CFPN Drug Diversion Investigation and Prevention 3

Question 1

A forensic pharmacy nurse is investigating a case where unusually high doses of morphine were documented but patients reported undertreated pain. Which diversion method does this suggest?

Accepted Answer

Skimming (removing part of the dose before administration)

Answer

Complete substitution with saline

Answer

Theft of sealed unit-dose packages

Answer

Forging prescriptions for personal use

Question 2

Which federal law created the requirement for DEA registration for healthcare practitioners who prescribe, dispense, or administer controlled substances?

Accepted Answer

Controlled Substances Act of 1970

Answer

Drug Abuse Prevention and Control Act of 1988

Answer

Prescription Drug Monitoring Program Act

Answer

Combat Methamphetamine Epidemic Act of 2005

Question 3

During an investigation of suspected diversion, a forensic pharmacy nurse reviews the suspect's metabolic impairment documentation. Why is this relevant?

Accepted Answer

To determine if legitimate medical conditions explain behaviors consistent with substance use disorder

Answer

To establish motive for the diversion

Answer

To calculate how much drug was diverted

Answer

To assess fitness for return to duty

Question 4

What is the primary purpose of random controlled substance audits in healthcare facilities?

Accepted Answer

Deterrence and early detection of diversion

Answer

Compliance with Joint Commission accreditation requirements only

Answer

Reconciling pharmacy purchasing costs

Answer

Verifying patient medication administration records

Question 5

A suspected drug diverter requests to speak with her union representative before an investigative interview. What is the legally appropriate response?

Accepted Answer

Allow the union representative to be present as this is a Weingarten right for unionized employees

Answer

Proceed with the interview without the representative to preserve the investigation's integrity

Answer

Postpone indefinitely until the investigation is closed

Answer

Only allow the representative for criminal matters, not workplace investigations

Question 6

Which recovery program model allows healthcare professionals who have diverted drugs due to substance use disorder to maintain their license under monitored conditions?

Accepted Answer

Healthcare Professional Recovery Program (Peer Assistance Program)

Answer

Zero-tolerance permanent license revocation

Answer

Voluntary anonymous treatment without reporting

Answer

Federal supervised release program