Patient Assessment & Clinical Evaluation Flashcards
7 cards from real ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
A patient scores 26 on the CIWA-Ar. Which clinical response is MOST appropriate?
Answer: Initiate pharmacotherapy immediately due to severe withdrawal risk
A CIWA-Ar score above 15–20 indicates severe withdrawal, warranting immediate pharmacological treatment typically with benzodiazepines.
When conducting a pain assessment in a patient with opioid use disorder, which tool helps differentiate addiction-related behaviors from undertreated pain?
Answer: Prescription Drug Monitoring Program (PDMP) review combined with DIRE or ORT
PDMP review combined with risk tools like the Opioid Risk Tool (ORT) or DIRE helps distinguish opioid misuse from legitimate undertreated pain.
Which physical exam finding is MOST associated with injection drug use and should prompt further assessment?
Answer: Track marks and venous scarring along the arms
Track marks and venous scarring are hallmark physical signs of intravenous drug use and indicate need for infectious disease screening.
Which infectious disease screening is RECOMMENDED for all patients presenting with injection drug use?
Answer: HIV, hepatitis B, hepatitis C, and syphilis
All patients with injection drug use should be screened for HIV, hepatitis B, hepatitis C, and syphilis given their transmission via blood-borne and sexual routes.
A clinician assesses a patient's readiness to change using the Stages of Change model. The patient acknowledges a problem but is not yet planning to act. This stage is BEST described as:
Answer: Contemplation
Contemplation is characterized by awareness of the problem and ambivalence but without a concrete plan to change in the near future.
Which element of a comprehensive substance use history helps determine the severity of physiological dependence?
Answer: Withdrawal history and prior detoxification episodes
Prior withdrawal history and detoxification episodes indicate the presence and severity of physiological dependence and predict future withdrawal risk.
When assessing suicide risk in a patient with alcohol use disorder, which factor MOST significantly increases risk?
Answer: Active alcohol intoxication combined with recent interpersonal loss
Active intoxication combined with acute stressors like interpersonal loss dramatically increases impulsivity and lethality of suicidal acts in AUD patients.