11677109
Beschreibung
Quiz von Maggie Throckmorton, aktualisiert more than 1 year ago
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Erstellt von Maggie Throckmorton
vor etwa 7 Jahre
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Frage 1
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Neuropathic pain is abnormal signal processes in the CNS and can be peripheral and [blank_start]central[blank_end]
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central
Frage 2
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Examples of peripheral neuropathic pain include (select all that apply):
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Lumbar radiculopathy
-
Peripheral neuropathy with DM
-
Postherpetic Neuralgia
Frage 3
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A example of central neuropathic pain is fibromyalgia.
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- True
- False
Frage 4
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Opioid therapy is not a [blank_start]1st[blank_end] line treatment for neuropathic pain.
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-
1st
Frage 5
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An example of nociceptive pain is tissue [blank_start]damage[blank_end].
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damage
Frage 6
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There are two types of nociceptive pain, [blank_start]somatic[blank_end] which includes muscle, skin and bones and [blank_start]visceral[blank_end] which includes organs.
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somatic
-
visceral
Frage 7
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Acute pain is defined as (select all that apply):
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Sudden, usually an identifiable cause, less than 3 months in duration
-
Usually a response to injury
-
Usually nociceptive in nature
Frage 8
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Chronic pain (select all that apply):
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lasts longer than 3 months
-
is non-cancer pain
-
Is cancer pain
-
is breakthrough pain
Frage 9
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T or F. The WHO analgesic ladder recommends non-opioids in the treatment of mild pain.
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- True
- False
Frage 10
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The WHO analgesic ladder recommends the use of opioids along with non-opioid and adjuvant treatments in treating [blank_start]mild[blank_end] to [blank_start]moderate[blank_end] pain.
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mild
-
moderate
Frage 11
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The 1st line treatment for mild to [blank_start]moderate[blank_end] pain is Acetaminophen and NSAIDS.
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moderate
Frage 12
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T or F. Use the max dose of acetiminophen or NSAIDS before proceeding to analgesics.
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- True
- False
Frage 13
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T or F. Acetaminophen generally has a favorable side effect profile.
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- True
- False
Frage 14
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Two considerations in using NSAIDS are patients with a history of CV disease and [blank_start]GI[blank_end] bleeding.
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-
GI
Frage 15
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Acetaminophen is best for patients with non-inflammatory [blank_start]pain[blank_end] like Osteoarthritis and chronic low back pain.
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-
pain
Frage 16
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T or F. Acetaminophen does not alter platelet functioning.
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- True
- False
Frage 17
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Acetaminophen is known to be hepatoxic and can impact [blank_start]liver[blank_end] function.
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liver
Frage 18
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There is caution in using acetaminophen in patients with a history of ETOH abuse and hepatic dysfunction.
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- True
- False
Frage 19
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Acetaminophen interacts with warfarin/coumadin and prolongs [blank_start]INR[blank_end].
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INR
Frage 20
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Acetaminophen is the drug of choice as an analgesic and antypyretic in (select all that apply):
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-
Pregnant women
-
Lactating women
Frage 21
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NSAIDS have [blank_start]anti-inflammatory[blank_end] and analgesic properties.
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anti-inflammatory
Frage 22
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Prescription examples of NSAIDS like Naprosyn has a more [blank_start]rapid[blank_end] onset and Meloxicam has a [blank_start]longer[blank_end] duration of action.
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rapid
-
longer
Frage 23
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T or F. NSAIDS are effective treatment for acute and chronic pain and inflammatory conditions.
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- True
- False
Frage 24
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GI concerns with the [blank_start]use[blank_end] of NSAIDS includes dyspepsia, ulceration and bleeding.
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use
Frage 25
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T or F. Selective COX 2 inhibitors have less GI Risk.
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- True
- False
Frage 26
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Safety concerns and considerations with NSAID with CV disease or thrombotic events include (select all that apply):
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Nonselective NSAIDs reversibly inhibit platelet function.
-
NSAIDS interfere with the cardioprotective effect of aspirin
-
Naproxen may have less CV toxicity than comparable doses of other NSAIDS.
Frage 27
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In patients with or at risk for CV disease, NSAIDS should be [blank_start]avoided[blank_end], or, if benefits outweigh risks, use at the [blank_start]lowest[blank_end] effective dose, for the [blank_start]shortest[blank_end] duration necessary.
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avoided
-
lowest
-
shortest
Frage 28
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T or F. NSAIDS should be avoided in older adults and in pregnancy.
