Professional issues 4

Question 1

Compared to other health care specialties, substance use disorder _____________ anesthesia providers

Answer 1

disproportionally affects

Question 2

A substance abuse disorder is the

Answer 2

recurrent use of substances that lead to clinical and functional impairment (a disease of the brain)

Question 3

Addiction is a

Answer 3

need (psychological or compulsive) for a substance

Question 4

____________ is the inability to safely participate in life (or professional) activities

Answer 4

Impairment

Question 5

________ occurs when more drug is needed to achieve a given effect (intoxication) or a given dose of a drug produces a lesser effect

Answer 5

Tolerance

Question 6

______________- is a characteristic syndrome that is the direct result of stopping or reducing the use of a drug

Answer 6

Withdrawal

Question 7

Physical risk factors for developing substance use disorder include

Answer 7

acute or chronic pain

Question 8

Psychological risk factors for developing substance use disorder includes

Answer 8

anxiety/depression/other psychological disorder
low self-esteem
low tolerance for stress

Question 9

Behavioral/social risk factors for developing substance use disorder include

Answer 9

risk-seeking behavior
poor coping skills
history of trauma, abuse, stressful environment
personal/family history of alcohol/drug use/addiction

Question 10

Workplace-specific risk factors for developing substance use disorder includes

Answer 10

production pressure
fatigue and/or burnout
irregular work hours
poor work-life balance

Question 11

All of the following signs or symptoms are characteristic of substance abuse EXCEPT:
a. intense emotional response to a medical error
b. difficult to locate after breaks
c. frequent requests to work late or take call
d. emotionally labile and moody

Answer 11

a. intense emotional response to a medical error

Question 12

Typical behaviors of an impaired provider include

Answer 12

poor performance with errors, accidents, or injuries that are inadequately explained
refuses drug testing
track marks, bloodshot eyes, significant weight loss or gain
frequent and unexplained tardiness, absences or illnesses often with elaborate excuses

Question 13

Behaviors associated with drug diversion include

Answer 13

using more drugs for cases than colleagues
volunteers for cases with high opioid administration
inappropriate drug choices or drug doses
provider’s patients have high pain scores or uncontrolled pain
“missing” medications

Question 14

For a provider with a history of substance abuse, __________ is recommended before returning to anesthesia practice

Answer 14

one full year in recovery

Question 15

The provider with a recent history of substance misuse should participate in a monitoring program for at least _____________ in length with random drug testing

Answer 15

for at least 5 years

Question 16

When confronting a suspected impaired provider, the following should be done

Answer 16

do not let the person out of your site and do not let them drive
have a bed in a treatment facility available
do not let the impaired person decide their treatment
only when all else fails, threaten to call the police
disclose to state licensing board

Question 17

Identify the major goals of the institute for healthcare improvement triple aim’s broad conceptual approach to improving health outcomes (select 3):
a. avoid waste of supplies
b. improve patient experience
c. build an engaged leadership
d. improve population health
e. provide holistic care
f. reduce per capita costs

Answer 17

b. improve patient experience
d. improve population health
f. reduce per capita costs

Question 18

Patient-centered care is based on four concepts:

Answer 18

dignity and respect
information sharing
participation
collaboration

Question 19

______________ is emphasized as a strategy to reduce healthcare disparities and improve equity

Answer 19

Cultural competence

Question 20

The National Institute of medicine describes the six domains of high-quality health care:

Answer 20

patient-centered
safe
effective
timely
efficient
equitable