Ch 19 Addiction Book Key Points

Question 1

Substance use and substance-related disorders can involve:

Answer 1

alcohol, stimulants, cannabis, opioids, hallucinogens, inhalants, sedatives, hypnotics, and anxiolytics.

Question 2

Substance use and dependence include major impairment in the user’s:

Answer 2

social and occupational functioning and behavioral and psychological changes.

Question 3

Alcohol:

Answer 3

is the substance abused most often in the United States; cannabis is second.

Question 4

Intoxication is the use of a substance that results in ___.

Answer 4

maladaptive behavior.

Question 5

Withdrawal syndrome is defined as:

Answer 5

negative psychological and physical reactions when use of a substance ceases or dramatically decreases.

Question 6

Detoxification:

Answer 6

is the process of safely withdrawing from a substance.

Detoxification from alcohol and barbiturates can be life-threatening and requires medical supervision.

Question 7

The most significant risk factors for alcoholism are:

Answer 7

having an alcoholic parent, genetic vulnerability, and growing up in an alcoholic home.

Question 8

Routine screening with tools such as the SSI-AOD in a wide variety of settings (clinics, physicians’ offices, through emergency services) can be used to:

Answer 8

detect substance use problems.

Question 9

After detoxification, treatment of substance use continues in:

Answer 9

various outpatient and inpatient settings.

Approaches are often based on the 12- step philosophy of abstinence, altered lifestyles, and peer support.

Question 10

Substance abuse is a family illness, meaning that it affects:

Answer 10

all members in some way.

Family members and close friends need education and support in coping with their feelings toward the abuser. Many support groups are available to family members and close friends.

Question 11

Detoxification from (2) can be life-threatening and requires medical supervision.

Answer 11

alcohol and barbiturates

Question 12

Clients who are dually diagnosed with substance use problems and major psychiatric illness:

Answer 12

do poorly in traditional treatment settings and need specialized attention.

Question 13

Nursing interventions for clients being treated for substance abuse include:

Answer 13

teaching clients and families about substance abuse, dealing with family issues, and helping clients learn more effective coping skills.

Question 14

Health care professionals have:

Answer 14

increased rates of substance use problems, particularly involving opioids, stimulants, and sedatives.

Reporting suspected substance abuse in colleagues is an ethical (and sometimes legal) responsibility of all health care professionals.