chapter-18

Question 1

How do physical fitness and an active lifestyle supportthe Air Force mission? (425)

Answer 1

They increase productivity, optimize health and decreaseabsenteeism while maintaining a higher level of readiness.

Question 2

What five elements should your year-round totalfitness conditioning program consider? (425)

Answer 2

1) Cardiorespiratory fitness; 2) strength and endurance; 3)flexibility conditioning; 4) body composition; and 5) healthyeating habits.

Question 3

Why must commanders and supervisors incorporatefitness into the Air Force culture? (425)

Answer 3

To establish an environment where members maintain physicalfitness and health to meet expeditionary mission requirementsand deliver a fit-and-ready force.

Question 4

What tool helps commanders determine the overallfitness of their personnel? (425)

Answer 4

The annual Fitness Assessment (FA).

Question 5

hy is being physically fit more than just passingthe Air Force Fitness Assessment (FA)? (425)

Answer 5

Being physically fit ensures every Airman can properly supportthe Air Force mission while performing at optimal capacity.

Question 6

The fitness program’s goal is to motivate year-roundphysical conditioning. What does the program emphasize?(425)

Answer 6

Total fitness. (This includes proper aerobic conditioning,muscular fitness training and healthy eating.)

Question 7

What are the five major components of fitness? (425)

Answer 7

1) Cardiorespiratory endurance; 2) body composition; 3)muscular strength; 4) muscular endurance; and 5) flexibility.(Warm-up and cool-down are also essential components of acomplete physical fitness program.)

Question 8

What is cardiorespiratory endurance? (425)

Answer 8

Sometimes called aerobic fitness, it is the ability to performlarge muscle, dynamic, moderate-to-high intensity exercisefor prolonged periods.

Question 9

Body __ measures your relative amounts of fatand fat-free tissue. (425)

Answer 9

Composition.

Question 10

What is muscular strength? (425)

Answer 10

The maximum force generated by a specific muscle or musclegroup.

Question 11

What is muscular endurance? (425)

Answer 11

A muscle group’s ability to contract repeatedly over a periodof time to cause muscular fatigue.

Question 12

__ is the maximum ability to move a joint freely,without pain, through a range of motion. (425)

Answer 12

Flexibility.

Question 13

What four principles should a successful cardiovascularexercise program employ? (425)

Answer 13

The principles of 1) frequency; 2) intensity; 3) duration; and4) mode.

Question 14

Effective cardiorespiratory conditioning is best accomplishedwith __ to __ adequately intenseworkouts per week. (425)

Answer 14

Three to five.

Question 15

Fitness leaders must be aware of the dangers of__ since the risk of injury increases with increasingworkout duration and intensity. (425)

Answer 15

Overtraining.

Question 16

Improvements in cardiovascular fitness are directlyrelated to the __ of the exercise performed. (425)

Answer 16

Intensity

Question 17

What is the minimum training intensity required inan exercise session? (425)

Answer 17

50% of Volume of Oxygen (V02) max, sometimes referredto as the “training threshold.”

Question 18

The Target Heart Rate (THR) corresponds to anintensity sufficient to achieve cardiorespiratory improvement.T/F (425-426)

Answer 18

True.

Question 19

In cardiovascular training, how do you calculateyour Target Heart Rate (THR)? (426-Fig)

Answer 19

Subtract your age from 220. Then multiply by .7 to find thebottom THR and by .9 to find the top THR.

Question 20

A Target Heart Rate (THR) of 70 to 90% of one’stheoretical Maximum Heart Rate (MHR) is equivalent to__ to __ % of one’s Volume of Oxygen (V02) max.(426)

Answer 20

50 to 85%.

Question 21

__ is the time spent exercising with the most benefitoccurring in the Target Heart Rate (THR) zone. (426)

Answer 21

Duration. (The more intense the activity, the shorter the timeneeded to produce or maintain the training effect.)

Question 22

Only sustained activities requiring a large amount ofexercise using large muscle groups will improve cardiovascularfitness. Give several examples. (426)

Answer 22

Running, rowing, jogging, vigorous walking, jumping rope,stationary cycling, swimming and stair climbing.

Question 23

Successful muscular strength and endurance programsemploy what five principles? (426)

Answer 23

he principles of I) specificity; 2) regularity; 3) recovery; 4)balance; and 5) variety.

Question 24

The principle of ___ dictates you provide resistanceto the muscle groups that need to be strengthened.(426)

Answer 24

Specificity. (Strengthening muscles used m work-relatedmovements can improve job performance.)

Question 25

The principle of specificity states: if an Airman wishesto improve performance for a work-related task, thenstrengthening the identified muscles will ensure maximumcarryover value for his or her __ tasks. (426)

Answer 25

Warrior tasks.

Question 26

Exercise must be done regularly to produce a trainingeffect. How many workouts per week produce optimalgains in strength? (426)

Answer 26

Three workouts per week.

Question 27

Can an Airman maintain a moderate level ofstrength by doing proper strength workouts only once aweek? (426)

Answer 27

Yes, for a short period of time, if he or she has already establisheda strong baseline level of muscular fitness.

Question 28

An Airman who exercises three times per weekachieves optimal muscle strength gains when exercising different muscle groups at each workout. T/F (426)

Answer 28

False. (Gains will be minimal as the principle ofregularity is violated.)

Question 29

How many times a week should an Airman exercisethe same muscle group? (426)

Answer 29

A minimum of two times a week.

Question 30

Why should there be at least a 48-hour recovery periodbetween working the same muscle groups? (426)

Answer 30

So the muscles have time to adapt.

Question 31

Consecutive days of hard resistance training for thesame muscle group can be __ . (426)

Answer 31

Detrimental. (Strength training can be done every day, butonly if muscle groups are rotated so the same muscles are nottrained consecutively.)

Question 32

Normally, the recovery time between sets in muscularstrength training should be between __ to __seconds. (427)

Answer 32

30 to 180.

Question 33

The principle of __ states that a strength-trainingprogram should work all major muscle groups in boththe upper and lower body. (427)

Answer 33

Balance.

Question 34

The principle of balance indicates that you shouldwork opposing muscle groups during strength training.Why? (427)

Answer 34

It ensures good muscle strength balance and may reduce therisk of injury. (For example, follow an overhead press with alat pull down exercise.)

Question 35

In a strength-training program, exercises shouldtarget larger muscle groups first. T/F (427)

Answer 35

True. (If smaller muscle groups are worked first, they will beexhausted and too weak to handle the resistance needed tooverload the larger muscle groups.)

Question 36

What is the principle of variety in strength and enduranceprograms? (427)

Answer 36

Enhance results by using different types of equipment andexercises and altering volume and intensity.

Question 37

To enhance variety, change your muscular conditioningto __ -resisted exercises or another form ofresistance training. (427)

Answer 37

Partner-resisted.

Question 38

While adding variety to a strength-training programcan be beneficial, why should Airmen avoid frequentwholesale changes? (427)

Answer 38

They may become frustrated if they do not have enough time to adapt or see improvements in strength.

Question 39

Prevent injury and muscle soreness with a good__ at the beginning and __ at the end of exercise.(427)

Answer 39

Warm-up and cool down.

Question 40

During the warm-up, perform slow joint rotationexercises. This will help increase the joint’s __ of__ .(427)

Answer 40

Range of motion. (Work each major joint for 5 to 10 seconds.)

Question 41

The preferred time for flexibility stretching is beforethe exercise session. T/F (427)

Answer 41

False. (Overstretching prior to the session can compromisejoint integrity.)

Question 42

When is the best time to improve your flexibility bystretching? (427)

Answer 42

After exercising, when your muscles are warmest.

Question 43

Hold stretching positions forconds during cool-down. (427)

Answer 43

10 to 15 seconds. (Relax the stretch, then repeat for maximumbenefit.)

Question 44

What are the two most important factors in maintaininga positive body composition and losing excessivebody fat? (427)

Answer 44

Exercise and diet.

Question 45

A realistic weight loss goal is one to two pounds aweek. How is this best accomplished? (427)

Answer 45

By reducing caloric intake and increasing energy expenditure.

Question 46

Why is dieting without exercise an ineffective way tolose weight? (427)

Answer 46

Your body may believe it is being starved and attempt toconserve its fat reserves by slowing its metabolism.

Question 47

Airmen should minimize their daily caloric intakeyet consume all major food groups. What is the minimumcaloric intake for Airmen not under medical supervision?(428)

Answer 47

At least 1,500 calories for men or 1,200 for women.

Question 48

Why don’t fad diets and devices or skipping mealsproduce long-term fat loss? (428)

Answer 48

Most weight lost is water and lean muscle tissue, not fat.(Safely losing fat takes time and patience.)

Question 49

In addition to burning calories, exercise helps thebody maintain muscle mass. T/F (428)

Answer 49

True. (It may also keep the body’s metabolic rate high.)

Question 50

__ exercise, which uses lots of oxygen, is the bestto burn fat. (428)

Answer 50

Aerobic. (Anaerobic act1v1t1es like sprinting and liftingheavy weights bum little, if any, fat.)

Question 51

Why is exercise alone ineffective for losing weight?(428)

Answer 51

Exercise does not bum enough fat on its own to cause significantweight loss.

Question 52

What activities are included in a good dynamicwarm-up before vigorous exercise? (428)

Answer 52

Airmen should take five to seven minutes slowly 1) joggingor walking; 2) rotating joints; and 3) mimicking the activitiesto be performed.

Question 53

Why is it important to slowly return the body to itsresting state after exercise? (428)

Answer 53

Stopping suddenly after vigorous exercise can potentiallylead to health complications.

Question 54

How should you cool-down after exercising? (428)

Answer 54

1) Repeat the dynamic warm-up activities; 2) be careful notto overstretch; and 3) hold stretches for 15-30 seconds ormore to improve flexibility.

Question 55

Do not limit __ training to cool-down periodsonly. (428)

Answer 55

Flexibility. (Stretching takes very little time relative to thebenefits gained and can easily be done at home or work.)

Question 56

A job that requires repetitive movements, or is moresedentary, decreases tension in specific muscle groups.T/F (428)

Answer 56

False. (Tension increases in the specific muscle groups andmild stretching throughout the day can help.)

Question 57

Commander-driven physical fitness training is thebackbone of the Air Force physical fitness program.What does it promote? (429)

Answer 57

1) Aerobic and muscular fitness; 2) flexibility; and 3) optimalbody composition.

Question 58

__ is crucial during PT and testing. (429)

Answer 58

Safety.

Question 59

A PT program must exceed members’ current fitnesslevel to encourage and promote progress to a higher one. T/F (429)

Answer 59

False. (The PT program must meet members’ current fitnesslevel.)

Question 60

How is the PT program’s effectiveness measured?(429)

Answer 60

With the 1) 1.5-mile timed run; 2) I-mile walk; 3) AbdominalCircumference (AC); 4) pushup and situp tests. (Donot limit training to these tests.)

Question 61

The unit fitness program develops general fitness,prevents __ and decreases repetitive strain injuries.(429)

Answer 61

Boredom.

