Alcohol And Drugs

Question 1

What is suicide?

Answer 1

Intentionally causing one’s own death.

Question 2

What is the prevalence of suicide?

Answer 2

Suicide is the 15th leading cause of death.

Question 3

What are some risk factors for suicide?

Answer 3

History of suicide, relationship problems, family/friend suicide, access to harmful means, exposure to bullying.

Question 4

What are signs that someone may be suicidal?

Answer 4

Signs include feeling ‘life isn’t worth living’, giving away possessions, risk-taking, intrusive thoughts, and sudden mood improvement.

Question 5

What is non-suicidal self-injury (NSSI)?

Answer 5

A predictor of suicide in adolescents that alleviates stress, serves as self-punishment, or is related to sensation seeking.

Question 6

What is the nursing role in managing NSSI?

Answer 6

Create an emotional bond and sense of safety, practice patience and understanding, and actively listen.

Question 7

What should nurses explain to patients regarding treatment?

Answer 7

Explain treatment, identify cultural factors, and ask for their view of the problem.

Question 8

What are the types of substances and their effects?

Answer 8

Stimulants increase CNS activity (e.g., ecstasy, meth), depressants decrease CNS activity (e.g., opioids, benzodiazepines), and hallucinogens cause distortions of sense (e.g., magic mushrooms).

Question 9

What is substance use disorder?

Answer 9

A maladaptive pattern of substance use resulting in significant impairment or distress.

Question 10

What are the criteria for substance use disorder?

Answer 10

Criteria include impaired control, social impairment, and risky use in the last 12 months.

Question 11

What is the reward pathway in relation to substance use?

Answer 11

If the brain associates an activity with pleasure, it creates a neural pathway, making it more likely to repeat the behavior.

Question 12

What are the impacts of substance use on health?

Answer 12

Includes alcohol/drug-induced deaths, burden of disease, mental health issues, and financial costs.

Question 13

What is dual diagnosis?

Answer 13

The co-occurrence of two or more disorders in an individual, leading to poorer outcomes.

Question 14

What is the nurse’s role in withdrawal management?

Answer 14

Assessment and management to predict risks and identify specific needs during withdrawal.

Question 15

What should be considered in withdrawal management?

Answer 15

Daily consumption, quantity, pattern of use, time and amount of last use, route, and medical/psychiatric history.

Question 16

What is the aim of withdrawal management?

Answer 16

To provide support and services without withholding due to doubts about long-term abstinence.

Question 17

What is the most common withdrawal syndrome?

Answer 17

Alcohol withdrawal, which can include seizures; diazepam is the treatment drug.

Question 18

What is the relationship between mental and physical health?

Answer 18

People with mental illness are more likely to experience poorer physical health.

Question 19

What is metabolic syndrome?

Answer 19

A pre-clinical state for cardiovascular disease and diabetes characterized by obesity, high blood pressure, low HDL, elevated triglycerides, and hyperglycemia.

Question 20

What is the prevalence of tobacco smoking in individuals with serious mental illness?

Answer 20

2 in 3 individuals with serious mental illness are tobacco smokers.

Question 21

What strategies can address disparities between mental and physical health?

Answer 21

Access to services, integration of care, physical health screening, and education.