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Working with Patients Undergoing Medically Assisted Therapy: Supervision Standards, Ethical and Diagnostic Considerations, and Clinical Documentation

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1.  Which of the following contributes the greatest economic burden related to substance abuse disorders in the United States annually?
  1. Healthcare costs
  2. Loss of productivity
  3. Criminal justice costs
  4. Traffic accidents
2.  What percentage of people with an alcohol use disorder experience a relapse within 4 years after receiving treatment?
  1. 30%
  2. 50%
  3. 70%
  4. 90%
3.  How does buprenorphine help normalize brain functioning for those with opioid use disorder?
  1. It occupies and blocks opioid receptors
  2. It activates pleasure and reward centers
  3. It enhances impulse control
  4. It elevates dopamine
4.  Which form of therapy helps MAT patients modify self-defeating thought patterns?
  1. Acceptance & commitment therapy
  2. Cognitive behavioral therapy
  3. Dialectical behavior therapy
  4. Exposure therapy
5.  Who is legally permitted to prescribe MAT medications?
  1. Licensed professional counselors
  2. Peer support specialists
  3. Medical doctors/nurse practitioners
  4. Qualified behavioral analysts
6.  How should clinicians manage setbacks and intermittent noncompliance in patients on MAT?
  1. Recommend inpatient detox
  2. Remove patient from MAT program
  3. Reassess stressors and modify treatment plan
  4. Report violations to legal authorities
7.  MAT clinicians can report patients to law enforcement for admitting past illegal drug use due to:
  1. Duty to warn laws
  2. Mandated reporting laws
  3. Federal confidentiality laws
  4. HIPAA privacy rules
8.  What is an advantage of individual supervision over group supervision models for addiction counseling?
  1. Develops interprofessional collaboration skills
  2. Provides targeted feedback based on direct observations
  3. Promotes vicarious peer learning
  4. Reduces demands on organizational resources
9.  Frequent emotional exhaustion in addiction professionals can lead to:
  1. Career stagnation
  2. Clinical errors
  3. Substance misuse
  4. Compassion fatigue
10.  A 2016 US Surgeon General report concluded that medication-assisted treatment leads to ____ outcomes compared to abstinence-only programs for opioid use disorders.
  1. Superior
  2. Equivalent
  3. Inferior
  4. Contraindicated
11.  The brain’s prefrontal cortex is responsible for functions impaired in addiction such as:
  1. Learning
  2. Memory
  3. Planning
  4. Motor skills
12.  Which MAT medication binds and blocks opioid receptors to reduce cravings and withdrawal in opioid use disorder?
  1. Disulfiram
  2. Acamprosate
  3. Naltrexone
  4. Buprenorphine
13.  How long should patients initiating buprenorphine be observed by a clinician during induction?
  1. 30 minutes
  2. 1 hour
  3. 2 hours
  4. 4 hours
14.  Understanding the DSM-5 Diagnostic Criteria According to DSM-5 criteria, how many diagnostic criteria must be met for severe alcohol use disorder?
  1. 2 to 3
  2. 4 to 5
  3. 6 or more
  4. 7 or more
15.  Disorders Which of the following mental health conditions has the highest prevalence of co-occurring with substance abuse disorders?
  1. Bipolar Disorder
  2. Generalized Anxiety Disorder
  3. Antisocial Personality Disorder
  4. Major Depressive Disorder

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