NUR 401 SBIRT Exam 2 Questions Marking Scheme Current Update (A+ Pass)
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Course
SBIRT
Institution
SBIRT
NUR 401 SBIRT Exam 2 Questions Marking Scheme Current Update (A+ Pass)
a comprehensive, integrated, approach to the delivery of early intervention and treatment services, for persons at potential risk to high risk for substance misuse - Answers -What is SBIRT
the goal is to reduce and prevent...
NUR 401 SBIRT Exam 2 Questions Marking
Scheme Current Update (A+ Pass)
a comprehensive, integrated, approach to the delivery of early intervention and
treatment services, for persons at potential risk to high risk for substance misuse -
Answers -What is SBIRT
the goal is to reduce and prevent related health consequences, disease, accidents and
injuries - Answers -What is the goal of SBIRT
-Screening
-Brief Intervention
-Referral to Treatment - Answers -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 - Answers -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 - Answers -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 - Answers -
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 - Answers -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 - Answers -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 - Answers -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 - Answers -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 - Answers -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 - Answers -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 - Answers -Why is adolescent alcohol
use such a problem
identifying women at risk and intervening prior to conception - Answers -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 - Answers -How much does alcohol use cost the US annually
it is expensive and often the patient has developed co-morbid health conditions -
Answers -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 - Answers -What is the brief negotiated interview algorithm
for SBIRT
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