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1)
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In the Introduction, we learn that HIV-infected adolescents presenting for treatment typically demonstrate
_________________
of co-occurring mental health symptoms or prior mental health diagnoses, which frequently precede the onset of problem substance use.
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2)
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Marijuana and alcohol are used infrequently by HIV-infected adolescents, but use of heroin, methamphetamine, and cocaine is commonly reported.
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True
False
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3)
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Looking at section II. RISK FACTORS FOR SUBSTANCE USE IN HIV-INFECTED ADOLESCENTS ..... Many of the same individual, family, and social factors associated with increased risk for substance use in [healthy] adolescents are prevalent in HIV-infected adolescents.
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True
False
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4)
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In Table 1 (POTENTIAL RISK FACTORS FOR SUBSTANCE USE IN HIV-INFECTED ADOLESCENTS) .......
We see that HIV-infected adolescents with diagnoses of depression, anxiety, post-traumatic stress disorder, attention-deficit/hyperactivity disorder, and conduct disorder are MORE LIKELY to use substances than HIV-Infected youth with NO mental health diagnosis.
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True
False
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5)
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Still in Table 1 .... YMSM in this research publication means
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6)
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Still in Table 1 . . . Looking at POTENTIAL RISK FACTORS FOR SUBSTANCE USE IN HIV-INFECTED ADOLESCENTS ...... which of the following is a true statement?
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7)
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In section III. COMMUNICATING WITH ADOLESCENTS ABOUT SUBSTANCE USE ....... Which is a true statement?
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8)
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In section IV BASELINE HISTORY AND SUBSTANCE USE SCREENING .... Which is NOT a true statement?
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9)
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In Table 2 -- QUESTIONS TO ASSESS ATTITUDES ABOUT AND FREQUENCY OF SUBSTANCE USE .... which is NOT a true statement?
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Questions that target specific substances can elicit more accurate responses. For example: Did you smoke marijuana today, yesterday, recently? How many times do you smoke during the week? What do you like about it? What do you dislike about it?
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Brief screening instruments are preferable in the clinic setting.
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Patients who use multiple drugs will oftentimes discontinue the use of ALL drugs when they have been successful in discontinuing at least ONE of the drugs.
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We should ask questions about use of over-the-counter and prescription medications ..... such as cough syrup (i.e., dextromethorphan), ephedrine, cognitive stimulants (e.g., methylphenidate and other 'study drugs'), anabolic steroids, prescription opiates, benzodiazepines, and family members’ prescriptions that he/she may access.
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10)
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Ongoing assessment is important. However, adolescent patients who express a lack of readiness to address the issue of substance use may not provide honest answers and may become alienated if they feel ongoing pressure to continually discuss the topic.
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True
False
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11)
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Still in section IV ..... which below is NOT true?
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12)
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Moving to Section V - INTERVENTION STRATEGIES .... which is the best answer below?
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13)
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The strategies discussed in Section V have proved to be highly effective interventions for addressing adolescent methamphetamine use.
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True
False
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14)
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Looking at HARM REDUCTION in Section V .... Clinicians may use
_________________
for adolescents who are not ready, or not willing, to make abstinence a goal.
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15)
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In section A - The HARM REDUCTION APPROACH ..... interventions may include the following:
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16)
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In section B - BRIEF INTERVENTIONS ...... When used with HIV-infected adolescents, brief interventions for substance abuse may NOT be as effective as when used with non-infected adolescents
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True
False
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17)
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'Brief Interventions' are short-term, less intensive ALTERNATIVES to traditional substance use treatment modalities.
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True
False
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18)
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Regarding 'Motivational Enhancement Therapy' ....... which is NOT a true statement?
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19)
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Group Interventions for HIV-infected adolescents who use substances utilize a cognitive-behavioral approach which provides risk education and social-negotiating and problem-solving training.
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True
False
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20)
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Looking at Interventions - Section D. Pharmacotherapy, which is NOT a true statement?
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21)
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Moving to section VI ..... Effective psychotropic management of co-occurring mental health diagnoses can often aid in reducing substance use, including alcohol and marijuana - especially for depression and bipolar disorder.
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True
False
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22)
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Moving to section VII - REFERRAL FOR SUBSTANCE USE TREATMENT, Table 4 .... which is NOT listed as an INDICATION FOR HOSPITALIZATION OF HIV-INFECTED SUBSTANCE-USING ADOLESCENTS'?
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23)
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Moving to section VIII. MAINTAINING THE SUBSTANCE-USING ADOLESCENT IN CARE .... which is a true statement? .
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24)
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For HIV patients in early recovery, clinicians SHOULD NOT ASK at each visit, about the 'date of last use' of substances, alcohol, and tobacco, because they may perceive this as intrusive.
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True
False
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