Take the Test

1. When monitoring the “Five As” of pain management, which question will the prescriber ask?

• a. “Do you have a family history of drug misuse?”
• b. “Has your level of function improved?”
• c. “How satisfied are you with me as a prescriber?”
• d. “Are there problems with your pharmacy filling your prescriptions?”

2. Which statement is a part of the 2022 CDC guidelines for prescribing opioids?

• a. The guidelines apply only to primary care physicians and physician assistants.
• b. Concurrent use of opioids and central nervous system depressants is always beneficial.
• c. Assessing the risks and addressing the potential harms of opioid use with the patient is recommended.
• d. Prescribing long-acting instead of immediate-release opioids when starting opioid therapy is recommended.

3. According to Delaware’s prescribing rules, which requirement is followed when treating chronic pain?

• a. The prescription is limited to a seven-day supply.
• b. The patient is to undergo a fluid drug screen at least every three months.
• c. The Prescription Monitoring Program is queried at least every six months.
• d. The patient is to sign an agreement to obtain prescriptions from no more than three practitioners.

4. Through which route do individuals most commonly obtain prescribed medications for misuse?

• a. Purchasing from drug dealers
• b. Through a prescription from a doctor
• c. Free, purchased, or taken from friends or relatives
• d. Stealing from a doctor’s office, clinic, hospital, or pharmacy

5. Which behavior would a clinician consider to be the most likely example of aberrant drug-related behavior (ADRB) in their patient?

• a. The patient states that they are still feeling a lot of pain despite beginning opioid therapy last week.
• b. The patient’s partner reports that the patient has been complaining of boredom lately.
• c. The patient phones the clinic stating that they lost their prescription again and need an early refill.
• d. The patient’s partner reports that the patient has not been taking all of their prescribed pain medication.

6. Which behavior is most likely to be associated with drug diversion in the workplace?

• a. Poor hygiene and disheveled appearance at work
• b. Sloppy and illegible charting on medication records and nurses’ notes
• c. A pattern of incorrect narcotic counts
• d. Frequent tardiness and absences from work

7. Which education does the nurse provide to the patient and family regarding the use of naloxone in cases of drug overdose?

• a. Naloxone is effective in treating overdoses due to cocaine and amphetamines.
• b. It is never safe to administer naloxone to pregnant women.
• c. There are no known side effects from naloxone use.
• d. Both intranasal spray and parental forms of the drug are available.

8. Which action is a common behavioral sign of impairment due to substance use?

• a. Readily accepting blame for errors or oversights
• b. Nausea vomiting or diarrhea
• c. Making mistakes due to poor judgment
• d. Fear of losing one’s license to practice