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SBIRT ✔Correct Answer-comprehensive, integrated, public health approach to the delivery of
early intervention and treatment services for persons who substance abuse disorder, as well as
those who are at risk of developing these disorders
Steps of SBIRT ✔Correct Answer-1. Screening
2. Brief Intervention
3. Referral to Treatment
Stages of Change ✔Correct Answer-1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
6. Relapse
Precontemplation ✔Correct Answer-stage where the patient doesn't feel like they have a
problem and therefore they don't have to think they need to make a change
Contemplation ✔Correct Answer-where the patient sees the possibility of change but is
ambivalent and uncertain about starting the change process
Preparation ✔Correct Answer-patient starts to make a plan to change and also sets gradual
goals for themselves
Action ✔Correct Answer-patient begins to implement the specific action steps and behavioral
changes based on the goals
Maintenance ✔Correct Answer-patient continues to sustain those desirable actions; sets
periodic goals with the patient
Relapse ✔Correct Answer-occurs at any stage of change; certain events may trigger the
individual to return to the original; if failure: frustration, abandon everything, demoralizing
Interpreting Audit Score: Low Risk- I ✔Correct Answer-score: 0-6: women, 0-7: men
suggested zone: low risk of health problems related to alcohol use
indicated action: brief education
Interpreting Audit Score: Risky- II ✔Correct Answer-score: 7-15: women, 8-15: men
suggested zone: increased risk of health problems related to alcohol use
,indicated action: brief intervention
Interpreting Audit Score: Harmful- III ✔Correct Answer-score: 16-24: women and men
suggested zone: increased risk of health problems related to alcohol use and a possible mild or
moderate alcohol use disorder
indicated action: brief intervention or referral to specialized treatment
Interpreting Audit Score: Severe- IV ✔Correct Answer-score: 25+: women and men
suggested zone: increased risk of health problems related to alcohol use and a possible
moderate or severe alcohol use disorder
indicated action: referral to specialized treatment
Interpreting DAST-10 Score: Healthy- I ✔Correct Answer-score: 0 and NO injection
suggested zone: no risk of related health problems
indicated action: none
Interpreting DAST-10 Score: Risky- II ✔Correct Answer-score: 1-2
suggested zone: increased risk of health problems related to drug use
indicated action: brief intervention
Interpreting DAST-10 Score: Harmful- III ✔Correct Answer-score: 3-5 or YES injection
suggested zone: increased risk of health problems related to drug use and a possible mild or
moderate substance use disorder
indicated action: brief intervention or referral to specialized treatment
Interpreting DAST-10 Score: Severe- IV ✔Correct Answer-score: 6+
suggested zone: increased risk of health problems related to drug use and a possible moderate
or severe substance use disorder
indicated action: referral to specialized treatment
Motivational Interviewing Principles ✔Correct Answer-1. Expressing empathy
2. Rolling with resistance
3. Developing discrepancy
4. Supporting self-efficacy
Expressing empathy ✔Correct Answer-good eye contact, responsive facial expression, body
orientation, reflective listening and clarifying questions, avoid passing judgement
Developing discrepancy ✔Correct Answer-differences between how patients want their lives
to be versus how they currently are
Supporting self-efficacy ✔Correct Answer-patients are responsible for choosing and carrying
out actions to change
, 1. 3
2. 7 ✔Correct Answer-Women:
No more than __1.__ drinks/day
No more than __2.__ drinks/week
1. 0 ✔Correct Answer-Pregnant:
__1.__ drinks
1. 4
2. 14 ✔Correct Answer-Men:
No more than __1.__ drinks/day
No more than __2.__ drinks/week
1. 3
2. 7 ✔Correct Answer-Adults over the age of 65:
No more than __1.__ drinks/day
No more than __2.__ drinks/week
Brief Intervention Steps ✔Correct Answer-1. Raise the subject
2. Provide feedback
3. Enhance motivation
4. Negotiate a plan
Medication Error ✔Correct Answer-any preventable event that may cause or lead to
inappropriate medication use or patient harm while the medication is in the control of the
healthcare professional, patient, or consumer
Adverse Drug Reaction (ADR) ✔Correct Answer-a response to a drug which is noxious and
unintended and which occurs at doses normally used in man for prophylaxis, diagnosis, or
therapy of disease or for the modification of physiological function
Adverse Drug Events (ADE) ✔Correct Answer-any untoward medical occurrence that may
present during treatment with a pharmaceutical product but which does not necessarily have a
causal relationship with this treatment
Side Effects ✔Correct Answer-expected, well known reaction; little to not change in patient
management
Culture of Safety ✔Correct Answer-exists when safety is key element is everyone's job; from
leadership to all employees; leaders encourage reporting and all employees feel obligated to
protect patients