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1. A health care professional has questions regarding SMI. Which of the following informational points of interest should be communicated to the health care professional?
A. SMI does not typically result in serious functional impairment.
B. SMI does not typically result in serious functional impairment - however, it may lead to a SUD.
C. SMI is defined as a mental, behavioral, or emotional disorder among individuals aged 16 and older resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities.
D. SMI is defined as a mental, behavioral, or emotional disorder among adults aged 18 and older resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities.
2. A 32-year-old female patient has questions regarding SUD. Which of the following educational points should be expressed to the patient?
A. SUD is a diagnosis that applies when the recurrent use of alcohol causes clinically significant impairment and anxiety.
B. SUD is a diagnosis that applies when the recurrent use of opioids causes clinically significant impairment and anxiety.
C. SUD is a diagnosis that applies when the recurrent use of alcohol and drugs causes depression and/or anxiety.
D. SUD is a diagnosis that applies when the recurrent use of alcohol or drugs causes clinically significant impairment.
3. Which of the following statements regarding COD is most accurate?
A. COD refers to the coexistence of both a substance use and mental disorder.
B. COD refers to the coexistence of SMI, SUD, and depression.
C. COD refers to the coexistence of both opioid and alcohol misuse.
D. COD refers to the coexistence of both opioid and alcohol abuse.
4. Which of the following best represents a technology option for synchronous telehealth?
A. Video Calls
B. Text Messages
C. Email Messages
D. Web-based portals
5. Which of the following best represents an application of store and forward telehealth services?
A. An individual has a real-time conversation with a health care professional.
B. A client uploads and transfers medical information, such as a health history, to identify or refine a treatment plan.
C. A health care professional prescribes medications via telehealth.
D. A health care professional provides an individual with a health care-related alert.
6. A health care professional has questions regarding telehealth. Which of the following informational points of interest should be communicated to the health care professional?
A. Telehealth should not be used to screen and/or assess patients for SMI and SUD.
B. Telehealth should not be used to screen and/or assess patients over the age of 18 for SMI and SUD.
C. Synchronous screenings and assessments for mental disorders conducted via videoconferencing often lead to patient confusion.
D. Synchronous screenings and assessments for mental disorders conducted via videoconferencing modalities have similar reliability and accuracy to in-person screening and assessment.
7. Which of the following statements best describes medication-assisted treatment (MAT)?
A. MAT uses pharmacological medications in combination with counseling and behavioral therapies to treat diagnosed depression.
B. MAT uses pharmacological medications in combination with counseling and behavioral therapies to treat diagnosed SUD.
C. MAT uses methadone in combination with counseling and behavioral therapies to treat diagnosed SUD with depression.
D. MAT uses buprenorphine in combination with counseling and behavioral therapies to treat diagnosed SUD with depression.
8. Which of the following statements regarding MAT is most accurate?
A. A physician cannot perform an initial assessment via videoconference - however, a physician may prescribe medication via videoconference.
B. A physician may perform an initial assessment - however, a physician cannot prescribe medication via videoconference.
C. A physician may perform an initial assessment - however, a physician cannot prescribe medication or monitor patients via videoconference.
D. A physician may perform an initial assessment and prescribe medication via videoconference.
9. Which of the following medications is FDA approved for the treatment of alcohol use disorder?
A. Methadone
B. Buprenorphine
C. Suboxone
D. Naltrexone
10. A 28-year-old male patient has questions regarding psychotherapy and telehealth. Which of the following educational points should be expressed to the patient?
A. Practitioners can implement psychotherapy and behavioral therapies through synchronous telehealth modalities.
B. Practitioners can only implement psychotherapy and behavioral therapies through synchronous telehealth modalities for patients under the age of 25.
C. Practitioners can only implement psychotherapy and behavioral therapies through synchronous telehealth modalities for patients over the age of 65.
