screening, brief intervention, and referral to treatment - Answer-what is SBIRT
65 - Answer-alcohol has been linked to over _____ different diseases and health conditions
28 - Answer-_____% of Americans are at-risk drinkers
brief advice - Answer-what method is effective to change harmful d...
SBIRT-MI Exam Questions with Latest
Update
screening, brief intervention, and referral to treatment - Answer-what is SBIRT
65 - Answer-alcohol has been linked to over _____ different diseases and health
conditions
28 - Answer-_____% of Americans are at-risk drinkers
brief advice - Answer-what method is effective to change harmful drinking
true - Answer-T or F? Alcohol SBI is a USPSTF Level B practice now expected as part
of well adult visits.
initial alc screening- ask how many nights in the last week has the patient had 4 (if
female) 5 (if male) drinks in one night
--if answer is 1 or more do full screening - Answer-what determines whether pt needs
full alc screening
males: no more than 4 in a day AND no more than 14 in a week
females: no more than 3 in a day and 7 in a week - Answer-NIAAA recommended limits
for males vs females
drinking more than the NIAAA recommended limits - Answer-what classifies pt as at-risk
drinker
days X drinks - Answer-weekly average formula
Alcohol Use Disorders Identification Test (AUDIT) - Answer-scale of determining info of
alc use
DAST-10 (Drug Abuse Screening Test) - Answer-scale of determining info of drug use
Alcohol Use Disorders Identification Test (AUDIT) - Answer--can be self adminstered or
through interview
-addresses recent alcohol use, alcohol dependence symptoms, and alcohol-related
problems
-WHO developed
-more than 14: referral to treatment
-4 to 13: brief intervention
-less than 4: low risk - Answer-scoring of AUDIT
, ask "how many times in the past year have you used an illegal drug or used a
prescription medication for nonmedical
reasons?" --> do full screening if answer is 1 or more - Answer-initial screening of drugs
any positive test of initial drug screening - Answer-what classifies patient as at-risk for
drug screening
-what type of drug
-frequency and quantity
-ask about negative impacts - Answer-what should be determined if pt admits to doing
drugs
-3-10 high risk, BI & attempt referral
-1-2 at-risk, perform BI (brief intervention) and reassess at later date
-0 abstainer - Answer-scoring of DAST
everyone - Answer-who should be screened for alc and drugs
by emphasizing that all patients are asked about alcohol, tobacco and drugs because
they are important medical issues - Answer-how to normalize drug/alc screening
-why do they want to stop using
-why do they not want to stop using - Answer-motivational interviewing of pt with
substance use issue
motivational interviewing - Answer-term for a patient-centered, directive method for
enhancing intrinsic motivation to change by exploring and resolving ambivalence
motivational interviewing - Answer-foundation for delivering effective brief interventions
related to alcohol and drug use
-Finding personal and compelling reasons to change
-Building readiness to change
-Making commitment to change - Answer-MI strategies facilitate what 3 things
-Express Empathy
-Highlight Discrepancies
-Support Self-Efficacy
-Resist the "Righting Reflex" - Answer-4 principles of MI
-Resist the "Righting Reflex" - Answer-what principle of MI is resisting the feeling of
wanting to 'fix' the patient and/or patient's circumstances.
-Support Self-Efficacy - Answer-what principle of MI acknowledges that the patient is
responsible for change.
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