Ch 17 Substance And Additive Disorders

Question 1

What defense mechanism is most common among clients with a substance use disorder

Answer 1

Denial

Question 2

What culture has a higher incidence of substance use disorder

Answer 2

Native Americans

Question 3

What culture has the least amount of substance use disorders

Answer 3

Asians

Question 4

What drug is a growing concern among adolescents

Answer 4

Anabolic steroids

Question 5

Name nervous system depressant drugs

Answer 5

Alcohol
Sedatives/ hypnotics
Cannabis

Question 6

What is the intended effects of alcohol

Answer 6

Relaxation
Decreased social anxiety
Stress reduction

Question 7

What are the effects of alcohol intoxication

Answer 7

Slurred speech, nystagmus, altered judgment, decreased LOC

respiratory arrest,

Question 8

What are manifestations of alcohol withdrawal

Answer 8

Abdominal cramping
Vomiting, tremors, akathisia, tachycardia, increased BP & RR
Tonic clonic seizures

Question 9

What are withdrawal manifestations of sedatives/ hypnotics

Answer 9

Anxiety, insomnia, diaphoresis, htn, n/v
Hallucinations/ delusions
Agitation

Question 10

What are withdrawal manifestations of hallucinogens

Answer 10

Hallucinogen persisting perception disorder- visual disturbances or flashbacks can occur intermittently for years

Question 11

What are mess for alcohol withdrawal

Answer 11

Diazepam
Lorazepam
Carbamazepine
Clonidine
Chlordiazepoxide

Question 12

What are meds for alcohol abstinence

Answer 12

Disulfiram
Naltrexone
Acomprosate

Question 13

What are meds for opioid withdrawal

Answer 13

Methadone ( Dolophine)
Substitution
Clonidine
Buphrenorphine ( subcutex)

Question 14

A nurse is assessing a client with benzodiazepine withdrawal, what is the priority nursing intervention

Answer 14

Implement seizure precautions

Question 15

What is the severity scale for substance use disorder

Answer 15

0-1 no diagnosis
2-3 mild disorder
4-5 moderate disorder
6 or more severe disorder

Question 16

What are signs and symptoms of heroin toxicity

Answer 16

Constricted pupils

Decreased BP

Question 17

What are signs and symptoms of cocaine intoxication

Answer 17

Tachycardia
Increased BP
Dilated pupils
Agitation

Question 18

What are signs and symptoms of benzodiazepine intoxicity

Answer 18

Decreased BP

Question 19

What are signs and symptoms of inhalant toxicity

Answer 19

CNS depressant

Question 20

What is the criteria for hospitalization for weight loss

Answer 20

30% of body weight in 6 months

Question 21

Potassium levels of what requires hospitalization

Answer 21

Less than 3

Question 22

What is the antidote for benzodiazepine toxicity

Answer 22

Flumazenil ( Romazicon )

Question 23

Is there a antidote for barbiturate toxicity

Answer 23

NO

Question 24

What is considered to be a legally intoxicating limit for alcohol

Answer 24

0.08%

Question 25

What are considered sedative/ hypnotic drugs

Answer 25

Benzodiazepines

Barbiturates such as pentobarbital

Question 26

Name CNS stimulants

Answer 26

Cocaine 
Amphetamines
Tobacco
Opioids 
Inhalants 
Hallucinogens

Question 27

Are there withdrawal symptoms with inhalants

Answer 27

NO

Question 28

What are meds for alcohol withdrawal

Answer 28

Diazepam 
Lorazepam
Carbamezapine 
Clonidine 
Chlordiazepoxide

Question 29

What are meds for alcohol abstinence

Answer 29

Disulfiram
Naltrexone
Acomprosate

Question 30

What are common side effects of alcohol withdrawal

Answer 30

Fine tremors of both hands
Vomiting
Restlessness