D. Practitioners cannot implement psychotherapy and behavioral therapies through synchronous telehealth modalities.
11. Which of the following statements best defines the term behavioral activation (BA)?
A. BA is a treatment component based on changing behavior to change one’s mood.
B. BA is a treatment component based on changing thought patterns to change one’s behavior.
C. BA is a goal-oriented psychotherapy that seeks to modify an individual’s thought patterns, beliefs, and behaviors.
D. BA is a trauma-focused cognitive therapy aimed at reducing symptoms of PTSD.
12. A 42-year-old female patient has questions regarding cognitive behavioral therapy (CBT). Which of the following educational points should be expressed to the patient?
A. CBT is typically reserved for individuals suffering from SUD.
B. CBT is typically reserved for individuals receiving MAT.
C. CBT techniques can be used to help clients avoid traumatic experiences.
D. CBT techniques can be used to help clients address traumatic experiences and develop more effective thought patterns and realistic perspectives on the trauma.
13. CPT is a trauma-focused cognitive therapy aimed at reducing the symptoms of which of the following?
A. Anxiety
B. Depression
C. PTSD
D. Schizophrenia
14. A 32-year-old male patient has questions regarding prolonged exposure (PE). Which of the following educational points should be expressed to the patient?
A. PE is typically reserved for patients over the age of 65.
B. PE is typically reserved for female patients.
C. PE is a type of CBT that focuses on helping individuals avoid fears related to traumatic experiences.
D. PE is a type of CBT that focuses on helping individuals confront their fears from traumatic experiences.
15. A health care professional is developing an educational lecture centered around telehealth. Which of the following informational points of interest should be included in the health care professional's lecture?
A. Telehealth modalities should not be used for suicide screening.
B. Telehealth modalities should not be used for suicide assessment.
C. Telehealth modalities should not be used for screening older adults suffering from suicidal ideation.
D. Telehealth modalities can provide an effective alternative to in-person suicide screening and assessment.
16. Which of the following strategies may be used to build therapeutic relationships with patients when using telehealth?
A. Do not acknowledge differences between in-person and virtual visits.
B. Do not start with small talk.
C. Meet in person when needed.
D. Limit telehealth services to patients under the age of 65.
17. A health care professional has questions regarding considerations for working with groups using telehealth. Which of the following informational points of interest should be communicated to the health care professional?
A. Do not use a co-facilitator.
B. Do not lock sessions once participants have joined.
C. Do not mute incoming audio.
D. Recognize that groups may happen in hybrid formats. For example, some patients may use audio only, while other patients may use video plus audio.
18. A health care professional is developing an educational lecture centered around 42 CFR Part 2. Which of the following informational points of interest should be included in the health care professional's lecture?
A. Providers are not permitted to disclose patient information to medical personnel to treat a medical emergency without the client’s written consent during the emergency.
B. Providers are permitted to disclose patient information to medical personnel without the client’s written consent to treat a bona fide medical emergency.
C. Providers must receive verbal consent from a patient before they disclose related patient information to medical personnel during a bona fide medical emergency.
D. Providers must receive verbal consent from a patient's caregiver before they disclose related patient information to medical personnel during a bona fide medical emergency.
19. Which of the following statements is most accurate?
A. Medicare-reimbursed telehealth services related to the treatment of SMI and SUD include annual depression screening.
B. Medicare-reimbursed telehealth services related to the treatment of SMI and SUD include individual psychotherapy - however, family psychotherapy is not included.
C. Medicare-reimbursed telehealth services related to the treatment of SMI and SUD only include smoking cessation services for patients under the age of 18.
D. Medicare-reimbursed telehealth services related to the treatment of SMI and SUD do not include smoking cessation services.
20. A health care professional has questions regarding VA. Which of the following informational points of interest should be communicated to the health care professional?
