to intervene.
True
False