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- True
- False
Frage 29
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NSAIDS monitoring should include (select all that apply):
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Renal function
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Edema
-
Blood pressure
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Hgb and Hct
Frage 30
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In some psych patients, NSAIDS may [blank_start]increase[blank_end] lithium levels.
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increase
Frage 31
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NSAIDS should also be avoided in patients with a history of (select all that apply):
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Uncontrolled HTN
-
Renal insufficiency
-
GI Bleed
-
Platelet dysfunction
-
Reduced cardiac output
-
Cirrhosis
-
History of Venous Thrombosis
Frage 32
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T or F. NSAIDS may cause or worsen renal impairment.
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- True
- False
Frage 33
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Indomethacin (Indocin) is an NSAID that is used in the treatment of acute [blank_start]gout[blank_end] and specific types of headaches.
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gout
Frage 34
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T or F. The MOA for Indomethacin is a potent inhibitory effect on renal prostaglandin synthesis.
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- True
- False
Frage 35
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Indomethacin has more frequent [blank_start]CNS[blank_end] side effects and has a higher risk of renal and CV toxicities.
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CNS
Frage 36
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T or F. Sulindac (Clinoril) is an NSAID which cause more frequent hepatic inflammation, can contribute to the formation of renal calculi and the prescribing of this drug should be limited to specialists.
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- True
- False
Frage 37
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Ketorolac is used for moderate pain, comes in tablets or injection and carries a BBW for short term use, less than [blank_start]five[blank_end] days in adults.
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five
Frage 38
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Contraindications and cautions in the use of Ketorolac include (select all that apply):
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GI
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CV
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Renal
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Bleeding
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Labor and Delivery
Frage 39
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T or F. Oral Ketorolac is not indicated in pediatrics.
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- True
- False
Frage 40
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Topical NSAIDS have a [blank_start]lower[blank_end] risk for systemic effects.
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lower
Frage 41
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T or F. Diclofenac (Voltaren) gel is helpful in the relief of OA pain.
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- True
- False
Frage 42
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Flector, an NSAID patch is helpful in [blank_start]acute[blank_end] pain due to minor strains, sprains and contusions.
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acute
Frage 43
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The MOA of topical lidocaine for pain is blocking the initiation and conduction of [blank_start]nerve[blank_end] impulses.
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nerve
Frage 44
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T or F. Topical lidocaine is best for neuropathic, local and OA pain.
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- True
- False
Frage 45
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Adverse effects of topical lidocaine include local [blank_start]skin[blank_end] irritation.
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skin
Frage 46
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T or F. There is a low risk for systemic side effects if topical lidocaine is used properly.
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- True
- False
Frage 47
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The following is true of steroid therapy for pain (select all that apply):
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Has anti-inflammatory properties
-
Evidence shows little to no benefit
-
Are not generally 1st line
-
Can be considered short term if refractory to NSAIDS.
Frage 48
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A taper is required if steroids like Prednisone or Medrol dose pack are used for more than [blank_start]two[blank_end] weeks.
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two
Frage 49
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T or F. Cortisone can be given as an IM injection and has a short-acting duration of 2-3 days.
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- True
- False
Frage 50
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Triamcinolone(Kenalog) [blank_start]and[blank_end] Methylprednisolone (Depo-Medrol) have an intermediate potency and duration.
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and
Frage 51
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Dexamethasone/Decadron has a [blank_start]high[blank_end] potency and long-acting duration up to about [blank_start]ten[blank_end] days.
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high
-
ten
Frage 52
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T or F. Steroid injections in joints for pain, must be done by a trained provider.
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- True
- False
Frage 53
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Major side effects associated with the use of systemic glucocorticoids is often [blank_start]dose[blank_end] -dependent and more likely to occur with [blank_start]long[blank_end]-term use.
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dose
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long
Frage 54
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Systemic glucocorticoids can cause elevated [blank_start]blood[blank_end] pressure, mood disorders, psychosis, insomnia, and impact blood sugar by causing hyerglycemia.
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blood
Frage 55
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Additional major side effects associated with the use of systemic glucocorticoids includes (select all that apply):
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Gastritis
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Ulcer formation
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GI Bleeding
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Bone loss
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Heightened risk of typical infections
Frage 56
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Muscle relaxants used for pain are to be used short-term for less than [blank_start]two[blank_end] weeks, and should be avoided in patients older than [blank_start]65[blank_end] years.