A. VA does not allow telehealth services to VA beneficiaries.
B. VA does not allow telehealth services to VA beneficiaries under the age of 65.
C. The VA published a final rule allowing VA providers to provide telehealth services to VA beneficiaries, regardless of the physical location of the health care provider or the beneficiary.
D. The VA published a final rule that only allows VA providers to provide telehealth services to VA beneficiaries residing in the same state of licensure.
21. A health care professional has questions regarding ESMCC. Which of the following informational points of interest should be communicated to the health care professional?
A. ESMCC does not offer MAT.
B. ESMCC only offers case management.
C. ESMCC focuses on individuals experiencing opioid use disorder.
D. ESMCC focuses on homeless individuals suffering from depression.
22. What population does Citywide focus on?
A. Adults with SUD.
B. Young adults with SUD.
C. Adults with SMI who are experiencing unstable housing or homelessness.
D. Children with SMI who are experiencing unstable housing or homelessness.
23. Which of the following statements regarding REACH is most accurate?
A. REACH focuses on depression treatment.
B. REACH focuses on individuals with SUD, co-occurring mental disorders, and other complex needs.
C. REACH does not offer MAT.
D. REACH does not offer case management.
24. What type of evaluation should occur during the development of the telehealth-delivered treatment, prior to full-scale implementation?
A. Formative evaluation
B. Health care initiative evaluation
C. Process evaluation
D. Impactevaluation
25. A team of health care professionals is asked to include qualitative data in a report regarding telehealth. Which of the following types of data should the team of health care professionals include in their report?
A. Written data
B. Numeric data
C. Mathematical data
D. Statistical data
26. Which of the following statements is most accurate?
A. CQI involves a systematic process of assessing program or practice implementation and short-term outcomes and then involving program staff in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.
B. CQI involves a systematic process of assessing program or practice implementation and long-term outcomes and then involving program staff in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.
C. CQI involves a systematic process of assessing program or practice implementation and short-term outcomes and then involving management in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.
D. CQI involves a systematic process of assessing program or practice implementation and long-term outcomes and then involving management in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.
27. Which of the following best represents the first step in the CQI process?
A. Identify a program or practice issue needing improvement and a target improvement goal.
B. Identify health care resources.
C. Analyze a practice issue and its root causes.
D. Analyze data regarding health care.
28. Which of the following best represents an illustrative indicator for the following outcome: reduction in depression symptoms?
A. Days of symptoms in the prior 15 days
B. Days of symptoms in the prior 30 days
C. Substance use in the prior 15 days
D. Substance use in the prior 30 days
29. Which of the following best represents an illustrative indicator for the following outcome: engagement and retention in telehealth care?
A. Number of sessions attended
B. Access to care
C. Acceptability of care
D. Self-efficacy
30. Which of the following best represents an illustrative indicator for the following outcome: client satisfaction?
A. Emotional safety
B. Access to care
C. Client relationship with provider
D. Completed therapeutic treatment
31. Which of the following best represents an illustrative indicator for the following outcome: access?
A. Emotional safety
B. Number of people using telehealth
C. Client relationship with provider
D. Cost per visit
32. Which of the following best represents an illustrative indicator for the following outcome: clinician well-being?
A. Emotional safety
B. Access to care
C. Client relationship with provider
D. Lack of burnout
33. Which of the following best represents an illustrative indicator for the following outcome: cost?
A. Number of clinicians using telehealth
B. Number of patients using telehealth
C. Clinician miles saved
D. Patient miles saved
34. Which of the following resources may be used to evaluate program implementation?
A. The Community Toolbox
B. Quality Improvement Essentials Toolkit
C. Program Sustainability Assessment Tool (PSAT)
D. Clinical Sustainability Assessment Tool (CSAT)
35. Which of the following resources may be used to evaluate practices using telehealth for SMI, SUD, and COD?
A. A Framework for Program Evaluation
B. The Community Toolbox
C. Quality Improvement Essentials Toolkit
D. Telehealth Implementation Playbook
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