____________________________ Responsibilities and Requirements of Prescribing Schedule II Opioid Drugs
F inal E xam
RESPONSIBILITIES AND REQUIREMENTS OF PRESCRIBING SCHEDULE II OPIOID DRUGS Select the best answer for each question and mark your answers on page 141. For faster service, complete your test online at EliteLearning.com/Book.
1. Inappropriate opioid analgesic prescribing for pain is defined as A) non-prescribing. B) inadequate prescribing. C) continued prescribing despite evidence of ineffectiveness of opioids. D) All of the above 2. When opioids are used for acute pain, clinicians should prescribe A) the highest safe dose. B) extended-release opioids. C) a quantity no greater than that needed for the expected duration of severe pain. D) All of the above 3. A patient prescribed opioids for chronic pain who is 65 years of age and displays high levels of pain acceptance and active coping strategies is considered at what level of risk for developing problematic opioid behavioral responses? A) Low B) Medium C) High D) Severe
6. Combining benzodiazepines with opioids is unsafe because A) it can increase respiratory drive. B) patients will not understand the differences between the two drug classes. C) both classes of drug cause central nervous system depression and sedation. D) All of the above 7. Which of the following statements regarding the disposal of opioids is TRUE? A) Patients are almost always advised of what to do with unused or expired medications. B) There are no universal recommendations for the proper disposal of unused opioids. C) According to the FDA, most medications should be flushed down the toilet instead of thrown in the trash. D) All of the above 8. The most common source of nonmedical use of prescribed opioids is from A) a friend or relative for free. B) a prescription from one doctor. C) purchase from a drug dealer or other stranger. D) theft from a doctor’s office, clinic, hospital, or pharmacy. 9. Which of the following behaviors is the most suggestive of an emerging opioid use disorder? A) Asking for specific medications B) Injecting medications meant for oral use C) Reluctance to decrease opioid dosing once stable D) Stockpiling medications during times when pain is less severe
4. The Screener and Opioid Assessment
for Patients with Pain-Revised (SOAPP-R) A) consists of 5 items. B) is patient administered. C) diagnoses depression in the past month. D) assesses the likelihood of current substance abuse. 5. Which of the following is NOT one of the 5 A’s of monitoring chronic opioid response? A) Analgesia B) Acceptance C) Affect (i.e., patient mood) D) Aberrant drug-related behaviors
10. Which government agency is responsible for formulating federal standards for the handling
of controlled substances? A) Institutes of Medicine
B) U.S. Drug Enforcement Administration C) Office of National Drug Control Policy D) U.S. Department of Health and Human Services
Course Code: DCA02OP
135
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