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two
-
65
Frage 57
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The main adverse effect of muscle relaxants for pain is [blank_start]sedation[blank_end].
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sedation
Frage 58
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T or F. Antispasmodic skeletal muscle relaxants are indicated in the treatment of acute cervical or lumbar pain.
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- True
- False
Frage 59
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Cyclobenzaprine (Flexeril) is not [blank_start]controlled[blank_end] and can be dosed up to [blank_start]three[blank_end] times a day if needed.
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controlled
-
three
Frage 60
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T or F. Tizanidine (Zanaflex) is an Alpha 2 adrenergic agonist.
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- True
- False
Frage 61
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Carisoprodol (Soma) is a [blank_start]controlled[blank_end] substance that can cause respiratory [blank_start]depression[blank_end] and physical and psycholgic [blank_start]dependence[blank_end].
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controlled
-
dependence
-
depression
Frage 62
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Treatment options for chronic pain include (select all that apply):
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Pharmacologic
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Physical medicine like PT and massage
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Behavioral medicine (CBT and biofeedback)
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Neuromodulation (TENS and spinal cord stimulation)
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Interventional (Percutaneous injections of glucocorticoid and/or local anesthetic
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Surgery (spinal fusion for example)
Frage 63
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Treatment of chronic pain should be a multidisciplinary effort, using multiple approaches and collaborative care models to improve pain management and patient [blank_start]outcomes[blank_end].
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outcomes
Frage 64
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[blank_start]Medication[blank_end] should not be the sole focus of treatment, but should be used when according to evidence-ased recommendations to meet treatment goals and in conjunction with other treatment modalities.
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-
Medication
Frage 65
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T or F. Adjuvants for chronic pain include anticonvulsants and antidepressants; they enhance analgesia and manage other symptoms associated with pain like depression and anxiety.
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- True
- False
Frage 66
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Gabapentin (Neurontin) and pregablin (Lyrica) have proven efficacy versus placebo in several neuropathic [blank_start]pain[blank_end] conditions.
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pain
Frage 67
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Adverse effects of anticonvulsants like gabapentin and pregabalin for pain include [blank_start]dizziness[blank_end] and sedation.
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dizziness
Frage 68
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T or F. When using anticonvulsants as an adjuvant in pain management, start it with a low dose with gradual increases until pain relief.
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- True
- False
Frage 69
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Pregabalin is controlled , reported to cause [blank_start]euphoria[blank_end] and is a Schedule [blank_start]V[blank_end].
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euphoria
-
V
Frage 70
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T or F. There are some reports of misuse with gabapentin.
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- True
- False
Frage 71
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Venlafaxine (Effexor) and Duloxetine (Cymbalta) are [blank_start]SNRI's[blank_end] that may provide [blank_start]pain[blank_end] relief separate from their anti-depressant effect.
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-
SNRI's
-
pain
Frage 72
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T or F. The analgesic effects of SNRI's appear to occure early and at lower doses.
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- True
- False
Frage 73
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SNRI's are helpful treating pain from [blank_start]diabetic[blank_end] neuropathy, fibromyalgia and chronic musculoskeletal pain.
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diabetic
Frage 74
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T or F. SNRI's would have to be tapered gradually to avoid withdrawal symptoms.
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- True
- False
Frage 75
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[blank_start]TCA's[blank_end] like amitriptyline (Elavil) are associated with multiple side-effects and do not carry a indication for [blank_start]pain[blank_end] management.
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-
TCA's
-
pain
Frage 76
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In patients with chronic kidney disease and the elderly avoid [blank_start]NSAIDS[blank_end] and COX 2 inhibitors like Celebrex.
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-
NSAIDS
Frage 77
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T or F. Avoid NSAIDS with peptic ulcer disease and glucocorticoid use.
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- True
- False
Frage 78
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In patients with cardiovascular disease or risk, use the lowest effective dose of NSAIDS; in patients who require treatment consider [blank_start]naproxen[blank_end].
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-
naproxen
Frage 79
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Opioids are indicated for moderate to [blank_start]severe[blank_end] pain, are controlled drugs and powerful analgesics.
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-
severe
Frage 80
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T or F. When combined with acetaminophen and ibuprofen, opioids provide better pain control than if they are used alone.
Antworten
- True
- False
Frage 81
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Opioids are [blank_start]Mu[blank_end] receptor agonists.
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Mu
Frage 82
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Mu1 [blank_start]receptors[blank_end] correlate to supraspinal analgesia, bradycardia and sedation.