Question 62

How can the unit PT program ensure a safe trainingenvironment? (429)

Answer 62

By assessing I) traffic patterns; 2) temperature; 3) wateravailability; 4) first aid availability; 5) awareness of emergencyprocedures; 6) individual medical limitations and abilitylevels; and 7) use of headphones or other personal equipment.

Question 63

What are the three components of the compositefitness score, used to determine overall fitness based on?(429)

Answer 63

1) Aerobic fitness; 2) muscular strength/endurance; and 3)body composition using Abdominal Circumference (AC)measurements.

Question 64

A composite fitness score of __ , in addition tomeeting the minimum component scores, represents theminimum acceptable health, fitness and readiness levels.(429)

Answer 64

75 or greater. (Though health and readiness benefits continueto accrue with increasing fitness levels.)

Question 65

__ - and gender-specific fitness score charts areprovided in AFI 36-2905, Fitness Program. (429)

Answer 65

Age.

Question 66

Scoring the minimum component values in all componentswill generate enough points to earn a compositescore of 75 or greater. T/F (429-Note)

Answer 66

False. (The minimum components are established to ensuremembers avoid “asymmetrical fitness.”)

Question 67

The fitness composite score (ranging from 0 to 100)is calculated from what four component scores? (429)

Answer 67

1) Aerobic Fitness Assessment (FA) (60 points maximum);2) body composition (20 points maximum); 3) pushups (10points maximum); and 4) situps (I 0 points maximum).

Question 68

How do you calculate a member’s fitness compositescore when their medical profile prohibits them fromcompleting one or more of the fitness test components?(429)

Answer 68

Based on the remaining components. (Multiply total componentpoints by 100, then divide by total possible points.)

Question 69

Members complete a composite Fitness Assessment(FA) every three months. T/F (429)

Answer 69

False. (They must complete it biannually.)

Question 70

__ to the composite Fitness Assessment (FA)temporarily categorize members as unable or unavailableto train or test for reasons beyond their or their commander’scontrol. (429)

Answer 70

Exemptions.

Question 71

Who grants PT component exemptions based onmedical recommendations? (429)

Answer 71

The commander, in consultation with the Exercise Physiologist/Fitness Program Managers (EP/FPM).

Question 72

How do increased fitness levels optimize performancein the deployed environment? (429)

Answer 72

They allow Airmen to tolerate extremes in temperature, fatigueand stress.

Question 73

Identify the four fitness levels and the score rangefor each. ( 430-Tbl)

Answer 73

I) Excellent (all four components) - composite score equalsor exceeds 90; 2) Excellent (three or less components) -composite score equals or exceeds 90; 3) Satisfactory- compositescore between 75 and 89.99; and 4) Unsatisfactory -composite score below 75 and/or one component minimumnot met.

Question 74

74. When do Airmen who receive an excellent in all fourcomponents retest? (430-Tbl)

Answer 74

Within 12 months.

Question 75

When do Airmen with unsatisfactory fitness levelsretest? (430-Tbl)

Answer 75

Within 90 days of their initial assessment.

Question 76

Members must have a current fitness score on filebefore deployment. T/F (429)

Answer 76

True.

Question 77

When is the only time “exempt” should be markedon an Airman’s Fitness Assessment (FA)? (429)

Answer 77

The Airman’s current FA expires while deployed where testingis not possible or did not volunteer to test at a locationwhere F As are available.

Question 78

Any Fitness Assessment (FA) __ is annotated inthe Air Force Fitness Management System (AFFMS) andconsidered against the Airman. (429)

Answer 78

Failure.

Question 79

Airmen who reach days after rece1vmg anUnsatisfactory Fitness Assessment (FA) score, but beforethe evaluation closes out, will no longer have a currentevaluation and will be marked “exempt.” (429)

Answer 79

91 days.

Question 80

What is marked on the Fitness Assessment (FA) if anAirman has a current/passing score before deploying andhis or her evaluation closes out after the deploymentstarts? (429-430)

Answer 80

Meets Standards.

Question 81

Deployed Airmen with Satisfactory or Excellentscores become “exempt” when they reach the __ dayof the month, seven/thirteen calendar months followingthe previous official Fitness Assessment (FA) rating. (430)

Answer 81

First.

Question 82

Who appoints PT Leaders (PTL) to augment theFitness Assessment Cell (F AC)? (430)

Answer 82

Unit Commanders. (Installations develop a local Fitness Assessment(FA) plan that is signed by the installation commander.)

Question 83

Fitness Assessment Cell (FAC) augmentees conductthe Fitness Assessments (FA), but do not test membersfrom their own unit. T/F (430)

Answer 83

True.

Question 84

The Fitness Assessment Cell (F AC) will conduct theFitness Assessment (FA) for all Airmen. If no FAC exists,who should conduct the FA? (430, 430-Note)

Answer 84

A certified PT Leader (PTL) from another unit.

Question 85

The Fitness Screening Questionnaire (FSQ) shouldbe completed no earlier than __ calendar days, or__ days for Air Reserve Component (ARC), but nolater than 7 days prior to Fitness Assessment (FA). (430,430-Note)

Answer 85

30; 90.

Question 86

Failure to complete the Fitness Screening Questionnaire(FSQ) invalidates the Fitness Assessment (FA). T/F(430-Note)

Answer 86

False.

Question 87

Medical providers may recommend __ exemptionsfrom specific physical conditioning programs or acomponent of the Fitness Assessment (FA). (430)

Answer 87

Temporary.

Question 88

Pregnant members will engage in PT and receivenutrition counseling throughout the pregnancy and postpartum period. However, they are exempt from fitnesstesting during pregnancy and for __ days after delivery.(430)

Answer 88

180 days.

Question 89

All Fitness Assessment (FA) test components must becompleted within a 3-hour window on the same day orwithin __ duty days in extenuating circumstances.(430)

Answer 89

Five duty days.

Question 90

Assess muscular fitness after the 1-mile walk, restingat least __ minutes between components. (430)

Answer 90

Three minutes. (The 1.5-mile run can be done before or afterthe muscular fitness components.)

Question 91

Schedule Fitness Assessment (FA) components toallow adequate __ for members with irregular or shiftwork hours. (430)

Answer 91

Rest.

Question 92

Which component of the Fitness Assessment (FA)must be assessed first? (430)

Answer 92

The body composition component.

Question 93

What does the body composition assessment measure?(430)

Answer 93

Your height, weight and Abdominal Circumference (AC).

Question 94

Where will Fitness Assessment Cell (F AC) membersor trained augmentees take the Abdominal Circumference(AC) measurement? (430)

Answer 94

In a private room or partitioned area.

Question 95

The __ assessment is a 1.5-mile timed run or, ifmedically exempt, 1-mile walk. (430-431)

Answer 95

Aerobic. ( 1-mile walk is the only authorized alternate assessmentfor Regular Air Force or Air Reserve Component(ARC) members.)

Question 96

How are upper body and abdominal muscularstrength/endurance measured? (431)

Answer 96

With a one-minute timed pushup test for the upper body anda one-minute timed sit-up test for the abdominals.

Question 97

Physical fitness education will be incorporated intotraining programs and unit PT. T/F (431)

Answer 97

True.

Question 98

Ongoing __ emphasis and a supportive environmentare essential to maintaining force health and fitness. (431)

Answer 98

Commander.

Question 99

What program is managed by the Health and WellnessCenter (HA WC) and is mandatory for all Air Forcemembers with an unsatisfactory score? (431)

Answer 99

The Balanced Eating, Work Out Effectively, Living Longer(BE WELL) Program.

Question 100

The installation must promote a healthy lifestyleand optimal nutrition, body composition and fitnessfor all members. (431)

Answer 100

Environment.

Question 101

Who makes the unit PT program a success? (431)

Answer 101

The unit commander, Unit Fitness Program Manager(UFPM), PT Leader (PTL), immediate supervisor and eachindividual.

Question 102

What is the unit commander’s role in the PT program?(431)

Answer 102

He or she 1) promotes, supports and ensures the integrity ofthe fitness program; and 2) provides an environment conduciveto healthy lifestyle choices; 3) encourages participationin physical fitness during the duty day; and 4) implementsand maintains the PT program.

Question 103

What is the Unit Fitness Program Manager’s(UFPM) role in the PT program? (431)

Answer 103

To 1) oversee the administration of the unit fitness program;2) notify the unit commander of members who fail to attendscheduled fitness appointments; and 3) provide monthly fitnessmetrics and unit status reports to the unit commander.

Question 104

How frequently does the PT Leader (PTL) attend aPTL refresher course? (431)

Answer 104

Annually, or upon change in duty station.

Question 105

Air Reserve Component (ARC) PT Leaders (PTL)receive initial and refresher training from Regular AirForce Exercise Physiologist/Fitness Program Managers(EP/FPM) at co-located bases. How do ARC PTLs completetraining when in-person training is not feasible?(431)

Answer 105

They complete distance learning training, coordinatedthrough the Air Force Medical Operations Agency and thesupporting base EP/FPM.

Question 106

The PT Leader (PTL) must complete Basic LifeSupport (BLS) and Automated External Defibrillator(AED) training prior to attending the PTL certificationcourse. T IF ( 431)

Answer 106

True. (They must maintain currency while serving as PTLs.)

Question 107

What is each individual’s role in the PT program?(432)

Answer 107

Each Air Force member must 1) maintain year-round physicalfitness through self-directed and unit-based fitness programsand proper nutrition standards according to AFI 36-2905; 2) meet minimum Air Force fitness standards; and 3)attend all required fitness program appointments.

Question 108

What are the three main types of macronutrients?(432)

Answer 108

The essential calorie-containing nutrients are 1) carbohydrates;2) protein; and 3) fats.

Question 109

__ are also known as the “energy powerhouse”because they fuel our bodies, especially the brain andmuscles. (432)

Answer 109

Carbohydrates.

Question 110

Simple carbohydrates take longer to convert to glucose,keeping blood sugar levels consistent and preventingan energy crash during a workout. T/F (432)

Answer 110

False. (Complex carbohydrates take longer to convert toglucose.)

Question 111

Most sports nutritionists recommend that carbohydratesmake up __ to __ of the calories in a diet.(432)

Answer 111

One-half to two-thirds.

Question 112

What are the building blocks of protein, necessary tobuild and repair muscle tissue, grow hair and fingernails,produce hormones, boost your immune system and replacered blood cells? (432)

Answer 112

Amino acids.

Question 113

rotein is needed for the development of muscles,but “more” protein will not build bigger muscles. T/F(432)

Answer 113

True.

Question 114

General nutrition guidelines for healthy individualsare between __ and __ grams of protein per poundof body weight, depending on activity level. (432)

Answer 114

0.5 and 0.8 grams. (Airmen should consult with the installation’sregistered dietitian or diet technician.)

Question 115

What can excessive intake of the macronutrient, fat,lead to? (432)

Answer 115

I) Weight gain; 2) heart disease; and 3) cancer.

Question 116

What foods contain less healthy fats, such as transfats and saturated fats? (432)

Answer 116

Commercially baked foods and animal products.

