Addiction

Question 0

desire to continue/repeat using the drug

Answer 0

psychological dependence

Question 1

need to increase amount of drug taken to produce desired effect, experience withdrawal upon cessation

Answer 1

physical dependence

Question 2

intense craving for drug, use interferes with normal role obligations, can’t quit, becoming socially isolated from non-substance users, tolerance develops, withdrawal upon cessation

Answer 2

substance addiction

Question 3

direct effect on the CNS, disruption in physical and psychological functioning, judgement is disturbed and social/occupational functioning is impaired

Answer 3

substance intoxication

Question 4

development of substance specific symptoms, disruption in physical and psychological functioning, disturbances in thinking, feeling, and behavior

Answer 4

substance withdrawal

Question 5

biological (genetic/biochemical), psychological (developmental influences - punitive superego/oral fixations), personality (low self-esteem, frequent depression, passivity, inability to relax, inability to communicate effectively, sociocultural (social learning, conditioning, cultural/ethnic influences)

Answer 5

Factors effecting Substance Use & Addiction

Question 6

Patterns of Alcohol Use

Answer 6

Phase 1: prealcoholic phase - use of alcohol to relieve stress of everyday life
Phase 2: early alcoholic phase - begins with blackouts; alcohol is required by the person
Phase 3: crucial phase - person lost control; physiological dependence is evident
Phase 4: chronic phase - emotional and physical disintegration; person intoxicated more than sober

Question 7

Occurs at BAL of 100-200mg/dL

Answer 7

Alcohol intoxication

Question 8

Occurs within 4 - 12 hours of cessation or reduction of heavy and prolonged use of alcohol

Answer 8

Alcohol withdrawal

Question 9

Barbiturates, non-barbiturate hypnotics , antianxiety agents, club drugs

Answer 9

Sedative/Hypnotic drugs

Question 10

Effects sleep and dreaming, respiratory depression, CV effects, renal function, hepatic effects, body temp, sexual functioning

Answer 10

Patterns of Sedative/Hypnotic Use

Question 11

Sedative/Hypnotic intoxication

Answer 11

Ranges from disinhibition and aggressiveness to coma and death (increasing dosages)

Question 12

Onset depends on 1/2 life of drug, severe withdrawal from these can be life threatening

Answer 12

Sedative/Hypnotic Use withdrawal

Question 13

Amphetamines, synthetic stimulants, non-amphetamines, cocaine, caffeine, nicotine

Answer 13

Stimulant drugs

Question 14

Amphetamine and cocaine - euphoria, impaired judgement, confusion, changes in VS
Caffeine - restlessness and insomnia (following consumption in excess of 250mg)

Answer 14

Stimulant intoxication

Question 15

Amphetamine and cocaine - dysphoria, fatigue, sleep disturbances, increased appetite
Caffeine - headache, fatigue, drowsiness, irritability, muscle pain and stiffness, N/V
Nicotine - dysphoria, anxiety, difficultly concentrating, irritability, restlessness, increased appetite

Answer 15

Stimulant withdrawal

Question 16

Aliphatic and aromatic hydrocarbons (fuel, solvents, adhesives, paint thinners)

Answer 16

Inhalant drugs

Question 17

CNS effects, respiratory effects, GI effects, renal system effects

Answer 17

Patterns of Inhalant use

Question 18

Symptoms occur during or shortly after use: dizziness, ataxia, muscle weakness, euphoria, disinhibition, slurred speech, blurred/double vision, psychomotor retardation, hypoactive reflexes, stupor

Answer 18

Intoxication of stimulants

Question 19

Opioids of natural origin, opioid derivatives, synthetic opiate-like drugs

Answer 19

Opioid drugs

Question 20

CNS effects, GI effects, CV effects, sexual functioning

Answer 20

Patterns of use

Question 21

Symptoms consistent with 1/2 life and usually last for several hours: initial euphoria, then apathy, dysphoria, psychomotor agitation or retardation, impaired judgement
*if severe, can lead to respiratory depression, coma or death

Answer 21

Opioid intoxication

Question 22

Dysphoria. Muscle aches, N/V, pupillary dilation, piloerection, sweating, abd cramping, diarrhea, yawning, fever, insomnia

