Take the Test

1. Which statement is accurate regarding the scope of the opioid crisis?

• a. Nearly 50 million Americans ages 12 and older misused prescription pain relievers in 2023.
• b. In West Virginia, the rate of drug overdose-related deaths in 2022 was the highest in the nation.
• c. Drug overdoses are second only to motor vehicle crashes as the leading cause of injury-related deaths in the United States.
• d. Deaths due to opioid overdose increased by 75% in 2023.

2. Which question does the prescriber ask when monitoring the “Five As” of pain management?

• 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?”

3. 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.

4. Which strategy is absent from the West Virginia SEMP Guidelines to reduce the risk of drug diversion?

• a. Prescribing opioids only to patients ages 21 and over
• b. Requiring urine testing to monitor compliance of patients who are prescribed controlled substances
• c. Conducting pill counts on a random or regular basis during scheduled appointments
• d. Having an appropriate end-of-therapy goal for pharmacologic interventions

5. Which source do statistics indicate as the most common from which individuals obtained prescribed pain medications for misuse in 2023?

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

6. 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.

7. Which behavior by a nurse 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

8. Which education does the clinician 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.