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NUR 401: SBIRT: Exam 2 – Questions With Solutions
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NUR 401: SBIRT: Exam 2 – Questions With Solutions
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NUR 401: SBIRT: Exam 2 – Questions With SolutionsWhat is SBIRT Right Ans - a comprehensive, integrated, approach to the
delivery of early intervention and treatment services, for persons at potential
risk to high risk for substance misuse
What is the goal of SBIRT Right Ans - the goal is to reduce and prevent
related health consequences, disease, accidents and injuries
What is the SBIRT process Right Ans - -Screening
-Brief Intervention
-Referral to Treatment
What does screening involve for the SBIRT process Right Ans - universal
screening for quickly assessing use and severity of alcohol; illicit drugs and
prescription drug use and misuse or abuse
What does brief intervention involve for the SBIRT process Right Ans -
brief motivational and awareness-raising intervention given to risky or
problematic substance users
-some people don't know what risky behavior is
What does referral to treatment involve for the SBIRT process Right Ans -
referrals to specialty care for patients with substance use disorders-
treatment may consist of brief treatment or specialty alcohol and other drug
use disorders
When SBIRT is implemented what does it allow for patients Right Ans - -
routine and universal screening, regardless of medical complaint
-Validated, standardized screening tools
-alcohol use seen in a continuum
-evidenced-based, patient-centered change talk
-ongoing transition between primary care and treatment
If the SBIRT is not implemented what does that mean for the patient Right
Ans - -inconsistent and selective screening
-non-systematized narrative questions
-alcohol use seen as dichotomous
-ineffective, directive style of communication
, -discordination, unclear referrals and follow-up
What are the expanded roles and responsibilities for RN's using SBIRT
Right Ans - -All RNs in all settings should be prepared to deliver SBIRT
-Hospitals should invest this training
-RN's should be involved in SBIRT research
-ALl levels of nursing curricula should include SBIRT training
What does the joint commission say about nurses expanded roles and
responsibilities for using SBIRT Right Ans - -screen all patients >/= 18
years for alcohol use
-offer brief interventions for positive screens
-provide alcohol and other drug use disorder treatment at discharge
-assess status after discharge
What is screening so important Right Ans - -prevents disease, accidents
and injuries
-improves patient outcomes
-reduces costs and healthcare utilization
How effective is using SBIRT Right Ans - -fewer emergency department
visits
-fewer nonfatal injuries
-fewer hospitalizations
-fewer arrests
-fewer MVC's
-reduction in harmful use of alcohol by those drinking at risky levels
-reduction in negative social consequences
Why is adolescent alcohol use such a problem Right Ans - -even first use
can result in tragic consequences
-adolescence is a period of neurodevelopment vulnerability
-earlier use increases chance of later addiction
What is an essential strategy for preventing alcohol-exposed pregnancies and
poor fetal outcomes Right Ans - identifying women at risk and intervening
prior to conception
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