Caring for Patients with Mental Illness and Substance Use Disorders

Question 1

diagnostic overshadowing

Answer 1

phenomenon in which a person’s physical symptoms are attributed to their mental illness; patients are at risk for lack of treatment/appropriate referral

Question 2

what is depression a risk factor for

Answer 2

cardiovascular disease, metabolic syndrome, diabetes, dementia, asthma, arthritis, and hyperlipidemia

Question 3

what is the purpose of screening

Answer 3

identify clinically significant symptoms that require further assessment and intervention

Question 4

what are the 2 suicide screening questions

Answer 4

in the past month, have you had thoughts of suicide? have you ever made a suicide attempt?

Question 5

what question do you ask if a patient answers yes

Answer 5

are you having thoughts of suicide right now?

Question 6

what are the 3 issues that are prevalent and high risk priorities for screening in all patients

Answer 6

trauma; suicide risk; substance use disorders

Question 7

what are violence and trauma linked to for high risks

Answer 7

injury, unhealthy coping mechanisms, and other illnesses such as arthritis, irritable bowel syndrome, and chronic pain

Question 8

what kind of changes is childhood trauma linked to

Answer 8

cognitive, social, psychological, and neurobiological

Question 9

why do patients with childhood trauma feel reluctant to share critical information

Answer 9

denial, guilt/shame, or a fear of consequence for sharing information

Question 10

trauma-informed care

Answer 10

care that assesses for, and demonstrated sensitivity to, the impact of trauma history on current behavior and relationships in every aspect of nursing intervention (how trauma impacts a patient)

Question 11

what groups need special screening

Answer 11

military personnel with PTSD, older adults with depression, and trauma victims

Question 12

defensive medicine

Answer 12

doing the minimum number of interventions needed to “meet the letter of the law”

Question 13

what are some risk factors for suicidal patients

Answer 13

depression, substance abusive issues, and/or chronic pain

Question 14

non-suicidal self-injuring behavior

Answer 14

typically nonlethal, repetitive act used to reduce distress rather than end one’s life

Question 15

methamphetamine is associated with an increased risk of

Answer 15

suicide

Question 16

what does screening do in screening, brief intervention, and referral to treatment

Answer 16

quickly assesses the severity of substance use and identifies the appropriate level of treatment

Question 17

what does brief intervention do in screening, brief intervention, and referral to treatment

Answer 17

focuses on increased insight and awareness regarding substance use and motivation toward behavioral change

Question 18

what does referral to treatment do in screening, brief intervention, and referral to treatment

Answer 18

provides those identified as needing more extensive treatment with access to specialty care

Question 19

what is controversary surrounding referral

Answer 19

how much care can be provided in non-psychiatric settings? when is it appropriate to refer a patient to a specialist for treatment?

Question 20

stigmatization

Answer 20

attitude of devaluing a person because of a particular characteristic/illness; creates a barrier to effective mental illness treatment in a primary care emergency rooms, med surg settings, and in psychiatric settings; knowledge gaps, clinical skills, and stigma need to be addressed in non-psychiatric settings

Question 21

social distancing

Answer 21

an aspect of stigma that refers to the tendency of healthcare workers and others to avoid people with mental illness or addiction

Question 22

what is the role of the nurse for caring for patients with mental illness and substance abuse

Answer 22

examine one’s personal beliefs and attitudes; develop awareness of the negative impact of stigmatization; identify at risk patients; utilize evidence-based screening; patient safety; engage the patient