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-
receptors
Frage 83
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Mu2 [blank_start]receptors[blank_end] correlate to respiratory depression, euphoria and physical dependence
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-
receptors
Frage 84
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Delta [blank_start]receptors[blank_end] correlate to spinal analgesia and respiratory depression.
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-
receptors
Frage 85
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Kappa [blank_start]receptors[blank_end] correlate to spinal analgesia, respiratory depression and sedation.
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-
receptors
Frage 86
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Higher potency opioids like morphine, hydromorphone and fentanyl are reserved for [blank_start]severe[blank_end] pain.
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-
severe
Frage 87
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Literature suggests opioids should only be used on a chronic basis in patients (select all that apply):
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-
Have persistent pain despite trials of non-opioid analgesics and other options
-
Are at low risk for substance abuse
-
Should be referred to a pain management specialist.
Frage 88
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Tramadol (Ultram) is a centrally acting weak [blank_start]agonist[blank_end] of opioid receptors which also inhibits the reuptake of norepinephrine and causes [blank_start]serotonin[blank_end] release.
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-
agonist
-
serotonin
Frage 89
Frage
T or F. Ultram is a Schedule IV controlled substance and has a higher risk for drug interaction due to hepatic metabolism due to CYP-450.
Antworten
- True
- False
Frage 90
Frage
Adverse effects of tramadol (Ultram) include (select all that apply):
Antworten
-
Sedation
-
Seizures
-
Serotonin Syndrome
-
Increased risk for suicide in patients with mental health disorders
Frage 91
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Tramadol (Ultram) should be avoided in patients with a history of [blank_start]addiction[blank_end] or substance abuse and is not FDA approved for [blank_start]pediatric[blank_end] use.
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-
addiction
-
pediatric
Frage 92
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T or F. Tramadol (Ultram) would need to be tapered if discontinuing after prolonged use.
Antworten
- True
- False
Frage 93
Frage
Current evidence supports the role of opioid therapy in more severe forms of [blank_start]acute[blank_end] pain and in [blank_start]cancer[blank_end] pain.
Antworten
-
acute
-
cancer
Frage 94
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There is limited evidence for effectiveness of [blank_start]long[blank_end]-term opioid therapy for pain relief and improved functional outcomes.
Antworten
-
long
Frage 95
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T or F. Opioid administration in chronic non-cancer pain remains controversial.
Antworten
- True
- False
Frage 96
Frage
Adverse effects of opioids include sedation and the highest risk for respiratory depression is in opioid [blank_start]naive[blank_end] patients.
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-
naive
Frage 97
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There is a higher risk for [blank_start]respiratory[blank_end] depression in the elderly, COPD and severe asthma.
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-
respiratory
Frage 98
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Additional adverse effects of opioids includes (select all that apply):
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Euphoria/Dysphoria
-
Dyspepsia
-
Itching due to histamine release
-
Urinary retention
-
Constipation
-
Hyperalgesia-nociceptive sensitization (increased pain)
-
Decreased libido (increase prolactin, decreased cortisol, LH, FSH, estrogen and testosterone)
Frage 99
Frage
Opioid overdose [blank_start]risk[blank_end] increases with increased dosing.
Antworten
-
risk
Frage 100
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The most common opioids involved in overdose deaths include (select all that appy):
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Hydrocodone (Vicodin)
-
Oxycodone (Oxycontin)
-
Oxymorphone (Opana)
-
Methadone
Frage 101
Frage
Benzodiazepines and opioids should [blank_start]not[blank_end] be co-prescribed.
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-
not
Frage 102
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T or F. Between 1999-2003, adults ages 25-54 had the highest overdose rates.
Antworten
- True
- False
Frage 103
Frage
Opioid naive patients have the [blank_start]highest[blank_end] risk for overdose death in the first two weeks of treatment and are defined as patients who have not received opioids for one week or longer at doses defined by the FDA for tolerance.
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-
highest
Frage 104
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According to the FDA, patients who are opioid-tolerant have been taking opioids for a 1 [blank_start]week[blank_end] or longer in the following doses: at least 60mg of oral morphine QD, 25 mcg of transdermal fentanyl per hour, 30 mg oral oxycodone QD, 8 mg hydromorphone QD, 25 mg of oxymorphone QD or an equianalgesic dose of another opioid.
Antworten
-
week
Frage 105
Frage
Equianlagesic dosing is defined as the dose in [blank_start]steady[blank_end] state providing the same analgesic response also know as morphine equivalent dosing.