Question 117

Healthier fats are __ and __ unsaturated fats, found mostly in plant foods, nuts and fatty fish. (432)

Answer 117

Mono- and poly-unsaturated fats.

Question 118

Fats are recommended as part of a pre-exercisesnack. T/F (432)

Answer 118

False. (Fats digest slowly and may cause digestive distress.)

Question 119

What percentage of water is the human body madeup of? (432)

Answer 119

Over 50 percent.

Question 120

Why is proper hydration critical before, during andafter intense workouts? (433)

Answer 120

Exercise places great demands on fluid replacement.

Question 121

The simplest way to tell if you’re adequately hydratedis the __ test (433)

Answer 121

Urine test. (Drink enough water so that your urine is consistentlypale yellow or clear, and weakly scented.)

Question 122

What information does the US Department of Agricultureprovide at http://www.choosemyplate.gov? (433)

Answer 122

A food guidance system that offers many options to helpmake healthy food and activity choices every day.

Question 123

For -based advice on healthy food and physicalactivity choices, read the Dietary Guidelines for Americansat the US Department of Agriculture’s website. (433)

Answer 123

Science-based. (http://www.choosemyplate.gov)

Question 124

With regard to nutrition, maintaining a healthy__ is one of the keys to a long, successful career. (433)

Answer 124

Weight. (Start by making small and gradual changes in eatingbehavior and physical activity.)

Question 125

What risks increase when overweight or obese? (433)

Answer 125

Increased risk of high blood pressure, high blood cholesterol,heart disease, stroke, diabetes, arthritis, breathing problemsand certain types of cancers.

Question 126

What is the essence of nutritional fitness? (433)

Answer 126

What nutrition you put into your body impacts what physicalabilities come out of your body.

Question 127

What is nutritional fitness? (433)

Answer 127

Having a safe and appropriate quantity, quality, choice andtiming of fuels, nutrients and fluids to sustain and optimizephysical and cognitive performance, wellness and health,support environmental adaptations, accelerate healing andprotect against disease.

Question 128

What helps promote nutritional fitness and a resilientand fit force? (433)

Answer 128

Performance-based nutrition education and an eating environmentthat makes healthy choices the easy choice.

Question 129

What is the purpose of a pre-exercise meal or snack?(434)

Answer 129

To provide enough carbohydrates to maintain proper bloodsugar levels and enough fluid to maintain hydration duringthe activity.

Question 130

Eat a pre-exercise meal __ to __ hours beforethe activity starts. ( 434)

Answer 130

3 to 4 hours. (Meal should include carbohydrates, fats andprotein.)

Question 131

Eat a pre-exercise snack that contains mostly __30 to 60 minutes before activity. (434)

Answer 131

Carbohydrates. (They are digested quickly and tum into energy-giving glucose.)

Question 132

Depending on the time and intensity of the workout,a post-activity snack or light meal will help with recovery.When should you eat a recovery snack? (434)

Answer 132

When an exercise routine is rigorous and lasts more than 45minutes.

Question 133

In regard to nutrition, avoid __ diet changes beforea fitness test. (434)

Answer 133

Drastic. (Experiment with new food during training.)

Question 134

Supplements are regulated by the Food and DrugAdministration (FDA). T/F (434)

Answer 134

False. (This lack of oversight means there is no guaranteethat what you purchase is what you get.)

Question 135

Who created the Human Performance ResourceCenter website that has updates on supplements and performancenutrition? (434)

Answer 135

TheDoD.

Question 136

Who must an Airman consult if he or she wantsclearance to take a dietary supplement? (434)

Answer 136

His or her primary care physician or flight surgeon.

Question 137

Which treatment programs include substance abuseprevention, education, treatment and urinalysis testing?(434)

Answer 137

The Air Force Alcohol and Drug Abuse Prevention andTreatment (ADAPT) and Demand Reduction (DR) programs.

Question 138

What assistance will individuals with substanceabuse problems receive? (434)

Answer 138

Counseling and treatment, as needed.

Question 139

Air Force members are not responsible for unacceptablebehavior resulting from substance abuse. T/F(434)

Answer 139

False.

Question 140

What are the four objectives of the Alcohol and DrugAbuse Prevention and Treatment (ADAPT) program?(434)

Answer 140

To 1) promote readiness, health and wellness by preventingand treating substance abuse; 2) minimize the negative consequencesof substance abuse; 3) provide comprehensivesubstance abuse education and treatment; and 4) return identifiedsubstance abusers to unrestricted duty status or assistthem in their transition to civilian life.

Question 141

What is the DoD policy on drug abuse? (434)

Answer 141

To prevent and eliminate drug and alcohol abuse and dependencefrom the DoD.

Question 142

Drug and alcohol abuse and dependence are incompatiblewith __ , high performance standards and militarydiscipline. ( 434)

Answer 142

Readiness.

Question 143

Define drug abuse. (434)

Answer 143

The wrongful, illegal or improper use, possession, sale,transfer or introduction onto a military installation of anydrug as defined in AFI 44-121, Alcohol and Drug AbusePrevention and Treatment (ADAPT) Program.

Question 144

__ use of substances is use without legal justificationor excuse. (434)

Answer 144

Wrongful.

Question 145

To ensure military readiness, Air Force policy prohibitsingestion of products containing or derived fromhemp seed or hemp seed oil. Why? (435)

Answer 145

These products may contain THC, the active ingredient ofmarijuana.

Question 146

Products made with hemp seed or hemp seed oil maycontain THC, the active ingredient of marijuana, andtherefore their ingestion is prohibited. Failure to complyviolates Article 92, UCMJ. T/F (435)

Answer 146

True

Question 147

Other than the lawful use of alcohol or tobacco, the__ use of any intoxicating substance that is inhaled,injected, consumed or introduced into the body in anymanner that alters mood or function is prohibited. (435)

Answer 147

Knowing. (Failure to comply by military personnel violatesArticle 92, UCMJ.)

Question 148

Knowing. (Failure to comply by military personnel violatesArticle 92, UCMJ.)

Answer 148

Worldwide.

Question 149

Air Force policy recognizes that __ negativelyaffects public behavior, duty performance, and/or physicaland mental health. (435)

Answer 149

Alcohol abuse.

Question 150

AFI __ provides guidance for the identification,treatment and management of personnel with substanceabuse problems and describes Air Force policy regardingalcohol and drug abuse. (435)

Answer 150

AFI 44-12 I.

Question 151

AFMAN 31-116, Air Force Motor Vehicle TrafficSupervision, establishes guidance on court hearing procedures,convictions, nonjudicial punishment (NJP), civilianadministrative action or appropriate punishment forviolation of __ and intoxicated driving policies. (435)

Answer 151

Impaired.

Question 152

Military members are presumed to be impaired withwhat blood-alcohol percentage? (435)

Answer 152

At least 0.05 but less than 0. 10.

Question 153

Intoxicated driving is operating a motor vehicle underalcohol intoxication only. T/F (435)

Answer 153

False. (Drugs also qualify.)

Question 154

Driving or being in physical control of a motor vehiclewith a blood alcohol percentage __ or greater resultsin a one-year driving privilege suspension. (435)

Answer 154

0. I 0. (If more stringent, the state limit applies.)

Question 155

What is the blood alcohol limit for intoxicated drivingoverseas? (435)

Answer 155

0.10. (The SecDefmay set a lower limit.)

Question 156

Under what circumstances does the Air Force reviewmembers’ drinking habits? (435)

Answer 156

When they affect public behavior, duty performance or physicaland mental health.

Question 157

What is the supervisor’s role in assessing potentialdrug- and alcohol-related problems? (435)

Answer 157

To identify subordinates with problems early and motivatethem to seek and accept help.

Question 158

Name at least five of the 15 signs and symptoms of substance abuse. (436-Fig)

Answer 158

Any five of the following: 1) deteriorating duty performance;2) unexplained or frequent absences; 3) frequent errors injudgment; 4) financial irresponsibility; 5) arrests or legalproblems; 6) increased alcohol use; 7) memory loss; 8)morning drinking and hangovers; 9) health problems relatedto drinking; 10) violent behavior; 11) suicidal thoughts orbehaviors; 12) dramatic mood swings; 13) denial or dishonestyabout use; 14) failed attempts to stop or cut down; and15) concerns expressed by family or friends.

Question 159

The presence of the signs and symptoms of substanceabuse substantiates a substance abuse problem. T/F (435)

Answer 159

False. (Although they are common indicators, do not usethem to make a conclusive diagnosis.)

Question 160

What should you do if you are concerned that an AirForce member has a substance abuse problem? (435)

Answer 160

Talk with him or her and explain your concern. Also documentand discuss specific instances of unusual behavior withthe supervisor, first sergeant or unit commander. Do nothesitate to document and refer troubled subordinates to theAlcohol and Drug Abuse Prevention and Treatment(ADAPT) program.

Question 161

Help must be offered to every individual with substanceabuse problems. T/F (435-436-Note)

Answer 161

True.

Question 162

What are the five basic substance abuse identificationmethods? (436-437)

Answer 162

1) Medical care referrals; 2) commander’s identification; 3)drug testing; 4) results of a medical examination; and 5) selfidentification.

Question 163

When must medical personnel notify the unit commanderand the Alcohol and Drug Abuse Prevention andTreatment Program Manager (ADAPTPM) about suspectedsubstance abuse? (436)

Answer 163

When a member 1) is observed, identified or suspected to beunder the influence of alcohol or drugs while seeking medicalcare; 2) receives treatment for an injury or illness thatmay be the result of substance abuse; 3) is suspected of abusingsubstances; or 4) is admitted as a patient for alcohol ordrug detoxification.

Question 164

List some examples of incidents that require unitcommanders to refer servicemembers for assessmentbecause substance use is suspected to be a contributingfactor. (436)

Answer 164

1) DUI; 2) public intoxication; 3) drunk and disorderly; 4)spouse and/or child abuse and maltreatment; 5) underagedrinking; 6) positive drug test; and 7) when notified by medicalpersonnel.

Question 165

Why must commanders and supervisors refer memberswith suspected or identified substance abuse prollems for treatment? 436)

Answer 165

Failure to refer increases the risk for developing more severesubstance abuse problems and may jeopardize others’ safetyand, ultimately, mission accomplishment.

Question 166

What AFI governs Air Force drug testing of personnel?(436)

Answer 166

AFI 44-120, Military Drug Demand Reduction Program.

Question 167

Military personnel are subject to drug testing dependingon their grade, status and position. T/F (436)

Answer 167

False. (All personnel are subject to testing.)

Question 168

__ testing is the best deterrent against drug abusepresently available. (436)

Answer 168

Inspection.

Question 169

Military members may be ordered or voluntarilyconsent to provide urine samples at any time. What happensto members who fail to comply? (436)

Answer 169

They are subject to punitive action under the UCMJ.

Question 170

Commander-directed drug testing should only beused as a last resort. Why? (436)

Answer 170

The results cannot be used in actions under the UCMJ or tocharacterize a member’s service as either general or underother than honorable conditions if they are separated.

