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Quiz 2 - Course 8K

 

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1)
Looking at 'Identification of Practices Associated with HIV Prevention and Treatment': PrEP [Pre-Exposure Prophylaxis] is a biomedical intervention in which people at risk for contracting HIV adhere to a regimen of daily oral antiretroviral medications to prevent contracting the virus if exposed to it.
 
True False
 
2)
PrEP programs are for those who do not have HIV but are considered AT RISK, which includes
 
men who have sex with men (MSM) and/or people with a partner with HIV
people with severe mental illness
people who inject drugs (PWID) and those who report binge drinking over the past 3 months
people with two or more sex partners in the past 90 days
all of the above
 
3)
PrEP is approximately _____ percent effective at preventing HIV when taken consistently to maintain uptake into the bloodstream.
 
69
40
99
50
91
 
4)
After an at-risk person has begun the PrEP HIV prevention program, psychosocial supports are not often required because those taking PrEP know how effective the drug is in preventing HIV.
 
True False
 
5)
PrEP is the only intervention known to be effective in prevention of HIV in persons with a dual diagnosis of SUD and Mental Illness.
 
True False
 
6)
What is NOT an essential activity or service provided by PrEP programs?
 
Safety-net clinics providing care to at-risk individuals who have no access to health care due to financial circumstances, insurance status, or health conditions.
Psychosocial supports, to increase uptake and adherence to PrEP.
Bio-Behavioral Community Health Recovery Programs, providing weekly group therapy and text-message reminders encouraging PrEP adherence
In-clinic pharmacists who consult with the client and prescribe PrEP the same day that the client tests negative for HIV.
Dispensing sterile syringes to those at risk.
 
7)
In this document, SSP refers to __________for people who inject drugs (PWID).
 
Sustained Systemic Prophylaxis
Syringe Services Programs
Social Support Programs
 
8)
Decades of research demonstrate ___________ evidence for the efficacy and importance of SSPs in reducing the transmission of infectious diseases, including HIV and hepatitis C virus (HCV).
 
hopeful but unsubstantiated
strong
variable
 
9)
What is not true about SSPs?
 
SSPs focus upon providing consistent, stable access to sterile syringes.
SSPs focus upon increasing the volume of sterile syringes available in a given community, to program participants and to community networks.
The focus of SSPs is upon maintaining a specific number of interactions with People Who Inject Drugs (PWID).
 
10)
Sterile syringes can be provided in fixed and mobile settings, by pharmacists, pharmacy managers, clerks, and technicians dispensing over-the-counter syringes, outreach workers, and trained volunteers and healthcare professionals. .
 
True False
 
11)
Which circumstance below is not identified as a major BARRIER to the effectiveness of sterile syringe programs?
 
Limited operating hours due to limited funding.
A limited number of syringes provided at the individual and community levels
Location in a rural setting
 
12)
SSPs can provide sterile syringes in single or multiple day supplies, based on the number of syringes returned and the reported injection frequency.
 
True False
 
13)
What is not true about CONTINGENCY MANAGEMENT (CM) in HIV prevention and treatment programs?
 
CM is a behavioral therapy used in rural and urban settings that uses motivational incentives and tangible reinforcers to increase desirable drug-related behavior.
People in CM programs are given reinforcers—vouchers that can be exchanged for money or goods, or chances to win prizes—when they consistently demonstrate positive HIV-related behavior.
Some behaviors that are rewarded include negative urine screens, keeping HIV-related appointments, maintaining antiretroviral treatment (ART - HIV viral suppression medication), and consistent demonstration of HIV prevention behavior.
CM is recommended for its cost-effective, long-term effectiveness as a stand-alone program.
When combined with counseling, CM may increase attendance at sessions, which in turn can have long-term therapeutic benefits
 
14)
OUTCOMES ASSOCIATED WITH Cognitive Behavioral Therapy (CBT) in HIV programs: Which outcomes have been demonstrated?
 
Reduced sexual behaviors that increase likelihood of getting HIV, including improved attitudes towards condom use and greater condom use skills,
Reduced PTSD and depression symptom severity in persons with or at risk for HIV
Understanding their personal vulnerability to getting HIV disease.
all of the above
only the first and second above
 
15)
INTENSITY AND DURATION of CBT: What is not true about the effective use of CBT in HIV prevention and treatment?
 
CBT generally provides the tools for behavior change in 8 to 12 individual or group sessions.
Effectiveness is demonstrated through meeting once or twice weekly, with each session lasting between 60 and 90 minutes.
Effective CBT in HIV programs requires a length of treatment of at least 3 months.
The required length of treatment varies depending on the individual’s symptoms, resources, and preference.
 
16)
In the context of the HIV-care continuum, PATIENT NAVIGATION services typically focus on linkage to and retention in care, improving HIV treatment outcomes, client satisfaction, and client self-management.
 
True False
 
17)
Patient Navigation services have had little success with men and transgender women transitioning from jail and prison to the community.
 
True False
 
18)
Moving to Chapter 3, IMPLEMENTATION CHALLENGES AND STRATEGIES: What is NOT true about the challenges and strategies of setting up an effective HIV program for persons with a dual diagnosis of SUD or Mental Illness?
 
When adapting a current program to provide an effective HIV Harm Reduction Model, we should strive to preserve the setting of the current program (e.g., outpatient clinic, mobile health unit, walk-in clinic, etc.)
We should engage existing and potential clients in project planning, practice selection, and materials development.
Competent staff may need special training to create a culturally appropriate, nonjudgmental, welcoming, and non-stigmatizing Harm Reduction environment.
The complex medical comorbidities of dually diagnosed people with or at risk for HIV require careful coordination, collaboration, and communication between SUD, Mental Health, HIV, and medical program staff.
Most mental health and SUD programs should implement the models described in this course without modification or adaptation.
 
19)
Clients who receive treatment in HIV programs that screen for mental illness and SUD and provide coordinated care to address all three issues are MORE LIKELY to reach HIV viral suppression, than are clients who receive treatment in HIV primary care services WITHOUT coordinated mental health and SUD services.
 
True False
 
20)
On page 34 of this Study Guide 2, you will find a link to the 'Guide to Developing and Managing Syringe Access Programs', published by the Harm Reduction Coalition.
 
True False
 

 

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