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Quiz 1_Course 4SUD

 

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1)
PREVENTION PRACTITIONERS play a major role in working with people who use drugs (PWUD) after a near-fatal overdose - including reduction of stigma, community collaboration, and development of post-overdose strategies.
 
True False
 
2)
Following a near-fatal opioid overdose, increased vulnerability and risk of a subsequent fatal overdose is due to which factor below?
 
health-related consequences from the overdose including extreme stress
reduced opioid tolerance due to hospitalization and/or time away from use
damage to the brain, heart, liver, or kidneys
precipitating factors contributing to serious drug use may still be present (lack of housing and safety, mental health issues, medical conditions, etc.)
all of the above
 
3)
Following a near-fatal overdose, a major goal prior to discharge from the ER is to ensure enrollment in a SUD treatment and counseling program.
 
True False
 
4)
Following a non-fatal opioid overdose, what is needed will vary for the individual and may include all interventions below, EXCEPT which action?
 
a collaborative effort among law enforcement, medical providers, counselors, and prevention professionals
immediate interventions and services that are enticing, respectful, and cement the connections that can help them survive
providing information on how to use opioids more safely, including how and when to use a take-home Naloxone kit and .
compulsory entry into SUD treatment with the goal of abstinence.
help to identify and address needs that contributed to the overdose, such as financial issues, lack of housing and safety, and mental health issues.
 
5)
The term 'warm handoffs' refers to a set of interventions beginning 90 days after post-overdose ER discharge to encourage collaboration between law enforcement, medical providers, mental health and addiction professionals, family members, and prevention professionals.
 
True False
 
6)
'Warm Handoff' interventions are intended to help opioid overdose survivors prevent future overdoses and fatalities. Which example below does NOT apply to the concept of 'warm handoffs'?
 
Emergency Department provision of take-home Naloxone Kits, teaching family and friends how to administer naloxone and rescue breathing with instructions to call 911.
A Rapid Assessment and Intervention process known as Screening and Brief Intervention (SBI) to determine risk for future overdose.
An opportunity for practitioners to begin establishing a relationship with the overdose survivor; to explore factors and behaviors that may have contributed to the overdose.
'Knock-and-talks' - post-overdose outreach and follow-up visits by addiction professionals and a representative from police or fire department.
Follow-up visits with the SUD program staff and the individual to ensure that mandatory counseling sessions are occurring.
 
7)
Each type of 'warm handoff' intervention marks a unique opportunity to engage the overdose survivor: at the emergency department, as he or she is preparing to leave the ER, and after he or she has left the hospital.
 
True False
 
8)
PREVENTION PRACTITIONERS play an important role in supporting the implementation of post-overdose strategies, to prevent repeated overdoses and fatalities. What is NOT included as an activity of a Prevention Practitioner?
 
Reducing stigma
Ensuring that mutually selected interventions are implemented as planned and determining if they are achieving the intended goals.
Ensuring that selected strategies are evidence-based, because some strategies can increase the chances of recurring overdose and death
Working with law enforcement to monitor and report the individual's activities and contacts.
Reducing stigma by raising awareness of SUDs as treatable diseases, and ensuring that those with SUD receive dignity and respect.
 
9)
Prevention Practitioners work within the community to increase community knowledge about the dangers of opioid overdose, the effectiveness of opioid overdose reversal interventions, the efficacy of post-overdose collaboration, and the need for adequate funding and community education.
 
True False
 
10)
Moving on to The SAMHSA TOOLKIT - OVERDOSE PREVENTION and RESPONSE: What substance(s) below is/are not included in the term 'opioid'?
 
morphine and codeine
fentanyl
oxycodone and hydrocodone
methamphetamine
hydromorphone.
 
11)
What is NOT true about the use of opioids?
 
Tolerance occurs when people take opioids, and the opioid receptors in their bodies become used to that amount.of opioid.
Withdrawal occurs when a person suddenly stops taking or sharply reduces the amount of the opioid to which their body has become tolerant.
Physical dependence on opioids includes tolerance, and withdrawal may occur with sudden cessation or reduction of the opiod.
Physical dependence on opioids means that the person has an opioid addiction and meets the diagnostic criteria for an opioid use disorder
People taking opioids for cancer pain, or people taking methadone or buprenorphine for the treatment of an opioid use disorder, may experience withdrawal if they significantly reduce the dose of these medications.
 
12)
Fentanyl is a synthetic opioid. is often illicitly manufactured and added to other drugs purchased on the street, and is involved in most drug overdose deaths in the U.S.
 
True False
 
13)
What is NOT true about stimulant overdoses?
 
Fatal overdose deaths involving stimulants are increasing.
'Overamping' is when a person experiences an overdose of stimulants (methamphetamine and/or cocaine).
Methamphetamine overdoses are more likely to cause overamping than cocaine.
Overamping often affects multiple organs at the same time (seizures, chest pain, heart attacks, strokes, delirium, agitation).
Unregulated stimulant drugs may also contain opioids including fentanyl..
 
14)
Moving to OVERDOSE RISK: An overdose occurs when someone takes more of a drug than their body can handle. What is NOT true about the RISK of an overdose?
 
People with asthma or sleep apnea are at greater risk of overdose because overdose impairs normal breathing.
Combining different drugs—for example, opioids with other sedating substances such as benzodiazepines or alcohol—increases risk of overdose.
The risk of an overdose is reduced if an individual who uses illicit drugs takes them in the presence of others rather than alone.
Risk of overdose is increased by using drugs alone without notifying someone who can respond using an overdose reversal medication.
A history of a prior overdose is not a risk factor for a repeat overdose because all drugs are different.
 
15)
OVERDOSE PREVENTION AND HARM REDUCTION: What is NOT a Harm Reduction strategy to use with people who have overdosed and their families?
 
Responding to an overdose by administering naloxone or other opioid overdose reversal medication (OORM).
Referring the person to Harm Reduction services and supports.
Empower PWUD in making good choices including the use of Fentanyl test strips to test their street drugs.
Help the person who experienced the overdose to develop a safety plan to prevent a future overdose events.
Reassure the person that Opioid Use Disorder (OUD) is not a disease like diabetes, high blood pressure, or heart disease.
 
16)
Three medications for opioid use disorder (MOUDs) are approved by the FDA to treat OUD: buprenorphine, methadone, and naltrexone. Methadone and buprenorphine in particular have been associated with significant reductions in risk for overdose death.
 
True False
 

 

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