Question 171

What two adjectives best describe inspection testingunder Military Rule of Evidence (MRE) 313? (436)

Answer 171

Random and unpredictable.

Question 172

How are individuals selected for inspection testingfor drug abuse? (436)

Answer 172

At random, using a nonbiased selection process. Commandersmay also select work sections, units or segments of themilitary population to provide urine samples.

Question 173

After inspection under Military Rule of Evidence(MRE) 313, how may commanders use a positive result ofa urine drug test? (436)

Answer 173

) To refer a member for substance abuse evaluation; 2) asevidence to support disciplinary action under the UCMJ oradministrative discharge action; and 3) as a consideration forcharacterization of discharge in administrative discharges.

Question 174

When does probable cause exist in regards to drugtesting? (436)

Answer 174

When there is reasonable belief that drugs will be found inthe member’s system.

Question 175

Consult with the __ regarding appropriate proceduresto establish probable cause for substance abuse.(436)

Answer 175

Staff Judge Advocate (SJA).

Question 176

May the results of any examination conducted for avalid medical purpose (including emergency medicaltreatment, periodic physical examinations and other examinationsfor diagnostic or treatment purposes) be usedto identify drug abusers? (437)

Answer 176

Yes.

Question 177

Results of any examination conducted for valid medicalpurposes that identifies a drug abuser may be used asevidence to support disciplinary action under the UCMJor administrative discharge action. T/F (437)

Answer 177

True.

Question 178

Air Force members with substance abuse problemsare encouraged to seek assistance from the unit commander,first sergeant, substance abuse counselor or amilitary medical professional. T/F (437)

Answer 178

True. (Following the assessment, the Alcohol and DrugAbuse Prevention and Treatment Program Manager(ADAPTPM) will consult with the Treatment Team (TT) anddetermine an appropriate clinical course of action.)

Question 179

Self-identification for substance abuse is reserved forwhom? (437)

Answer 179

Members not currently under investigation or pending actionas a result of an alcohol-related incident.

Question 180

Commanders will grant unlimited protection for AirForce members who voluntarily disclose evidence of personaldrug use or possession with the intention of enteringtreatment. T/F (437)

Answer 180

False. (Limited protection will be granted; however, commandersmay not use voluntary disclosure against a memberin an action under the UCMJ or when weighing characterizationof service in a separation.)

Question 181

When is disclosure of evidence of personal drug useor possession not considered voluntary? (437)

Answer 181

If the Air Force member has previously been 1) apprehendedfor drug involvement; 2) placed under investigation for drugabuse; 3) ordered to give a urine sample as part of the drugtesting program whose results are still pending or have beenreturned as positive; 4) advised of a recommendation foradministrative separation for drug abuse; or 5) entered intotreatment for drug abuse.

Question 182

When is a member considered under investigationfor drug abuse? (437)

Answer 182

When 1) an entry is made in the security forces blotter; 2) thesecurity forces investigator’s log shows an initial case entry;3) the Air Force OSI opens a case file; 4) he or she has beenquestioned about drug use by investigative authorities or hisor her commander; or 5) an allegation of drug use has beenmade against the member.

Question 183

Commanders must provide sufficient incentive toencourage members to seek help for problems with alcoholwithout fear of negative consequences. T/F (437)

Answer 183

True.

Question 184

Self-identified members enter the Alcohol and Drug Abuse Prevention and Treatment (ADAPT) assessment process and are held to what standards? (437)

Answer 184

The same standards as others entering substance abuse education,counseling and treatment programs.

Question 185

The supervisor’s role in the drug abuse treatmentprocess is limited to identifying and referring members.T/F (437)

Answer 185

False. (Although the supervisor does not provide treatment,his or her daily interaction with personnel and the TreatmentTeam (TT) can significantly impact the success of treatmentefforts.)

Question 186

What is one of the most critical components of amember’s substance abuse treatment program? (437)

Answer 186

The Treatment Team Meeting (TTM).

Question 187

When must the commander and/or first sergeant andthe supervisor be involved in the Treatment Team Meeting(TTM)? (437)

Answer 187

At program entry, termination and any time there are significanttreatment difficulties with the patient.

Question 188

What is the primary objective of the TreatmentTeam (TT) in drug abuse treatment? (437)

Answer 188

To guide the clinical course of the patient’s treatment afterexamining all the facts.

Question 189

The substance abuse Treatment Team (TT) consistsof whom? (437)

Answer 189

The commander, supervisor, member’s counselor, medicalconsultants, other appropriate helping agencies and themember.

Question 190

What is the central purpose of the substance abuseassessment? (437)

Answer 190

To determine the patient’s need for treatment and the level ofcare required.

Question 191

Alcohol and Drug Abuse Prevention and Treatment(ADAPT) staff members conduct the substance abuseassessment within how many calendar days of notification?(437)

Answer 191

Seven.

Question 192

Alcohol and Drug Abuse Prevention and TreatmentProgram Managers (ADAPTPM) conduct required reviewsof what materials on a priority basis? (437)

Answer 192

The patient’s medical records and all documentation providedby the substance abuse staff

Question 193

What two services is substance abuse treatment dividedinto? (438)

Answer 193

Nonclinical and clinical.

Question 194

All active duty members involved in alcohol-relatedmisconduct will be referred for substance abuse assessment.T/F (438)

Answer 194

True.

Question 195

What nonclinical substance abuse services do membersnot meeting the diagnostic criteria for alcohol abuseor dependence receive? (438)

Answer 195

Counseling targeted (secondary) prevention and educationand at least one followup visit to reassess risk, assess progressand review educational components.

Question 196

How are the length and number of targeted preventionand education visits determined for members referredfor substance abuse who do not meet the diagnosticcriteria for alcoholism or alcohol abuse? (438)

Answer 196

Based on a thorough assessment, determination of risk andtailored to the individual.

Question 197

Individuals diagnosed with a moderate or higher riskfor alcohol abuse or dependence receive at least __ 30-minute followups with progress updates. (438)

Answer 197

Two. (The focus of these meetings are not treatment. Theyare targeted (individual) prevention, education and reassessment.)

Question 198

Two. (The focus of these meetings are not treatment. Theyare targeted (individual) prevention, education and reassessment.)

Answer 198

Information on 1) Air Force policy; 2) the relationship betweenconsumption, metabolism and intoxication; and 3) thephysiological effects of alcohol on the brain and body.

Question 199

What determines the length of involvement in nonclinicalsubstance abuse treatment? (438)

Answer 199

The patient’s presenting problems and agreements upontreatment or in the behavioral contract.

Question 200

Individuals being processed for separation will beprovided appropriate medical care (detoxification) priorto separation. Will separation be postponed due to participationin the Alcohol and Drug Abuse Prevention andTreatment (ADAPT) program? (438)

Answer 200

No.

Question 201

Which substance abuse patients are entered intoclinical substance abuse services with a level and intensityof care determined by the Alcohol and Drug Abuse Preventionand Treatment Program Manager (ADAPTPM)?(438)

Answer 201

Those meeting the Diagnostic Statistical Manual (DSM) IVdiagnostic criteria for alcohol abuse or dependence.

Question 202

What is the Air Force’s philosophy regarding placingpersonnel with substance abuse problems in treatmentprograms? (438)

Answer 202

They are placed in the least intensive or restrictive treatmentenvironment that is appropriate to their therapeutic needs.

Question 203

Treatment plans are individually tailored to eachpatient’s needs; __ involvement is strongly encouraged.(438)

Answer 203

Family. (Depending on the needs of the patient, variablelengths of stay or duration of treatment are provided withinan array of treatment settings.)

Question 204

Are individuals diagnosed with alcohol abuse or dependencerequired to refrain from drinking during theinitial phase of substance abuse treatment? (438)

Answer 204

Yes. (They are strongly encouraged to continue to abstainduring aftercare.)

Question 205

A relapse into unacceptable drinking behavior impliesfailure of the substance abuse treatment process.T/F (438)

Answer 205

False. (Because of the nature of alcoholism, a relapse shouldbe anticipated.)

Question 206

Involvement in self-help recovery groups is encouragedas an adjunct to substance abuse treatment. How isthe frequency of attendance determined? (438)

Answer 206

It is determined by the Treatment Team (TT) with the patient.

Question 207

Substance abuse detoxification should be managedon an outpatient basis prior to inpatient treatment.Where are patients requiring medically managed detoxificationplaced? (438)

Answer 207

An appropriate medical facility.

Question 208

When are patients considered to have successfullycompleted the Alcohol and Drug Abuse Prevention andTreatment (ADAPT) program? (438)

Answer 208

When they meet the Diagnostic Statistical Manual (DSM)criteria for early full remission.

Question 209

When are patients considered to have failed the Alcoholand Drug Abuse Prevention and Treatment(ADAPT) program? (439)

Answer 209

When the Treatment Team (TT) observes patterns of unacceptablebehavior, inability or unwillingness to comply withtheir treatment plan or involvement in alcohol or drug-relatedincidents after initial treatment.

Question 210

Individuals who have failed the Alcohol and DrugAbuse Prevention and Treatment (ADAPT) program willbe considered for administrative __ by their commander.(439)

Answer 210

Separation.

Question 211

Decisions regarding substance abuse aftercare serviceswill be based on treatment history. T/F (439)

Answer 211

False. (They will be based on an assessment of current status.)

Question 212

What does the substance abuse aftercare treatmentplan identify? (439)

Answer 212

Specific goals, interventions and means to assess them.

Question 213

The commander is responsible for all personnel andadministrative actions pertaining to patients involved inthe Alcohol and Drug Abuse Prevention and Treatment(ADAPT) program. What does this include? (439)

Answer 213

1) Assignment availability; 2) promotion eligibility; 3) reenlistmenteligibility; 4) Personnel Reliability Program; and 5)security clearances.

Question 214

What should administrative restrictions for substanceabuse be based on? (439)

Answer 214

The establishment of an Unfavorable Information File (UIF)or control roster resulting from the member’s unacceptablebehavior, not solely on their involvement in the Alcohol andDrug Abuse Prevention and Treatment (ADAPT) program.

Question 215

What is a Line of Duty (LOD) determination? (439)

Answer 215

A finding made after an investigation into the circumstancesof a member’s illness, injury, disease or death to determinewhether it 1) Existed Prior to Service (EPTS) (and if EPTS,whether it was aggravated by military service); 2) occurredwhile the member was absent from duty; and 3) was due tothe member’s own misconduct.

Question 216

Can a member’s substance abuse misconduct lead toa Line of Duty (LOD) determination? ( 439)

Answer 216

Yes.

Question 217

What entitlements may a Line of Duty (LOD) determinationimpact? (439)

Answer 217

I) Disability retirement and severance pay; 2) forfeiture ofpay; and 3) period of enlistment; and 4) veteran benefits.(Additional guidance may be found in AFI 36-2910, Line ofDuty (Misconduct) Determination.)

Question 218

What is the single most preventable cause of disease236and death in the US?

Answer 218

Tobacco use. (Approximately 443,000 Americans die eachyear from tobacco-related diseases; an estimated 49,000 diefrom secondhand smoke.)