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-
steady
Frage 106
Frage
T or F. Morphine is the gold standard for comparison of all pain relieving meds and serves as a reference point for analgesic potency.
Antworten
- True
- False
Frage 107
Frage
T or F. Morphine 30mg PO is equivalent to hydromorphone 7.5 mg PO.
Antworten
- True
- False
Frage 108
Frage
There is substantial interpatient variability in relative potency of different opioid [blank_start]drugs[blank_end].
Antworten
-
drugs
Frage 109
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When changing from one opioid to another, it is preferable to consider initially underestimating requirements and provide rescue medication as needed to [blank_start]avoid[blank_end] potentially fatal overdose.
Antworten
-
avoid
Frage 110
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T or F. The elderly are more susceptible to the adverse effects of opioids and the NP should consider starting at 1/2 the typical starting dose.
Antworten
- True
- False
Frage 111
Frage
Opioids should not be prescribed in [blank_start]pregnancy[blank_end].
Antworten
-
pregnancy
Frage 112
Frage
Neonatal abstinence syndrome presents as irritability, hyperactivity, abnormal sleep patterns, high pitched [blank_start]cry[blank_end], tremor, vomiting, diarrhea and failure to gain weight.
Antworten
-
cry
Frage 113
Frage
T or F. Pregnant women who are dependent on opioids should be referred to a specialist who will likely place them on methadone or buprenorphine.
Antworten
- True
- False
Frage 114
Frage
Dependence is the emergence of withdrawal symptoms when the drug is abruptly discontinued or the dose is rapidly decreased, and usually occurs after taking the drug for [blank_start]one[blank_end] month or longer.
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-
one
Frage 115
Frage
T or F. Dependence is a component of addiction, but not all patients with dependence are addicts.
Antworten
- True
- False
Frage 116
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Opioid withdrawal signs and symptoms include (select all that apply)
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-
Diaphoresis
-
HTN
-
Tachycarida
-
Lacrimation
-
Shivering
-
Piloerection
-
N/V/D
-
Rhinorrhea
-
Sleeplessness
-
Restlessness
Frage 117
Frage
T or F. Additional symptoms of opioid withdrawal include tremors, dysphoria, anxiety, mood volatility, abdominal cramping, bone pains and diffuse muscle aches, as well as strong drug cravings.
Antworten
- True
- False
Frage 118
Frage
Tolerance is defined as increasing amounts of opioid [blank_start]are[blank_end] required to produce an equivalent level of efficacy.
Antworten
-
are
Frage 119
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T or F. Tolerance typically does not develop in patient with cancer who are treated for pain.
Antworten
- True
- False
Frage 120
Frage
Addiction is characterized as a psychological and behavioral syndrome, with extreme behavior patterns that are associated with procuring and consuming the [blank_start]drug[blank_end].
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-
drug
Frage 121
Frage
Features of opioid addiction include (select all that apply):
Antworten
-
Drug craving
-
Compulsive use
-
Strong tendency to relapse after withdrawal
Frage 122
Frage
Maladaptive behavior associated with addiction include (select all that apply):
Antworten
-
Adverse consequences due to drug use
-
Loss of control over drug use
-
Preoccupation with obtaining opioids
Frage 123
Frage
Prescription drug [blank_start]misuse[blank_end] is using the prescribed drug outside of the intent for which it was prescribed and includes using to "get high". having multiple prescribers or non-prescribed sources for the medication, and concurrent use of alcohol, illicit substances or non-prescribed opioid controlled medications.
Antworten
-
misuse
Frage 124
Frage
Risk factors associated with increased risk for opioid misuse include (select all that apply):
Antworten
-
Personal or family history of substance use disorder
-
Mental health disorder, to include depression or PTSD
-
History of legal problems or incarceration
-
Age less than 40-45 years old
Frage 125
Frage
Aberrant behaviors associated with addiction include (select all that apply):
Antworten
-
Doctor shopping
-
Diversion
-
Failure to comply with dosing instructions
-
Use of other illicit drugs or controlled substances that are not prescribed.
Frage 126
Frage
The DSM-5 definition of Opioid Use Disorder is a problematic pattern of opioid use leading to clinically significant impairment of distress, as manifested by at least [blank_start]2[blank_end] specific behaviors in a [blank_start]12[blank_end] month period: larger amounts/longer period; persistent desire for opioid; spending excessive time to obtain, use or recover from the effects of opioids.
