Addictions: Test #2 Review Flashcards

1
Q

Why do some people get addicted/dependent and others do not?

A

Unsuccessful oral stage of development; familial connection; learned behavior; low levels of dopamine

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2
Q

“Unsuccessful oral stage of development” is classified under what theory?

A

Psychoanalytic theory (need constant oral satisfaction)

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3
Q

Familial connection is classified under what theory?

A

Biological theory

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4
Q

Low levels of dopamine is classified under what theory?

A

Biological theory

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5
Q

Substance abusers appear in.._____,_____,_____?

A

All walks of life, all economic levels, both men and women. (soooo……everyone)

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6
Q

10 signs of substance abuse among nurses are??

A

1) frequent/unexplained DISAPPEARING from unit.
2) difficulty MEETING DEADLINES/SCHEDULES.
3) sloppy/illogical CHARTING.
4) Increased number of MISTAKES
5) frequently changing EMOTIONS.
6) decreased ALERTNESS.
7) ISOLATION from co-workers.
8) frequent reports of MEDICATION SPILLS/other wastes.
9) discrepancies in END-OF-SHIFT MED COUNTS
10) increase in PT’S COMPLAINING OF UNRELIEVED PAIN.

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7
Q

What are substances used for?

A

alter perceptions; increase mood; relieve pain, fear, anxiety, boredom; aid in religious ceremonies.

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8
Q

When does the substance become a problem?

A
  • Interferes with ability to function.
  • Puts anyone in DANGER.
  • Continue to use substance despite negative consequences.
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9
Q

In the DSM-5, what are the 2 groups that substance related and addictive disorders are divided into?

A

1] Substance USE disorders

2] Substance INDUCED disorders

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10
Q

How many symptoms classify a mild, moderate, and severe substance use disorder?

A

MILD: 2-3 symptoms
MODERATE: 4-5 symptoms
SEVERE: 6+ symptoms

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11
Q

TRUE or FALSE: Each specific substance is addressed as a separate use disorder?

A

TRUE!!!

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12
Q

REVIEW NOTES ON DSM CRITERIA!!!!

A
  • substance is taken in large amounts/over longer period of time than intended
    -tolerence
    PERSON….
    -spends lots of time obtaining substance
  • tried at least once to cut down/control substance
  • observes/craves substance
  • recurrent use resulting in failure to fulfill obligations at work, home, school, etc.
  • uses substance regardless of social/interpersonal problems that ensue
  • gives up/reduces important social/professional function in order to use substance
  • uses to avoid withdrawal symptoms
  • recurrent use in hazardous situations
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13
Q

What are 7 drug classifications of depressants?

A

1) Alcohol
2) Opiates
3) Cannabis
4) Sedatives
5) Hypnotics
6) Anxiolytics
7) Inhalants

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14
Q

What is ETOH?

A

Chemical formula for ethanol (alcohol) or ethyl alcohol

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15
Q

What is the legal blood level? (BAC)

A

0.08

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16
Q

TRUE or FALSE: A BAC of 0.4-0.5 can be lethal/deadly!?

A

TRUE!!!

17
Q

TRUE or FALSE: alcohol use decreases life expectancy by 10-12 years?

A

TRUE!!!

18
Q

Describe alcohol use disorder by defining alcoholism and including what is characterized by and S&S.

A

Alcoholism: chronic illness
Characterized by: compulsive and uncontrolled consumption of alcoholic beverages.
S&S: -drinking in secret
- drinking first thing in the morning
- gulping first drink
- preoccupation with alcohol
- onset of blackouts (lapses in memory resulting from persistent heavy drinking.

19
Q

What are the most common ages for binge drinking?

A

18-24 years old

20
Q

What is the C.A.G.E questionaire?

A

C-Have you ever felt that you should CUT DOWN on your drinking?
A-Have people ANNOYED you by criticizing your drinking?
G-Have you ever felt bad/GUILTY about drinking
E-Have you ever taken a drink in the morning, as an EYE opener?

21
Q

What two things does alcohol have a big effect on?

A

Family and Health!

22
Q

What impacts does alcohol have on health?

A
  • malnourishment - thiamine
  • liver and heart
  • irritates all cells of body
23
Q

TRUE or FALSE: Alcohol can significantly LOWER blood sugar?

A

TRUE! Alcohol Induced Hypoglycemia!

24
Q

What are S&S of alcohol withdrawal?

A
  • tremors
  • hallucinations
  • insomnia
  • N/V
  • tonic-clonic seizures (grand mal and whole body affected)
25
Q

What are some treatments for alcohol use disorder?

A
  • Alcoholics Anonymous (12 step program)
  • corresponding groups
  • cognitive behavior
  • psychoanalysis (costly)
  • Medication (antidepressants/anti-anxiety)
26
Q

REVIEW SLIDES “REHAB PHASE” AND “MOD. MANAGEMENT-PROBLEM DRINKERS” **IN NOTES

A

notes

27
Q

Name examples of opiods. What do they do?

A

EX: heroin, methadone, morphine, demoral, meperidine

-relieve pain; euphoria

28
Q

Name examples of cannabis. What are they known for?

A

EX: marijuana, hashish
- contributes to developing/relapsing of schizophrenia
(most widely used drug: Marjuana [debates over legalizing])

29
Q

TRUE or FALSE: Sedatives/hypnotics/antianxiety agents can cause significant CNS depression?

A

TRUE!!

30
Q

What two drugs are referred to as the “date rape drugs”?

A

Rohyphnol (roofies) and GHB!!

31
Q

Why might inhalants be the drug of choice?

A

Easily accessible!

32
Q

Name examples of stimulants. What do they do?

A

EX: nonamphetimines (cocaine), Amphetamines, Antidepressants, Nicotine, caffeine.
-Alertness/endurance/excitement/aggressiveness.

33
Q

TRUE or FALSE: Amphetamines increase amount of DOPAMINE in the brain?

A

TRUE!!

34
Q

Name examples of hallucinogens. What do they do?

A

EX: LSD, PCP, Mescaline, Psilocybin

-produce perceptual and sensory alterations - hallucination results.

35
Q

What are some treatments of substance abuse? Physiological safety:

A

symptom management; seizure prevention; stabilizing V/S; decreased CNS stimulation; rehab phase.

36
Q

What are S&S of drug abuse/dependence?

A
  • red, watery eyes
  • dilated pupils
  • increased B/P
  • runny nose
  • hostility
  • paranoia
  • needle tracks on limbs
37
Q

What treatments are there for substance abuse?

A

Cognitive-Behavioral Therapy; Support Groups; Meds (to limit obsessions); Replacement Theory (methadone for opiates and marijuana for crystal meth).