Question 219

What is the Air Force’s goal regarding tobacco use?(439)

Answer 219

To be a tobacco-free force.

Question 220

Tobacco use, including but not limited to cigarettes,cigars, spit tobacco and electronic cigarettes, is __with the Air Force’s goal of a mission-ready, healthy andfit force. ( 439)

Answer 220

Inconsistent.

Question 221

Tobacco use only affects the mouth and lungs. T/F(439)

Answer 221

False. (It affects all body systems.)

Question 222

What medical problems have been linked to members’tobacco use? (439)

Answer 222

Types of cancer, cardiovascular diseases and many otherdiseases; decreased endurance, night vision and fine motorcoordination; increased risk of injuries and post-operativerespiratory complications; and impaired (or slow) woundhealing.

Question 223

The Environmental Protection Agency (EPA) classifiestobacco smoke as a class “A” carcinogen. What doesthis mean? (439)

Answer 223

Smoking causes cancer and contributes to cardiovasculardisease. (For both the smoker and those who breathe environmental(exhaled) tobacco smoke.)

Question 224

Cigarette smoking has declined but the use of smokelesstobacco has increased, based on the faulty assumptionthat it is less hazardous than smoking. What is theevidence against this assumption? (439)

Answer 224

1) Smokeless tobacco contains 28 different cancer-causingagents (carcinogens); 2) oral cancers affect 30,000 peopleannually, killing one per hour; and 3) the 5-year survival rateafter diagnosis is only 50%.

Question 225

How can you best prevent nicotine addiction? (439-440)

Answer 225

By never using tobacco products. (Quitting is challenging.)

Question 226

Who found that nearly 100 percent of adults whosmoke daily started when they were 26 or younger? (440)

Answer 226

The US Surgeon General.

Question 227

TRICARE estimates tobacco use costs the DoD$ _ per year because of increased health care use anddecreased work productivity (due to smoking breaks and illness). (440)

Answer 227

$1.6 billion per year.

Question 228

How much will an AB spend each year if he or shesmokes a pack of cigarettes each day? (440)

Answer 228

One month’s base pay.

Question 229

Which AFI expands tobacco-free environments.(440)

Answer 229

AFI 40-102, Tobacco Use in the Air Force.

Question 230

Tobacco use on military installations is restricted towhat areas? (440)

Answer 230

Designated Tobacco Areas (DTA).

Question 231

Tobacco use is prohibited on all recreational facilities,including athletic complexes, golf courses and beaches.T/F (440)

Answer 231

True. (Unless the installation commander assigns a DesignatedTobacco Area (DTA).)

Question 232

Not using tobacco should be the Air Force norm topromote mission readiness, health and productivity. T/F(440)

Answer 232

True.

Question 233

What do installation health promotion programs(offered through the Health and Wellness Center(HA WC)) provide to discourage tobacco use? (440)

Answer 233

Strategies for education, motivation and intervention. (TheHA WC also provides formal, structured tobacco cessationprograms.)

Question 234

What is the Military Health System (MHS)? (440)

Answer 234

A unique partnership of medical educators, medical researchers,health care providers and their support personnelworldwide.

Question 235

The Military Health System (MHS) is a DoD enterprise.Who does it consist of? (440)

Answer 235

The 1) Office of the Assistant Sec Def for Health Affairs; 2)medical departments of the Army, Navy, Marine Corps, AirForce, Coast Guard and Joint Chiefs of Staff (JCS); 3) CombatantCommand (COCOM) surgeons; and 4) TRICAREproviders (including private sector health care providers,hospitals and pharmacies).

Question 236

The Military Health System (MHS) is prepared torespond with comprehensive medical capability to militaryoperations, natural disasters and humanitarian crisesin the US alone. T/F (440)

Answer 236

False. (It is prepared to respond anytime, anywhere aroundthe globe.)

Question 237

How does the Military Health System (MHS) promotea fit, healthy and protected force? (440)

Answer 237

By reducing noncombat losses, optimizing healthy behaviorand physical performance and providing casualty care.

Question 238

What are the key mission elements of the MilitaryHealth System (MHS)? (440)

Answer 238

1) Casualty care and humanitarian assistance; 2) fit, healthyand protected force; 3) healthy, resilient individuals, familiesand communities; and 4) education, research and performanceimprovement.

Question 239

What does the v1s10n statement of the MilitaryHealth System (MHS) focus on? (440)

Answer 239

1) Providing premier care for warriors and their families; 2)creating an integrated team ready to go in harm’s way; 3)leading in health education, training, research and technology;4) becoming a nationally recognized leader in preventionand health promotion; and 5) building a bridge to peacethrough humanitarian support.

Question 240

TRICARE is the health care program serving activeduty servicemembers and retired members of the uniformedservices, their families, survivors and certainformer spouses (those who are registered in Defense EnrollmentEligibility Reporting System (DEERS)). Whoelse does it serve? (441)

Answer 240

Air Reserve Component (ARC) members and their families.(Benefits will vary depending on sponsor’s military status.)

Question 241

TRICARE brings together the health resources ofthe Army, Navy, Air Force, Coast Guard and commissionedcorps of the public health service, and supplementsthis capability with networks of civilian healthprofessionals, institutions, pharmacies and suppliers. T/F(441)

Answer 241

True.

Question 242

The mission of is to enhance DoD and nationalsecurity by providing health support for the full range ofmilitary operations. (441)

Answer 242

TRI CARE.

Question 243

What is the vision ofTRICARE? (441)

Answer 243

To be a world-class health care system that supports the militarymission by fostering, protecting, sustaining and restoringhealth.

Question 244

Name several ways TRICARE enhances medicalreadiness. (441)

Answer 244

I) Promoting our forces’ health and well-being; 2) providingpreventive care and excellent medical care; 3) enabling medicsto maintain skills during peacetime for ultimate medicalreadiness in wartime; 4) ensuring the Air Reserve Component(ARC) has access to quality medical care; 5) providingaccess to medical care for members and their families stationedaway from Military Treatment Facilities (MTF); and6) taking care of family members at home so members cantake care of the mission.

Question 245

TRI CARE is available worldwide and is managed in__ separate regions. ( 441)

Answer 245

Four. (Three in the US and one OS.)

Question 246

The three US regions of TRICARE include North,South and West. What does the OS region include? (441)

Answer 246

TRICARE Eurasia-Africa, TRICARE Latin America andCanada and TRICARE Pacific.

Question 247

What three plans does TRICARE offer to eligiblebeneficiaries? (441)

Answer 247

I) Prime; 2) Standard; and 3) Extra.

Question 248

TRICARE availability depends on the beneficiary’sstatus and residence. Who can help you decide whichoption is best? (441)

Answer 248

Local TRICARE service centers or the beneficiary counselingand assistance coordinators in the Military TreatmentFacilities (MTF).

Question 249

TRICARE Prime is a managed care option offeringthe most affordable and comprehensive coverage. Whatimportant points should you know about this plan? (441)

Answer 249

1) lt is the only option available to active dutyservicemembers; 2) enrollment is not automatic; 3) there isno enrollment fee, annual deductible or co-payments for carein the network; 4) most care is received from providers in theTRICARE network; 5) a Primary Care Manager (PCM) providesmost of the member’s care; 6) it includes enhancedvision and preventive service; and 7) it offers travel reimbursementfor some specialty care.

Question 250

What TRI CARE program extends TRI CARE Primebenefits to active duty servicemembers and Active DutyFamily Members (ADFM) in designated ZIP codes wholive and work at least 50 miles or an hour’s drive from aMilitary Treatment Facility (MTF)? (442)

Answer 250

TRICARE Prime Remote (TPR). (Active dutyservicemembers are required to enroll. Those living closerthan 50 miles may be eligible when geographic boundariescreate undue travel hardship.)

Question 251

Active Duty Family Members (ADFM) residing withtheir TRICARE Prime Remote (TPR)-enrolled sponsorsare eligible for TPR for Active Duty Family Members(TPRADFM). T/F (442)

Answer 251

True. (They may remain enrolled even if their sponsor receivesunaccompanied PCS orders, as long as they remain inthe same TPR location.)

Question 252

TRI CARE _____ is used when visiting a nonnetworkprovider. (442)

Answer 252

Standard.

Question 253

What should you know about the TRICARE Standardand Extra fee-for-service plan? (442)

Answer 253

It I) is available to all nonactive duty beneficiaries in the US;2) does not require enrollment; 3) gives automatic coverageas long as information is current in the Defense EnrollmentEligibility Reporting System (DEERS); 4) allows membersto visit any TRICARE-authorized provider, network or nonnetwork;5) may require prior authorization for some services;and 6) provides care at Military Treatment Facilities(MTF) on a space-available basis.

Question 254

TRICARE __ is used if visiting a network providerallowing the beneficiary to pay less out-of-pocket.(442)

Answer 254

Extra.

Question 255

What medical services does TRICARE Prime provideat no cost to participants? (442-Fig)

Answer 255

I) Civilian inpatient admission; 2) civilian outpatient visits; 3) civilian inpatient mental health; and 4) civilian inpatientskilled nursing facility care.

Question 256

TRICARE Extra and Standard members rankedSSgt and above pay an annual deductible of $150 perindividual or $300 per family. What are the deductiblesfor Sr A and below? (442-Fig)

Answer 256

$50 per individual or $100 per family.

Question 257

There is no annual enrollment fee for TRICAREExtra, Standard or Prime. T/F (442-Fig)

Answer 257

True.

Question 258

The civilian inpatient admission fee for TRICAREExtra and Standard participants is the greater of $25 or$15.65 per day. What is the civilian inpatient mentalhealth fee? (442-Fig)

Answer 258

The greater of$20 per day or $25 per admission.

Question 259

With TRICARE Extra and Standard, civilian inpatientskilled nursing facility care costs $15.65 per daywith a minimum$ __ charge per admission. (442-Fig)

Answer 259

$25.

Question 260

The TRICARE catastrophic cap on out-of-pocketexpenses for TRICARE-covered services is __ per active duty family per FY. (442-Fig)

Answer 260

$1,000.

Question 261

Who qualifies to purchase TRI CARE Young Adult(TY A), a premium-based coverage plan that offersTRICARE Prime and TRICARE Standard worldwide?(443)

Answer 261

Unmarried, 21- to 25-year-old dependents of TRICAREeligibleuniformed service sponsors.

Question 262

What two eligibilities would disqualify you frompurchasing TRICARE Young Adult (TYA)? (443)

Answer 262

Eligibility for either TRICARE program coverage or enrollmentin an employer-sponsored health plan as defined inTY A regulations.

Question 263

The TRICARE Dental Program (TDP) offers dentalcare with __ dentists. (443)

Answer 263

Civilian. (It is managed by United Concordia Companies,Inc. (UCCI).)

Question 264

Who is eligible for TRICARE Dental Program(TDP)? (443)

Answer 264

Active Duty Family Members (ADFM), selected Reserveand Individual Ready Reserve (IRR) members and their eligiblefamily members.