Antworten
-
2
-
12
Frage 127
Frage
[blank_start]Medication[blank_end] Assisted Treatment or MAT, may be used to treat opioid use disorder and includes naltrexone (mild d./o). buprenorphine and methadone (moderate to severe) and naloxone (mild, moderate, severe)
Antworten
-
Medication
Frage 128
Frage
Indications for tapering in chronic opioid therapy include (select all that apply):
Antworten
-
Violation of pain contract/abberant drug related behaviors
-
Lack of progress toward therapeutic goals
-
Intolerable adverse effects
Frage 129
Frage
When tapering opioids, it is recommended to reduce the dose by [blank_start]10[blank_end]% each week.
Antworten
-
10
Frage 130
Frage
T or F. Clonidine can be used to treat the diarrhea and muscle pain associated with opiate withdrawal and Zolpidem or Doxepin for sleep issues.
Antworten
- True
- False
Frage 131
Frage
Methadone is a long-acting synthetic opioid [blank_start]agonist[blank_end] with dual-mechanism on the Mu and NMDA receptor, and is a Schedule [blank_start]II[blank_end] controlled substance.
Antworten
-
II
-
agonist
Frage 132
Frage
The following is true of methadone (select all that apply):
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-
Is reserved as an advanced therapy for severe pain when other conventional therapies fail
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Is highly regulated and only available at specialized clinics
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Is difficult to dose, potenitally lethal in overdose
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Has many drug interactions and adverse reactions
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Buprenorphine is a [blank_start]synthetic[blank_end] opioid, used for severe pain (just an FYI, our doctors at my hospital say it is illegal to prescribe it for pain) and opioid dependence and is considered a partial Mu-opioid [blank_start]agonist[blank_end] and is a Schedule [blank_start]III[blank_end] controlled substance.
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synthetic
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agonist
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III
Frage 134
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T or F. Buprenorphine can only be prescribed by specially trained MD's and NP.
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- True
- False
Frage 135
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T or F. Buprenorphine combined with the antagonist naloxone is called Suboxone.
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- True
- False
Frage 136
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T or F. There are critical opioid interactions with CNS depressants and alcohol.
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- True
- False
Frage 137
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T or F. Many drugs can inhibit or induce the metabolism of opioids and raise or lower serum opioid levels, leading to increase risk for respiratory depression or sedation, or cause the development of withdrawal symptoms.
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- True
- False
Frage 138
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The following drugs may induce the metabolism of opioids (select all that apply)
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St. John's Wort
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Phenobarbital
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Phenytonin
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Rifampin
Frage 139
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T or F. Naloxone (Narcan) competitively binds to opioid receptors without producing analgesic response.
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- True
- False
Frage 140
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Pain medications that are scheduled include (select all that apply):
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Opioids
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Lyrica (Pregabaliin)
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Soma (Carisoprodol)
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Fioricet with codiene
Frage 141
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Schedule [blank_start]I[blank_end] drugs have no currently accepted medical use in the US and have a high potential for abuse.
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I
Frage 142
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Schedule [blank_start]II[blank_end] drugs have a high potential for abuse, which may lead to severe psychological or physical dependence, can only be prescribed with a max [blank_start]30[blank_end] day quantity, no refills, no [blank_start]verbal[blank_end] orders (hard copy of the Rx required).
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II
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30
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verbal
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Schedule [blank_start]III[blank_end] drugs have a potential for abuse less than substances in Schedules I/II, and abuse may lead to moderate or low physical depedence or high psychological dependene, can prescibe a max [blank_start]6[blank_end] month supply and verbal orders are allowed.
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III
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6
Frage 144
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Schedule [blank_start]IV[blank_end] drugs have a low potential for abuse relative to the substances in Schedule III, can have a max 6 month supply, verbal orders are [blank_start]allowed[blank_end] and includes several benzodiazipines like Xanax, Kolnopin and Valium.
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IV
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allowed
Frage 145
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Schedule [blank_start]V[blank_end] drugs have a low potential for abuse relative to substances listed in Schedule IV and consist primarily of preparations containing limited quantities of certain narcotics, like cough preparations with codeine.
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V
Frage 146
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The five A' s framework for follow-up of patients prescribed chronic opioids includes (select all that apply):
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Analgesia
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ADL's and assessment of functional status
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Addiction
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Adverse effects
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Adherence to treatment plan
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T or F. Urine Drug Testing can be used to determine if the patient is taking the controlled substance as prescribed and/or if the patient is taking other drugs that may interfere with safe prescribing of controlled drugs.
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- True
- False
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