Addiction

Question 1

What are risk factors for substance use and addictive disorders?

Answer 1

Genetic
Socioecomomic
Low self-esteem
Trauma
Culture

Question 2

How can you determine if a person has an addiction?

Answer 2

1. Interferes with roles
2. Hard to cut back or completely
3. Intense craving
4. Too much time trying to obtain the substance
5. Hinders relationships

Question 3

What are some physical symptoms in someone with a substance use disorder?

Answer 3

Fatigue
Insomnia
Headches
Seziures
Mood changes
Sexual Disfunction

Question 4

What are some physiological symptoms of substance use disorder?

Answer 4

unkempt appearance (result of lack of ADLs)
legal issues
family issues
work issues

Question 5

What are some long term physiological responses to addiction?

Answer 5

Lowered self-esteem

Lowered tolerance for pain and frustration

Poor personal hygiene

Few meaningful personal relationships

Few life successes

Risk-taking tendencies and behavior

Question 6

What are some long term physical responses to addiction?

Answer 6

Risk for infection

Malnutrition & Muscle wasting

Organ Damage

Brain Damage

Question 7

What are some signs and symptoms of alcohol use disorder?

Answer 7

Anxiety, shaky hands, headache, nausea/vomiting, insomnia, sweating, confusion, irritability, photosensitivity, increased blood pressure or heart rate, hyperthermia

Question 8

What is the withdrawal treatment for alcohol use disorder?

Answer 8

Benzodiapines, folic acid and thiamine

Question 9

What is the withdrawal plan for opioid use disorder?

Answer 9

1. 6-8 hr after last dose
2. Administer methadone
3. If overdosed, administer naloxone

Question 10

What medications should you administer for stimulant use disorder?

Answer 10

Naltrexone or Buprenorphine

Question 11

What are the nurse interventions on admission for a substance abuse patient?

Answer 11

1. Prioritize a safe withdrawal and detoxification.
2. Administer substitution therapy as ordered.
3. Assess and monitor levels of withdrawal frequently. 4.Implement fall precautions or seizure precautions if necessary to prevent injury.
4. Provide a low stimuli environment.
5. Provide explanations of physical symptoms.
6. Reorient client as needed. Use simple language and commands.

Question 12

What are the nurse interventions during hospitalization for a patient with substance use disorder?

Answer 12

1. Promote understanding of substance use. Identify the patient’s causes of substance dependency.
2. Assess for changes in mood. Identify maladaptive behaviors and hold patient accountable without being judgmental.
3. Identify any health issues caused by substance use (this will depend on the substance).

Question 13

What are the nurse interventions during discharge for a patient with substance use disorder?

Answer 13

1. Encourage continued participation in long-term treatment. Make a relapse prevention plan with patient.
2. Ensure patient safety by providing individualized resources Provide assistance and resources for treatment to patient and family.
3. Promote participation in outpatient support system (e.g., Alcoholics Anonymous [AA]) and therapy.
4. Assist patient to identify alternative sources of satisfaction. Teach and reinforce adaptive coping skills.

Question 14

What tool should you use for determining substance use disorder?

Answer 14

CAGE questionaire

Question 15

What tool should you use to determine alcohol abuse?

Answer 15

CIWA scale

Question 16

What tool should you use to determine opioid abuse?

Answer 16

COWS scale

Question 17

If a person:

1. feels resentment for receiving so little in return, but deny feeling resentful
2. sacrifces their own needs,
3. Derives self-worth from others
4. Feels responsible for the happiness of others
5. Use compulsive behaviors to cope with stress

We can determine this person is displaying

Answer 17

Codependency