Question 265

Active duty servicemembers and Reservists called toactive duty for more than __ days are not eligible forTRI CARE Dental Program (TDP). (443)

Answer 265

30 days.

Question 266

Suicide is the act of __ killing oneself, based onthe victim’s intent and understanding of the probableconsequences of his or her actions. ( 443)

Answer 266

Deliberately.

Question 267

Roughly how many Americans commit suicide eachyear? (443)

Answer 267

30,000. (Almost twice the number killed by homicide.)

Question 268

During 2011, the Air Force suffered __ RegularAir Force suicides. (443)

Answer 268

42. (A rate of 12. 8 suicides for every I 00,000 Airmen.)

Question 269

Suicide is the __ leading cause of death amongRegular Air Force personnel. (443)

Answer 269

Third. (Death by accidents is second.)

Question 270

During 2011, 27 Air Reserve Component (ARC) and__ civilian employee suicides occurred. (443)

Answer 270

17.

Question 271

Within the Air Force, what are the most commonstressors among those who commit suicide? (443)

Answer 271

Relationship, legal, mental health, financial hardship andwork problems.

Question 272

Within the Air Force, those over 35 are at less riskfor suicide than those under 24 years old. T/F (443)

Answer 272

False. (These groups are at equal risk.)

Question 273

Is any particular ethnic, racial, age, or rank groupspared from suicide? (443)

Answer 273

No. (However, men do commit suicide at a rate four timesgreater than women.)

Question 274

What serious problems may Air Force suicides create?(443)

Answer 274

1) An unnecessary loss of human life; 2) distress in the victim’sfamily and Air Force community; 3) direct impact onmission sustainability (loss of skills, experience and productivity);and 4) loss of the economic value invested in thevictim (anticipated services, training costs and replacementcosts).

Question 275

What are the two personal perceptions that placesomeone at risk for suicide? (443-444)

Answer 275

I) Feeling like they don’t belong or fit in anywhere; and 2)feeling like a burden to others.

Question 276

What is the third important piece in the dynamics ofsuicide? (444)

Answer 276

Acquiring the capability to take one’s own life. (For Airmen,the most common step is acquisition ofa firearm.)

Question 277

Among Airmen feeling suicidal, which ones may beat more risk for suicide? (444)

Answer 277

Those who already possess the means or have training in theuse oflethal means.

Question 278

All military suicides are preventable. T/F (444)

Answer 278

False. (However, definite steps can be taken to reduce thenumber of suicides.)

Question 279

Suicide prevention efforts should be __ with allthe force and effectiveness of other command initiatives.(444)

Answer 279

Publicized.

Question 280

At what stage may individuals considering suicide bemost open to assistance and support from a wingman,friend or professional? (444)

Answer 280

After other efforts to cope with or manage their problemshave failed and they feel there are no other options.

Question 281

Name three suicide risk factors. (444)

Answer 281

Any three of the following: 1) severe, prolonged or unmanageablestress; 2) difficulty coping or functioning; 3) lack ofsocial support or social isolation; 4) escalating alcohol ordrug use; 5) difficulty sleeping; and 6) feelings of hopelessnessor depression.

Question 282

Through CY 2009 to CY 2011, more than __ 0/oof Airmen who died by suicide were receiving treatmentfor mental health concerns. (444)

Answer 282

50%.

Question 283

Depression is a significant risk factor associated withsuicide. Name five signs that can help you determine ifsomeone may be suffering from depression and distress.( 444, 444-Fig)

Answer 283

Any five of the following: agitation, alcohol misuse, anxiety,apathy, avoiding recreation, constant fatigue, decreased appetite,decreased libido, depression, difficulty coping, disciplinaryproblems, excessive sleeping, feeling “blah,” feelingguilty, feeling overwhelmed, feeling worthless, financialproblems, hopelessness, increased appetite, indecisiveness,insomnia, irritability, loss of interest, low energy, low selfesteem,poor concentration, poor personal hygiene, poorwork performance, relationship difficulties, restlessness,sadness, social isolation, social withdrawal, suicidal ideation,weight gain or weight loss.

Question 284

Since CY09, __ % of Airmen who died by suicidefaced legal problems at the time of their deaths. (444)

Answer 284

34%.

Question 285

Why is being under investigation for a suspectedcriminal offense stressful, especially if it is highly embarrassing?( 444-445)

Answer 285

There is stress in not knowing the final outcome of the investigation,the threat to one’s career and/or ability to find workafter separation, and rejection by loved ones

Question 286

Many Air Force suicide victims were experiencingsignificant financial problems at the time of their deaths.T/F (445)

Answer 286

True.

Question 287

Why should commanders recognize financial probIems as symptomatic of ineffective coping behavior or poor decisionmaking that might lead to suicide? (445)

Answer 287

It is another potential point of intervention that might reducethe overall Air Force suicide rate.

Question 288

Since CY09, __ % of Airmen who died by suicideexperienced a failed relationship in the months prior totheir death and __ % experienced work-related problems.(445)

Answer 288

54%; 25%.

Question 289

Many suicide victims experienced simultaneous workand relationship problems at the time of their deaths. T/F(445)

Answer 289

True.

Question 290

Why is a combination of work-related problems andpersonal problems particularly dangerous for suicidevictims? (445)

Answer 290

Because it leaves the victim with no safe haven. (A healthy,happy relationship can serve an important protective functionagainst many other kinds of stress.)

Question 291

When a fellow Airman, friend or family memberdemonstrates observable signs of distress, what actionshould you take? (445)

Answer 291

Ask them what may be troubling them.

Question 292

Most suicides are impulsive. T/F (445)

Answer 292

False. (Typically, individuals come to focus on suicide astheir only solution over a period of time.)

Question 293

List five examples of verbal and behavioral hints ofsuicidal ideation. (445)

Answer 293

1) Acquiring the means to commit suicide; 2) making suicidalremarks; 3) giving away cherished possessions; 4) writinga will; and 5) preoccupation with death.

Question 294

Some communications of suicidal intentions are direct(i.e., “I’m going to get a rifle from a pawnshop andkill myself.”); others are indirect. Give examples of indirectstatements of suicidal intention. (445)

Answer 294

Goodbye statements, making preparations such as writing awill or increasing life insurance, or comments that everyonewould be better offifhe or she was dead.

Question 295

Why are vague allusions to suicide easy to dismiss?(445)

Answer 295

Because of their passive nature and because many people mistakenly believe that those who talk about suicide are not likely to actually do it. Every suicidal remark must be takenseriously.

Question 296

Any self-injury intended to end one’s life should betreated as a suicide attempt, regardless of its severity. T /F(445)

Answer 296

True.

Question 297

ls the severity of injury during a suicide attempt anaccurate indicator of the lethality of the intent? (445-446)

Answer 297

No. (Any level of self-injury is serious and should be addressedby mental health professionals.)

Question 298

Actual suicides combine high __ in the selectedmethod and a low probability of __ . (445)

Answer 298

Lethality; rescue.

Question 299

Do suicides increase during the holidays? (446)

Answer 299

No. (Despite widespread belief, no such relationship hasbeen noted in the Air Force.)

Question 300

After deciding upon suicide and acquiring the capability,many victims become __ . (446)

Answer 300

Tranquil. (Always question this change in behavior or attitude.Do not assume the victim’s solution is positive.)

Question 301

Extreme __ can limit a person’s ability to problem-solve effectively, and lead them to focus on suicidewithout being able to clearly see alternatives. (446)

Answer 301

Stress.

Question 302

Suicide is a permanent solution to an often temporaryproblem. T/F (446)

Answer 302

True. (The Air Force has many resources to help people resolveproblems in more constructive ways.)

Question 303

Effectively addressing suicide requires a carefullyintegrated and systematic community approach that doeswhat two things? (446)

Answer 303

1) Prevents the factors contributing to suicide; and 2) identifies,diagnoses and treats those at risk.

Question 304

What does the community approach to suicide preventionrely on? (446)

Answer 304

1) Active leadership involvement in the full range of AirForce suicide prevention activities; and 2) the engagement ofconcerned wingmen.

Question 305

Military commanders have the authority to compelbehavior, but they are also responsible for the health,well-being and morale of their subordinates. T/F (446)

Answer 305

True. (This applies from four-star generals to the frontlinesupervisor.)

Question 306

May the obligations of leadership in regards to suicideprevention be transferred to specialists such as psychiatrists,psychologists, social workers or chaplains?(446)

Answer 306

No. (Specialists provide services m support of commandresponsibilities.)

Question 307

Since CY09, what percentage of Airmen who died bysuicide were seen by Air Force mental health services inthe month prior to their deaths? (446)

Answer 307

30%. (However, I 00% were seen by their supervisors andpeers.)

Question 308

Why is the supervisor a central player in suicideprevention? (446)

Answer 308

He or she is in a position to see any changes in performanceor behavior that may signal a problem.

Question 309

What are some typical reasons front-line supervisorsfail at suicide prevention? (446

Answer 309

I) Not paying enough attention to their subordinates’ personalneeds; 2) not recognizing warning signs; 3) trying to “protect”subordinates from the Air Force; and 4) failing to takethe proper action when needed.

Question 310

How can supervisors best help subordinates limit thenegative impact of personal problems on their careers?(447)

Answer 310

Engage in problems early to ensure subordinates get the helpthey need to improve or maintain peak performance.

Question 311

What should happen when suicide risk has beenidentified? (447)

Answer 311

Appropriate professional resources should be obtained andapplied to the problem.

Question 312

Appropriate treatment requires commitment andassumption of responsibility at the __ level, and dedicatedcompetence at the __ level. (447)

Answer 312

Command level; support level.

Question 313

What resource helps supervisors and wingmen identifyappropriate helping agencies for suicide prevention?(447)

Answer 313

The Airman’s Guide for Assisting Personnel in Distress.

Question 314

Who owns the Air Force Suicide Prevention Program(AFSPP)? (447)

Answer 314

The ChiefofStaff, US Air Force (CSAF).

Question 315

Who serves as the Office of Primary Responsibility(OPR) for the Air Force Suicide Prevention Program(AFSPP)? (447)

Answer 315

The Air Force Surgeon General (AF/SG).

Question 316

What helping agencies typically evaluate and treatpotential suicide victims at the installation level? (447)

Answer 316

Installation mental health clinics

Question 317

What major shortcoming do helping agencies such asmental health clinics have in regard to suicide prevention?(447)

Answer 317

They can only act when they are aware of the problem. (Individualsat risk must either seek help themselves or bebrought into the healthcare system by others.)

Question 318

What is the common fear many have with regard toseeking help at the mental health clinic? (447)

Answer 318

That it will negatively impact their career.

Question 319

The vast majority of Airmen who receive mentalhealth care in Air Force clinics suffer no adverse careeroutcomes. T/F (447)

Answer 319

True. (97% do not.)

Question 320

Mental health providers must disclose what informationto commanders? (447)

Answer 320

Safety issues (such as suicidal or violent thoughts) and fitnessfor duty issues. (All other information is private.)

Question 321

If you visit a mental health provider, will your commanderbe contacted? (447)

Answer 321

No, unless there is a safety-related issue or mission impairment.

