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2 CE Test Hours

Nurses’ Role in Preventing Prescription Opioid Diversion

Contrada, Emily

AJN The American Journal of Nursing: August 2015 - Volume 115 - Issue 8 - p 41,42
doi: 10.1097/01.NAJ.0000470399.51553.03


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Nurses’ Role in Preventing Prescription Opioid Diversion


To provide information about the magnitude of opioid diversion and potential interventions for patient education.


After reading this article and taking this test, you will be able to

  • recognize the scope of the problem of opioid diversion.
  • identify strategies for patient education as well as safe storage and proper disposal of opioids.
  1. Which of the following opioids is among six that together represent about 6.5 million dosage units of controlled substances diverted between 2000 and 2003?
    1. fentanyl
    2. codeine
    3. hydrocodone
  2. According to the National Institute on Drug Abuse, which of the following methods of obtaining diverted prescription drugs is the most common?
    1. stealing them
    2. purchasing them
    3. obtaining them from a friend or relative
  3. In 2013, how many people ages 12 and older reported using an illicit drug for the first time over the preceding 12 months?
    1. 560,000
    2. 1.3 million
    3. 2.8 million
  4. In 2011, for which of the following drugs did the frequency of ED visits increase the most?
    1. morphine
    2. oxycodone
    3. methadone
  5. According to the article, which statement is accurate?
    1. Inappropriate use of opioids for any reason can result in overdose and death.
    2. In the United States in 2013, 75% of more than 40,000 drug overdose deaths involved opioids.
    3. In the drug overdose deaths reported in the United States in 2013, death was directly attributed to an opioid.
  6. Risk of fatal overdose rises with
    1. the number of prescriptions.
    2. lower socioeconomic status.
    3. concurrent use of antiseizure medications.
  7. Research has shown that nurses tend to
    1. inform patients about disposing of controlled substances.
    2. warn patients prescribed acetaminophen–opioid combination drugs not to take additional acetaminophen.
    3. teach patients how to secure prescribed controlled substances.
  8. The majority of diverted opioids are obtained from people who have
    1. backgrounds in criminal drug trafficking.
    2. questionable prescribing practices.
    3. legitimate prescriptions.
  9. The Partnership for Drug-Free Kids emphasizes three steps to minimize the potential for prescription controlled substance diversion, one of which is to
    1. monitor.
    2. evaluate.
    3. control.
  10. The U.S. Environmental Protection Agency has specifically cautioned against disposing of medications by
    1. returning them to the prescriber.
    2. taking them to the dispenser.
    3. flushing them.
  11. The U.S. Drug Enforcement Administration has authorized which of the following methods of disposal of controlled substances?
    1. medication drop boxes
    2. incineration sites
    3. federal health care facilities
  12. Research has indicated that the most important predictor of the amount of prescription medications returned is the amount
    1. used.
    2. dispensed.
    3. prescribed.
  13. Currently, prescription drug monitoring programs are operational in the District of Columbia and in all but two states, one of which is
    1. Oregon.
    2. Missouri.
    3. Kentucky.
  14. There is no evidence that
    1. a family history of psychiatric disorders increases the risk of substance use disorders.
    2. standardized risk assessment tools for substance diversion are recommended.
    3. random urine drug screening improves clinicians’ ability to identify drug diversion.
  15. Substance use disorder is best described as
    1. the use of a drug for nontherapeutic, recreational purposes.
    2. a primary chronic neurobiologic disease.
    3. a maladaptive pattern of substance use.
  16. Which of the following is an accurate statement about the study that used eCap technology described in the article?
    1. Findings suggested aberrant use and possible diversion.
    2. Recorded data included each time the medication container was opened and the number of pills removed.
    3. Patients and parents were told that eCap data would not be used to verify diary entries.
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