Self-Assessment Answers for Section 1: Child Abuse Recognition and Reporting in Pennsylvania
1 . The difference between General Protective Services (GPS) and Child Protective Services (CPS) is that _____________ . 2 . In 2018,_______________ was the leading category of substantiated child abuse reports in Pennsylvania. 3 . With changes in Pennsylvania law, the term “perpetrator” now includes __________________: 4 . The term “child abuse” does not apply to situations in which ____________________: 5 . Child-on-child contact resulting in harm or injury may be considered child abuse unless: 6 . The definition of child abuse has been amended to require that acts or failures to act be committed __________________. 7 . Bruises resulting from physical abuse typically appear ____________ initially and change color as they heal. 8 . Approximately what percentage of child sexual abuse cases are perpetrated by strangers? 9 . What is the most common form of child maltreatment? 10 . What is one possible way to increase the identification in health care settings of people who are being trafficked?
Self-Assessment Answers for Section 2: Prescriber Education for Opioid Analgesics
11 . When evaluating patients for treatment with extended-release/long-acting (ER/LA) opioid analgesics, which is an important risk to consider? 12 . Which of the following is true of methadone? 13 . Nonpharmacologic therapies for pain treatment: 14 . For which of the following pain conditions are ER/LA opioids indicated? 15 . According to assessment tools, which of the following factors heighten risk for opioid-use disorder? 16 . Name one method by which patients should be encouraged to dispose of unused opioids: 17 . Name one way patients should be monitored for adherence to medical direction during long-term opioid therapy: 18 . Which of the following is true of potential drug-drug interactions with opioids? 19 . In which of the following clinical scenarios may a patient be discontinued from opioids without taper and management of withdrawal symptoms? 20 . Which of the following is one indication for take-home naloxone with opioid prescription? 21 . Increased monitoring of patient response is essential during opioid dose initiation, upward titration, rotation, and addition of other central-nervous system depressants because: 22 . Urine drug testing as a monitoring measure can tell the clinician which of the following: 23 . Which of the following factors increases a patient’s risk of opioid misuse? 24 . Recommended frequency to check the prescription drug-monitoring database is: 25 . Which of the following influences the amount of dopamine released and the degree of reward experienced by an opioid user?
Self-Assessment Answers for Section 3: Suicide Assessment & Prevention
26 . In 2017, what was the rank of suicide as a cause of death in the United States? 27 . About how much higher is the suicide rate among Veterans as compared to the non-Veteran population? 28 . The three levels of strategies for suicide prevention are _________, _________, and ____________. 29 . What is the name of the conceptual model that frames suicide risk as a balance between protective factors and risk factors at different levels? 30 . Which of the following is a tenet of the Patient-Centered Care model for suicide prevention? 31 . What is one of the advantages of adopting a Patient-Centered Care model of suicide prevention? 32 . Which of the following is a true statement about suicide risk? 33 . Which of the following is a true statement about suicide risk in Veteran and non-Veteran populations? 34 . Which of the following is a direct warning sign of acute suicide risk? 35 . Which of the following is true about asking patients about suicide or suicidal thinking? 36 . When attempting to elicit suicidal ideation from a patient, it is best if clinicians ________________? 37 . What would be an appropriate course of action for a patient determined to be at an intermediate level of acute suicide risk? 38 . Which non-pharmacological treatment modality has been shown to reduce the risk of suicide attempts by helping patients identify and change problematic thinking and behavioral patterns? 39 . Which non-pharmacological treatment modality focuses on helping patients cope with stressful life experiences by actively working on difficulties? 40 . Which pharmacological therapy has been shown to improve acute suicidal symptoms for up to a week after only a single dose? 41 . Which pharmacological therapy has been shown to reduce suicidal behaviors in patients with schizophrenia or schizoaffective disorder? 42 . What post-acute care modality has been shown to reduce the rate of suicide death following a psychiatric hospitalization for suicidal ideation/attempt? 43 . Which therapeutic modality may allow treatment for suicidal thoughts and behaviors regardless of geographic location or access to traditional care facilities? 44 . Which kind of suicide-prevention initiative has not been found to improve population-level suicide rates, either in the general U.S. population or among Veterans? 45 . In an effort to dispel stigma and foster a culture of support throughout the Department of Defense, which policy has been put into place?
Self-Assessment Answers for Section 4: Preventing Clinician Burnout
46 . What is the prevalence of burnout among physicians as in the United States when assessed using a rigorous definition of burnout? 47 . The estimated prevalence of suicidal ideation among physicians is approximately ____________? 48 . The prevalence of suicide is significantly higher among what subpopulation of physicians, compared to the general population? 49 . Which of the following statements most accurately describes an important aspect of burnout among physicians? 50 . Which component of physician workload has been shown to be particularly taxing and associated with higher levels of burnout? 51 . According to one study, for every hour physicians spend in face-to-face time with patients, how many hours do they spend using electronic health records or doing desk work? 52 . Roughly what percentage of patients could be classified as “difficult” and, hence, contribute to physician stress and emotional exhaustion? 53 . Although income levels are not associated with burnout, what aspect of physician compensation does appear to increase the risk of burnout? 54 . Which of the following is an example of systems-level intervention to help reduce physician burnout? 55 . What was the goal of the AMA’s Joy in Medicine Recognition Program? 56 . Which of the following is a component of the Patient-Centered Medical Home model that could help reduce burnout? 57 . Which type of technology has been the focus of literature about the relationship of physician burnout and technology? 58 . What occurred in 2009 that spurred the adoption of electronic health records across the country? 59 . How much time do primary care physicians typically spend using electronic health records? 60 . Which of the following is an example of an artificial-intelligence-based tool to facilitate better provider/patient encounters? 61 . What is one proposed solution to the problem posed by the increasing time demands of electronic health records? 62 . What individual-based practice has been shown to be an independent predictor of lower risk of burnout and higher quality of life among medical students? 63 . What is the name of an intervention consisting of group trainings for doctors about using patient-centered approaches with the aim of improving the doctor-patient relationship? 64 . _______________ is an example of a discussion-group intervention aimed at reducing symptoms of burnout among internal medicine physicians. 65 . A web-based Cognitive Behavioral Therapy program has been shown to _________________?