Question 322

What program did the Air Force institute to promotehelp-seeking for suicidal Airmen with legal or administrativeproblems? (447)

Answer 322

The Limited Privilege Suicide Prevention (LPSP) program,according to AFI 44-109.

Question 323

What does the Limited Privilege Suicide Prevention(LPSP) program allow suicidal Airmen to receive withoutrisk of further incriminating themselves? (447)

Answer 323

Mental health care.

Question 324

Who is most likely to spot a potential suicide victim?(447)

Answer 324

Friends, coworkers and immediate supervisors. (They aremost likely to notice signs of depression and hear suicidalcomments.)

Question 325

__ concerns of a potential suicide victim with thechain of command. (447)

Answer 325

Communicate. (Post-suicide reviews often find that no one person had “the whole picture.”)

Question 326

To help prevent suicide, Air Force members should ~encourage use of professional services for personalproblems. (447)

Answer 326

Support. (Encouraging early help-seeking behavior is animportant part of supervision, leadership and friendship.)

Question 327

The Air Force Suicide Prevention Program (AFSPP)is founded upon what concept? (448)

Answer 327

That decreasing suicides requires a community approach inwhich prevention and assistance are offered long beforesomeone becomes suicidal.

Question 328

The suicide prevention Integrated Product Team(IPT) published 1 I Air Force Suicide Prevention Program(AFSPP) initiatives in AFPAM 44-160, The AirForce Suicide Prevention Program. Name eight. (448-449)

Answer 328

Any of the following: I) leadership involvement; 2) addressingsuicide prevention through PME; 3) guidelines for commanders(use of mental health services); 4) unit-based preventiveservices; 5) wingman culture; 6) investigative interviewpolicy (hand-off policy); 7) post-suicide response(postvention); 8) Community Action Information Board(CAIB) and Integrated Delivery System (IDS); 9) LimitedPrivilege Suicide Prevention (LPSP) program; 10) commanderconsultation tools; and 11) suicide event tracking and Vanalysis.

Question 329

What type of environment do leaders build to preventsuicide? (448)

Answer 329

One that promotes healthy/adaptive behaviors, fosters thewingman culture and encourages responsible help-seeking.

Question 330

PME provides periodic and __ suicide preventiontraining for Airmen. (448)

Answer 330

Targeted. (Specifically oriented to the individual’s rank andlevel ofresponsibility.)

Question 331

PME suicide prevention teaches leaders about policiesand practices that promote or discourage helpseeking.What skills do the leaders develop? (448)

Answer 331

How to detect at-risk individuals and intervene with Airmenunder stress.

Question 332

Why are commanders encouraged to partner andconsult with mental health staff about the health of theirAirmen? (448)

Answer 332

To improve their Airmen’s duty performance. (Early selfreferralyields the best outcome for the individual and unit.)

Question 333

When must a commander order an Airman to theMedical Treatment Facility (MTF)? (448)

Answer 333

For I) a mental health evaluation (per AF! 44-109); 2) a substanceabuse assessment (per AFI 44-121 ); or 3) family advocacy issues (per AFI 40-301).

Question 334

Unit leaders and helping agency professionals providesuicide prevention services at the worksite to increaseaccess, encourage help-seeking and promote familiarity,rapport and trust with Airmen and families. T/F(448)

Answer 334

True. (Unit-based preventive services also improve unit cohesionand effectiveness.)

Question 335

How do Wingmen help with suicide prevention?(448)

Answer 335

Wingmen l) foster a culture of early help-seeking; 2) recognizethe signs and symptoms of distress in themselves andothers and take protective action; and 3) practice healthybehaviors, make responsible choices and encourage others todo the same.

Question 336

Airmen facing __ or __ action are at greaterrisk of suicide. (448)

Answer 336

Criminal or administrative action. (They can easily feel isolatedfrom family, friends and other social supports whenneeding them most.)

Question 337

Following an investigative interview, Air Force investigatorsmust hand off the accused directly to themember’s commander or through person-topersondocumented contact. (448)

Answer 337

First sergeant. (The investigator will notify the unit representative.)

Question 338

Who manages post-suicide responses? (448)

Answer 338

Unit leaders. (They support affected personnel through thegrieving process, consulting with chaplains and mentalhealth staff as needed.)

Question 339

In post-suicide responses, what should be carefullyavoided? (448)

Answer 339

Sensationalizing, glamorizing, romanticizing or giving undueprominence to suicide. (These practices are associated withsuicide clusters, copycat suicides and increased suiciderates.)

Question 340

According to AFI __ , Community Action InformationBoard (CAIB) and Integrated Delivery System(IDS) coordinate the activities of the various base helpingagencies to achieve a synergistic impact on communityproblems and reduce suicide risk. (448-449)

Answer 340

AFI 90-501, Community Action Information Board and IntegratedDelivery System.

Question 341

According to AFI 44-109, the Limited Privilege SuicidePrevention (LPSP) program offers increased legalprotections and confidentiality for members. Informationin the LPSP mental health file may be disclosed only to(449)

Answer 341

1) Other medical personnel for treatment purposes; 2) amember’s confinement military commander for legal proceedingsagainst third parties; and 3) other authorized personnelwith an official need to know.

Question 342

Validated unit climate assessment tools can tap intothe strengths and challenges of an organization and assistin choosing strategies that enhance the well-beingand resilience of their Airmen. ( 449)

Answer 342

Commanders. (Some tools available to commanders, at nocost to the unit, include the equal opportunity’s unit climateassessment, the Airman and Family Readiness Center’s(A&FRC) support and resilience inventory and the Air Forceculture assessment safety tool.)

Question 343

What information is entered into the DoD SuicideEvent Report (DoDSER)? (449)

Answer 343

Information on all Air Force suicides and suicide attempts.(It identifies suicide risk factors and trends.)

Question 344

DoD Suicide Event Report (DoDSER) statisticalsummary data may be provided to federal, state and localgovernments for health surveillance and research. T/F(449)

Answer 344

True. (The report cannot contain personally identifiable information.)

Question 345

A DoD Suicide Event Report (DoDSER) is submittedwhen active duty or federalized status Air Reserve Component(ARC) members attempt suicide. A DoDSER issubmitted for what other populations? (449)

Answer 345

For suspected suicides by active duty or equivalent ARCmembers, or active, full-time ANG members.

Question 346

Basic DoD Suicide Event Report (DoDSER) demographicdata from data fields 1-9 is tracked for whichpopulations? (449)

Answer 346

All 1) Department of Air Force civilian employee personnelsuspected of dying by suicide; and 2) Selected Reserve(SELRES) and traditional Air Reserve Component (ARC)members suspected of dying by suicide while in civilianstatus or during a unit training assembly.

Question 347

Who has the authority to conduct additional reviewsof suicides by civilians and reserve members not in Title10 status within their commands? (450)

Answer 347

MAJCOMs, Field Operating Agencies (FOA), Direct ReportingUnits (DRU) and the ANG.

Question 348

A DoD Suicide Event Report (DoDSER) is completedwithin 30 days of the hospitalization or evacuation date,or within ___ days from the date the event was determinedto be a suicide for active duty servicemembers,and __ days for activated guardsmen and reservists.(450)

Answer 348

60 days; 90 days.

Question 349

For reportable events that occur in a deployed setting, the DoD Suicide Event Report (DoDSER) is completed at the servicemember’s deployed station. T/F (450)

Answer 349

False. (DoDSER is completed at the servicemember’s homestation.)

Question 350

Suicide prevention is whose responsibility? ( 450)

Answer 350

Everyone’s.

Question 351

To effectively prevent suicide, create a(n) __ thatencourages early help-seeking behavior. (450)

Answer 351

Culture.

Question 352

What is the simple acronym the Air Force developedto help facilitate personal engagement in suicide prevention?(450)

Answer 352

ACE - Ask, Care, Escort.

Question 353

When working with suicide prevention and the Ask,Care, Escort (ACE) model, why is it important to askquestions if you see or hear any of the warning signs ofsuicide? (450)

Answer 353

To give people permission to talk about a subject that may bedifficult to bring up.

Question 354

When working with suicide prevention and the Ask,Care, Escort (ACE) model, what are some importantways to show you care? (450)

Answer 354

I) Listen and allow them to share; 2) avoid judgmentalstatements or immediately trying to solve their problems; 3)accept they are in distress; 4) begin the process of gettingthem help; and 5) try to remove any means of self-harm,such as weapons or medications.

Question 355

When working with suicide prevention and the Ask,Care, Escort (ACE) model, the final step is to escort theindividual to the person or agency that can help. Why isthis important? (450)

Answer 355

If you leave them alone or send them alone to a chaplain ormental health clinic, they may change their mind on the way.

Question 356

If someone is suicidal and won’t agree to go with youto a helping agency, what action is appropriate? (450)

Answer 356

Contact your chain of command or emergency services forhelp ensuring the person’s safety.

Question 357

What does the acronym PTSD stand for? (450)

Answer 357

Posttraumatic stress disorder.

Question 358

PTSD is comprised of what six components? (450)

Answer 358

I) Exposure to a traumatic event; 2) re-experiencing theevent (nightmares and/or flashbacks); 3) avoidance or emotionalnumbing; 4) persistent arousal symptoms(hypervigilance); 5) symptoms lasting more than one month; and 6) significant distress or impairment.

Question 359

PTSD symptoms are four to five times more frequentwith what type of exposure? (450)

Answer 359

Combat exposure.

Question 360

Occupations more likely to be exposed to traumahave a higher incidence of PTSD. T/F (450)

Answer 360

True.

Question 361

How is PTSD prevention achieved? (451)

Answer 361

Through screening and training.

Question 362

Airmen are screened before and after eachassess mental health. (451)

Answer 362

Deployment.

Question 363

What types of training do deploying Airmen receiveto prevent PTSD? (451)

Answer 363

Airmen resilience training before and after deployment, andtraining on PTSD recognition, intervention and treatment.

Question 364

What type of training might the installation traumaticstress response team provide for mission sets that havea high probability of exposure to PTSD? (451)

Answer 364

Pre-exposure preparation training.

Question 365

The deployment transition center is a two-day reintegrationprogram, completed en route from the deployedlocation to home station. Who participates? (451)

Answer 365

Airmen in high PTSD exposure mission sets.

Question 366

Units at moderate or high risk of exposure to atraumatic event can enhance their psychological __through preventive preparation. (451)

Answer 366

Resilience.

Question 367

What are the two preparation principles for preventingPTSD? (451)

Answer 367

I) Engage in realistic training; and 2) strengthen your perceivedability to cope.

Question 368

What types of realistic training simulations are effectivein PTSD prevention? (451)

Answer 368

Body handling, survival training and mock captivity training.

Question 369

What is the purpose of teaching coping mechanismsduring PTSD prevention training? (451)

Answer 369

To strengthen coping skills before actual trauma. (Discuss the reasoning behind realistic training.)

Question 370

What appears to be the most effective type of counselingfor PTSD? (451)

Answer 370

Cognitive behavioral therapy.

