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NUR 181 Module 1 Test > Addiction > Flashcards

Addiction Flashcards

0
Q

desire to continue/repeat using the drug

A

psychological dependence

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1
Q

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

A

physical dependence

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2
Q

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

A

substance addiction

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3
Q

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

A

substance intoxication

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4
Q

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

A

substance withdrawal

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5
Q

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)

A

Factors effecting Substance Use & Addiction

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6
Q

Patterns of Alcohol Use

A

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

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7
Q

Occurs at BAL of 100-200mg/dL

A

Alcohol intoxication

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8
Q

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

A

Alcohol withdrawal

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9
Q

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

A

Sedative/Hypnotic drugs

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10
Q

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

A

Patterns of Sedative/Hypnotic Use

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11
Q

Sedative/Hypnotic intoxication

A

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

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12
Q

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

A

Sedative/Hypnotic Use withdrawal

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13
Q

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

A

Stimulant drugs

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14
Q

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

A

Stimulant intoxication

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15
Q

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

A

Stimulant withdrawal

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16
Q

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

A

Inhalant drugs

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17
Q

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

A

Patterns of Inhalant use

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18
Q

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

A

Intoxication of stimulants

19
Q

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

A

Opioid drugs

20
Q

CNS effects, GI effects, CV effects, sexual functioning

A

Patterns of use

21
Q

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

A

Opioid intoxication

22
Q

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

A

Symptoms of Opioid withdrawal

23
Q

Naturally occurring hallucinogens, synthetic compounds

A

Hallucinogen drugs

24
Q

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

A

Hallucinogen intoxication

25
Q

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

A

Effects on the body from hallucinogen drugs

26
Q

Marijuana/hashish

A

Cannabis

27
Q

CV, Resp, Repro, CNS, sexual functioning

A

Effects on the body from cannabis

28
Q

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

A

Cannabis intoxication

29
Q

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

A

Cannabis withdrawal

30
Q

What is the CAGE questionnaire?

A

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?

31
Q

Clients with a coexisting substance disorder and mental disorder

A

Dual diagnosis

32
Q 
Ineffective denial
Ineffective coping
Imbalanced nutrition
Risk of infection (no AEB)
Chronic low self-esteem
Deficient knowledge
A

NANDA diagnoses for addiction

33
Q

Risk for injury r/t CNS agitation

A

Withdrawing from CNS depressants

34
Q

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

A

Withdrawing from CNS stimulants

35
Q

Planning for addiction clients

A

Rehab/detox

36
Q

Treatment

A

AA/NA

37
Q

Treatment for alcohol abuse

A 
Disulfiram (Antabuse)
naltrexone (ReVia) 
Nalmefene (Revex)
SSRIs
Acamprosate (Campral)
38
Q

Alcohol intoxication/withdrawal drugs

A

Benzodiazepines
Anticonvulsant
Multivitamin therapy
Thiamine

39
Q

Opioid intoxication/withdrawal drugs

A 
Narcotic antagonists:
Naloxone (Narcan)
Naltrexone (ReVia)
Nalmefene (Revex)
Methadone
Buprenorphine
Clonidine
40
Q

Depressants intoxication/withdrawal drugs

A

Phenobarbital (Luminal)

Long acting benzodiazepines

41
Q

Stimulant intoxication/withdrawal drugs

A

Minor tranquilizers
Major tranquilizers
Anticonvulsants
Antidepressants

43
Q

Hallucinogens and cannabis intoxication/withdrawal drugs

A

Benzodiazepines

Antipsychotics

44
Q

predisposing factors

A

genetics/biochemical

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

45
Q

NANDA for substance use disorder

A

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

46
Q

family/pt education

A

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

NUR 181 Module 1 Test (7 decks)

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