NUR 401: SBIRT: Exam 2 Questions With Complete Solutions
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NUR 401: SBIRT
Institution
NUR 401: SBIRT
NUR 401: SBIRT: Exam 2 Questions With Complete Solutions
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 SBIRT
/.the goal is to reduce and prevent related health conse...
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 SBIRT
/.the goal is to reduce and prevent related health consequences, disease, accidents and
injuries - What is the goal of SBIRT
/.-Screening
-Brief Intervention
-Referral to Treatment - What is the SBIRT process
/.universal screening for quickly assessing use and severity of alcohol; illicit drugs and
prescription drug use and misuse or abuse - What does screening involve for the SBIRT
process
/.brief motivational and awareness-raising intervention given to risky or problematic
substance users
-some people don't know what risky behavior is - What does brief intervention involve
for the SBIRT process
/.referrals to specialty care for patients with substance use disorders- treatment may
consist of brief treatment or specialty alcohol and other drug use disorders - What does
referral to treatment involve for the SBIRT process
/.-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 - When SBIRT is implemented
what does it allow for patients
/.-inconsistent and selective screening
-non-systematized narrative questions
-alcohol use seen as dichotomous
-ineffective, directive style of communication
-discordination, unclear referrals and follow-up - If the SBIRT is not implemented what
does that mean for the patient
/.-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 are the expanded
roles and responsibilities for RN's using SBIRT
/.-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 does the joint commission say about nurses
expanded roles and responsibilities for using SBIRT
/.-prevents disease, accidents and injuries
-improves patient outcomes
-reduces costs and healthcare utilization - What is screening so important
/.-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 - How effective is using SBIRT
/.-even first use can result in tragic consequences
-adolescence is a period of neurodevelopment vulnerability
-earlier use increases chance of later addiction - Why is adolescent alcohol use such a
problem
/.identifying women at risk and intervening prior to conception - What is an essential
strategy for preventing alcohol-exposed pregnancies and poor fetal outcomes
/.costs society over $224 billion annually related to crime, lost work productivity and
health - How much does alcohol use cost the US annually
/.it is expensive and often the patient has developed co-morbid health conditions - What
does late intervention and substance abuse treatment cause
/.1. Raise the subject of alcohol screening, build rapport; and ask permission to discuss
alcohol use and to do the screening
2. Patient discusses pros and cons; nurse summarizes
3. Nurse provides information and gives feedback: Elicit, provide, elicit
4. Discuss and interpret the score from the screening tool (AUDIT, CRAFFT): RANGE
technique
5. Determine patients motivation to change using readiness, confidence and importance
rulers with 1-10 scales
6. Negotiate an action plan - What is the brief negotiated interview algorithm for SBIRT
/.-reinforce positives
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