Question 371

What two types of cognitive behavioral therapy doesthe Air Force provide? (451)

Answer 371

Cognitive processing and prolonged exposure therapy.

Question 372

Name two other types of PTSD treatment besidescognitive behavioral therapy. (451)

Answer 372

1) Eye movement desensitization and reprocessing therapy;and 2) medication (e.g., a drug known as a Selective SerotoninReuptake Inhibitor (SSRI)).

Question 373

What percent of PTSD patients never require a medicalboard? (451)

Answer 373

75 percent.

Question 374

Why are organizational and personal stress both major concerns for enlisted leaders at all levels? (451)

Answer 374

At the organizational level, it can negatively affect performance,effectiveness and mission accomplishment. At thepersonal level, experiencing stress over an extended periodof time can lead to health problems and affect overall qualityoflife.

Question 375

Name the two individuals who defined the concept ofstress. ( 451)

Answer 375

Physiologist Walter Cannon and endocrinologist Hans Selye;Selye is widely regarded as the father of stress research.

Question 376

How did Cannon describe the body’s reaction tostress? (450)

Answer 376

As a response to a perceived threat that prepares the body forflight or fight.

Question 377

What conclusion did Selye draw about the body’sreaction to stress? (451)

Answer 377

The reaction is the same regardless of whether the sourcewas good or bad, positive or negative.

Question 378

What is Selye’s definition of stress? (451)

Answer 378

“The nonspecific response of the body to any demand madeupon it.” (This demand is commonly called a stressor.)

Question 379

What terms did Selye use to identify the stresses experiencedfrom positive or negative factors? (451-452)

Answer 379

1) Eustress (exhilarating experiences, the stress of winning and achieving); and 2) distress (negative factors, losing, failing,overworking, not coping effectively).

Question 380

Stressors can be categorized into what two majorareas? (452)

Answer 380

1) Organizational stressors, which occur in the work environment;and 2) extra-organizational stressors, which occuroutside the work environment, such as family, marital andfinancial issues.

Question 381

Stress indicators may be isolated reactions or combinationsamong what three categories? (452)

Answer 381

Emotional, behavioral and physical.

Question 382

The duration, __ and intensity of the symptomscan indicate the level of difficulty in dealing with stress.(452)

Answer 382

Frequency

Question 383

Apathy, irritability and job dissatisfaction are __symptoms of stress. (452-Fig)

Answer 383

Emotional.

Question 384

Frequent illness, weight gain/loss and headaches are__ symptoms of stress. (452-Fig)

Answer 384

Physical.

Question 385

Social withdrawal, substance abuse and neglectingself-care are __ symptoms of stress. ( 452-Fig)

Answer 385

Behavioral.

Question 386

What does individual stress management attempt tostrengthen? (452)

Answer 386

Your ability to manage stressors and your stress response.

Question 387

Organizational stress management methods attemptto alter potential stressors themselves. Why are both vitallyimportant? (452)

Answer 387

They are interrelated and influence each other.

Question 388

ldentify the five individual stress management methods.(452-453)

Answer 388

1) Planning; 2) time management; 3) overload avoidance; 4)relaxation; and 5) exercise and good nutrition.

Question 389

How can planning help you manage stress? (452)

Answer 389

It can help you look for ways to achieve your goals whileavoiding the effects of known stressors.

Question 390

How can time management help you manage stress?(452)

Answer 390

If time management is an issue for you, it will help to use effective time management skills and tools, like developingtask lists and prioritizing tasks.

Question 391

How can overload avoidance help you managestress? (453)

Answer 391

It can help you identify and avoid busy work, and delegateand empower others.

Question 392

How can relaxation methods help you managestress? (453)

Answer 392

By reducing mind and body tension in your daily routines,you can train your body to respond differently to stress andreduce the negative effects of stress on your health.

Question 393

How can exercise and good nutrition help you managestress? (453)

Answer 393

Exercise provides an outlet for excess energy and tensioncaused by stress, and nutritious foods nourish your body.Both help you build resistance to the negative physical resultsof stress.

Question 394

How can supervisors reduce organizational stresslevels? (453)

Answer 394

By identifying potential stressors and developing strategiesto remove or reduce them.

Question 395

Name the five organizational stress managementmethods identified in the PDG. (453)

Answer 395

1) Job design; 2) improving the work environment; 3) improvingorganizational communication; 4) personnel selectionand job placement; and 5) substance abuse programs.

Question 396

What should you consider when examining job designas a potential stressor in the organizational workenvironment? (453)

Answer 396

Ask yourself if the task is needed and feasible, or ifit shouldbe eliminated or restructured to better accommodate the individualneeds and abilities of your Airmen.

Question 397

What physical factors should you consider whentrying to reduce stress by improving the organization’swork environment? ( 453)

Answer 397

Examine factors such as temperature, noise and light levels,and make necessary improvements.

Question 398

What is the best way to improve organizationalcommunication and thus reduce stress in the work environment?(453)

Answer 398

Do your best to keep your subordinates informed about anythingthat can impact their lives. (Any attempts at improvementscan help lower individual stress levels.)

Question 399

How can your efforts to improve personnel selectionfor job placement help reduce organizational stress in the work environment? (453)

Answer 399

Though difficult to do, carefully matching the right person to each position will result in satisfied workers.

Question 400

In the organizational environment, why are all supervisorsresponsible and accountable for managing substanceabusers in accordance with applicable directives?(453)

Answer 400

Substance abuse can have a dramatic negative effect on mission,morale and readiness, and people’s health and wellbeing.

Question 401

What is the purpose of the redeployment supportprocess? (453-454)

Answer 401

The positive and sustained care, control and discipline ofeach Airman.

Question 402

How does the redeployment support process ensurepersonnel readiness throughout the Air and Space ExpeditionaryForce (AEF) cycle? (453-454)

Answer 402

By providing timely support for members and their families.(It is an ongoing process, not a homecoming event.)

Question 403

The redeployment support process provides continuous,integrated support from the __ to home station toassist the transition from the deployed environment tofamily life and the work site. (454)

Answer 403

Area of responsibility (AOR).

Question 404

How does a lengthy break from the deployment environmenthelp members? (454)

Answer 404

It improves their psychological and physical status and providestime to tend to personal needs.

Question 405

Each __ establishes and publishes personnel recoverypolicies (leave, passes, attribution and retention)for returning combat forces. (454)

Answer 405

MAJCOM.

Question 406

The redeployment support process requires quicklyreconstituting forces to their full combat capabilities. T/F(454)

Answer 406

True.

Question 407

In the redeployment support process, levels of consumablesare restored and lost __ is recovered duringreconstitution. (454)

Answer 407

Training.

Question 408

408. What variables do bases and units consider whenplanning their reconstitution needs? (454)

Answer 408

1) The magnitude, duration and intensity of the crisis; 2)consumption rates; and 3) the type of deployment location(fixed versus austere base).

Question 409

Which personnel are considered in the redeploymentsupport process? (454)

Answer 409

All those deployed to a(n) 1) area of responsibility (AOR); 2)CONUS location in support of contingencies; and 3) remoteassignment.

Question 410

What key factors determine redeployment supportprocess participation? (454)

Answer 410

1) Lengthy family separation; and 2) significant familyrelatedstressors prior to redeployment.

Question 411

What helping agencies support redeployed RegularAir Force, ANG, AFR, civilian personnel, family membersand units during the Air and Space ExpeditionaryForce (AEF) cycle? (454)

Answer 411

Community Action Information Board (CAIB) and IntegratedDelivery System (IDS).

Question 412

Readjustment from duty in the Area of Responsibility(AOR) requires structured __ time and activitiesfor members and their families prior to leave or TDY.(454)

Answer 412

Recovery.

Question 413

What does the redeployment support process timelineprovide? (454, 454-Fig)

Answer 413

A template for commander responses and actions, andCommunity Action Information Board (CAIB) and IntegratedDelivery System (IDS) members’ activities at the criticalredeployment, recovery, reconstitution and spinup/deployment junctions. (Refer to Figure 18. 7 for moreinformation.)

Question 414

With regard to Community Action InformationBoard (CAIB) and Integrated Delivery System (IDS)agencies, the online(https://aef.afpc.randolph.af.mil) is your critical source ofdeployment information, and education and training.(454)

Answer 414

Air and Space Expeditionary Force (AEF).

Question 415

In the Air and Space Expeditionary Force (AEF)cycle, personal readiness begins __ and develops thereception station. (455)

Answer 415

Reintegration.

Question 416

Personnel readiness establishes procedures that ensuremembers returning from deployment are incorporatedinto what? (455)

Answer 416

Installation reconstitution planning and the installation deploymentplan.

Question 417

When do returning units and individuals inprocesswith the personnel readiness function? (455)

Answer 417

Within two duty days ofredeployment day.

Question 418

When will the personnel readiness function updatethe date of return to home station for all deployed individualsin the deliberate and crisis action planning andexecution segments? (455)

Answer 418

On the date ofnotification ofretum.

Question 419

At the home station post-deployment, ___ servicemembers provide followup support, reintegration andreunion ministries, and other programs to strengthenfamily and individual spiritual health. (455)

Answer 419

Chaplain. (Services at AFR command wings are coordinatedwith the reserve wing deployment support program Point ofContact (POC).)

Question 420

What does the Airman and Family Readiness Center(A&FRC) provide? (455)

Answer 420

Mobility and deployment assistance to single and marriedDoD personnel and families to reduce stress, deal with separationand reintegration, increase morale and unit cohesion,and support operational readiness.

Question 421

What document describes Airman and Family ReadinessCenter (A&FRC) services? (455)

Answer 421

AFI 36-3009, Airman and Family Readiness Centers.

Question 422

Airman and Family Readiness Centers (A&FRC) useelectronic media and hard copies to help develop __educational material. (455)

Answer 422

Reintegration. (They also provide materials support to chaplainand mental health services in the Area of Responsibility(AOR).)

Question 423

In addition to providing one-on-one counseling andsupport for families of single Airmen, what does the Airmanand Family Readiness Center (A&FRC) staff doduring deployment? (455)

Answer 423

They 1) Provide tailored support to commanders, units andfamilies; 2) help local school authorities and teachers understandthe unique stress on children of deployed militarymembers; 3) provide deployment support programs; and 4)distribute commercial, printed materials addressing deployment.

Question 424

Post-deployment assistance and pre-deployment activitiesare linked. T IF ( 455)

Answer 424

True. (Particularly early intervention to educate families,single members and units on concerns related to reintegrationand reunion.)

Question 425

The Airman and Family Readiness Center (A&FRC)staff operates independently from the Community ActionInformation Board (CAIB) and Integrated Delivery System(IDS) agencies. T/F (455)

Answer 425

False. (They collaborate to ensure smooth family reunions.)

Question 426

What needs do the force support squadron and fami-248ly member program protocols fill? (455)

Answer 426

Increased childcare needs during contingencies and the Airand Space Expeditionary Force (AEF) cycle.

Question 427

Members and their families must be physically fitand of __ mind and body to enhance mission accomplishment.( 455)

Answer 427

Sound.