4. The correct answer is A. Rationale: Integrative medicine and integrative nursing are the same. In the past, these therapies were called complementary. 5. The correct answer is A. Rationale: (Remediation) Any tapering schedule must be patient-specific to minimize withdrawal symptoms while maintaining adequate pain management. A general recommendation is to begin with a 10% decrease of the initial dose per week.
limited (except for cancer); potential risks and benefits of opioid therapy; potential short- and long-term side effects of opioid therapy; likelihood that tolerance to and physical dependence on the medication will develop; risk of drug interactions and oversedation; risk of impaired motor skills; risk of substance abuse disorder, overdose, and death; the clinician's prescribing policies (e.g., number and frequency of refills, early refills, exceptions); reasons the drug may be changed or discontinued, and that the treatment may be discontinued without agreement from the patient, such as with violations of the treatment agreement. Educate the patient that complete elimination of pain should not be expected.
PRESCRIBING CONTROLLED SUBSTANCES SAFELY: A DEA REQUIREMENT Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 164, or complete your test online at EliteLearning.com/Book 1. Which of the following U.S. federal agencies is NOT involved in scheduling controlled substances? a. Drug Enforcement Agency (DEA). b. Food and Drug Administration (FDA). c. Centers for Medicare and Medicaid (CMS). d. Department of Health and Human Services (HHS). 2. Which DEA Controlled Substance Schedule is associated with the lowest risk of abuse? 6. Factors that associate inappropriate prescribing of opioid analgesics and illicit drug use include all of the following EXCEPT: a. Acute pain opioid analgesic prescription for three days or less. b. Initial acute pain opioid analgesic prescription for a10-day supply. c. Cumulative dose of 700 MME. d. Refill of acute pain opioid prescription. 7. Which concepts are NOT associated with appropriate prescribing and monitoring acute opioid analgesic therapy? a. Schedule II. b. Schedule III. c. Schedule IV. d. Schedule V.
a. Use the lowest effective dose for initial treatment. b. Utilize other nonopioid treatment modalities to decrease the opioid burden. c. The duration of treatment for acute pain is usually greater than 10 days. d. Secure storage of opioid prescriptions is important. 8. When individualizing opioid therapy regimens, which of the following would NOT lead to a heightened degree of caution? a. Patients receiving ACE inhibitors for the treatment of hypertension. b. Patients receiving benzodiazepine as a muscle relaxant. c. A woman who is breastfeeding. d. Patients with psychiatric disorders. 9. To treat pain, it is appropriate to use extended-release or long-acting opioids in opioid naïve patients. a. True. b. False. 10. Monitoring of patients with chronic pain should include which of the following? a. Objective assessment of functional improvements. b. Review of state PDMP. c. Evaluation for any opioid-related side effects. d. All of the above.
3. When prescribing controlled substances, refills may be prescribed on all prescriptions EXCEPT for: a. Schedule I. b. Schedule II. c. Schedule III. d. Schedule IV. 4. According to federal law, a controlled substance prescription may be transmitted in one of the following ways: a. Faxed prescription. b. Telephone prescription. c. Electronic prescription. d. All of the above. 5. Morphine milligram equivalents (MME) were developed to assist clinicians with determining equal dosages when converting patients from one opioid analgesic to
another. a. True. b. False.
Course Code: DCA08DR
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