Answer 22

Symptoms of Opioid withdrawal

Question 23

Naturally occurring hallucinogens, synthetic compounds

Answer 23

Hallucinogen drugs

Question 24

Occurs during or shortly after use Symptoms: perceptual alteration, depersonalization, derealization, tachycardia, palpitations PCP: belligerence, assaultiveness (may lead to seizure or coma)

Answer 24

Hallucinogen intoxication

Question 25

Physiological: N/V, chills, pupil dilation, increase BP and pulse, loss of appetite, insomnia, high blood glucose, decrease resps Psychological: heightened response to color/sounds, distorted vision, sense of slowed time, magnified feelings, paranoia/panic, euphoria/peace, depersonalization, derealization, increased libido

Answer 25

Effects on the body from hallucinogen drugs

Question 26

Marijuana/hashish

Answer 26

Cannabis

Question 27

CV, Resp, Repro, CNS, sexual functioning

Answer 27

Effects on the body from cannabis

Question 28

Impaired motor coordination, euphoria, anxiety, sensation of slowed time, impaired judgement

Answer 28

Cannabis intoxication

Question 29

Irritability, anger, aggression, anxiety, sleep disturbances, decreased appetite, depressed mood, stomach pain, tremors, sweating, fever, chills, headache

Answer 29

Cannabis withdrawal

Question 30

What is the CAGE questionnaire?

Answer 30

Cut down: Have you ever felt you should cut down on your drinking? Annoyed: Have people annoyed you by criticizing your drinking? Guilty: Have you ever felt bad or guilty about your drinking? Eye-opener: Have you ever had a drink first thing in the morning to steady your nerves?

Question 31

Clients with a coexisting substance disorder and mental disorder

Answer 31

Dual diagnosis

Question 32

``` Ineffective denial Ineffective coping Imbalanced nutrition Risk of infection (no AEB) Chronic low self-esteem Deficient knowledge ```

Answer 32

NANDA diagnoses for addiction

Question 33

Risk for injury r/t CNS agitation

Answer 33

Withdrawing from CNS depressants

Question 34

Risk for suicide r/t intense feelings of depression, "crashing" suicidal ideation

Answer 34

Withdrawing from CNS stimulants

Question 35

Planning for addiction clients

Answer 35

Rehab/detox

Question 36

Treatment

Answer 36

AA/NA

Question 37

Treatment for alcohol abuse

Answer 37

``` Disulfiram (Antabuse) naltrexone (ReVia) Nalmefene (Revex) SSRIs Acamprosate (Campral) ```

Question 38

Alcohol intoxication/withdrawal drugs

Answer 38

Benzodiazepines Anticonvulsant Multivitamin therapy Thiamine

Question 39

Opioid intoxication/withdrawal drugs

Answer 39

``` Narcotic antagonists: Naloxone (Narcan) Naltrexone (ReVia) Nalmefene (Revex) Methadone Buprenorphine Clonidine ```

Question 40

Depressants intoxication/withdrawal drugs

Answer 40

Phenobarbital (Luminal) | Long acting benzodiazepines

Question 41

Stimulant intoxication/withdrawal drugs

Answer 41

Minor tranquilizers Major tranquilizers Anticonvulsants Antidepressants

Question 43

Hallucinogens and cannabis intoxication/withdrawal drugs

Answer 43

Benzodiazepines | Antipsychotics

Question 44

predisposing factors

Answer 44

genetics/biochemical psychological: developmental influences sociocultural: social leanring, conditioning, culture and ethnic influence

Question 45

NANDA for substance use disorder

Answer 45

ineffective denial ineffective coping imbalanced nutrition: < body requirements risk for infection chronic low self-esteem deficient knowledge withdrawal from depressants: risk for injury withdrawal from stimulants: risk for suicide

Question 46

family/pt education

Answer 46

nature of illness: effects on body, ways it affects life management of illness: activities to substitute use in stressful times, relaxation techniques, problem solving skills, good nutrition support services: financial assistance, legal assistance, AA, 1-to-1 support