Chapter 22: Substance-Related and Addictive Disorders

Question 1

substance use disorder defeintion

Answer 1

pathological use of a substance that leads to a disorder of use

Question 2

addition defintion

Answer 2

chronic medical condition

Question 3

intoxication definition

Answer 3

in the process of using a substance to excess

Question 4

tolerance definition

Answer 4

takes a higher dose to achieve the initial level of response

Question 5

withdrawal definition

Answer 5

symptoms that occur when a person stops using a substance

Question 6

dual diagnosis

Answer 6

mental health + substance use

Question 7

we should assess what when we know someone uses inhalants

Answer 7

skin and skin around nose and mouth

Question 8

opioids use includes

Answer 8

herion

Question 9

treatment for opioid overdose initial

Answer 9

naloxone (narcan)
- opioid antagonist

Question 10

opioid addiction drugs

Answer 10

metadone
- synthetic narcotic opioid (decrease the painful symptoms of opiite withdrawal)

clonidine
- alpha agonist (reduce the symptoms of opioid withdrawal by blocking neurotransmitters

buprenorphine
- opioid partial agonist (produces similar effects but not to the same extent

Question 11

why do we want gradual reduction for withdrawl

Answer 11

prevent seizures

Question 12

two types of alcohol problematic drinking

Answer 12

binge drinking
heavy drinking

Question 13

bring drinking

Answer 13

too much too quickly
4/5

Question 14

heavy drinking

Answer 14

too much too often
8/14

Question 15

alcohol intoxication legal definition

Answer 15

blood concentration of 80 or 100 mg ethanol per deciliter of blood
0.08-0.10g/dL

Question 16

wenicke-korsakoff syndrome

Answer 16

neurological disorder caused by lack of thymine/B1

wernickes: encephalopathy
Korsakoff: amnesic syndrome

Question 17

fetal alcohol syndrome

Answer 17

mother used alcohol while pregnant

s/s: low body weight as newborn, coordination disturbances, mobility delays, behavioral concerns in school, emotional or social problems. difficulty learning, speech/language delay, poor memory

Question 18

codependence

Answer 18

exhibit over responsible behavior-doing for others what others could just do themselves
define their self worth in terms of caring for others
enabling behavior is part of this

Question 19

alcohol screening tools

Answer 19

SBIRT
AUDIT
CAGE
CAGE-AID
TACE

Question 20

nursing diagnosis

Answer 20

medically stable

Question 21

alcohol pharm

Answer 21

disulfiram
naltrexone
benzo

Question 22

disulfiram

Answer 22

med to support abestince
become ill if drinks alcohol

Question 23

naltrexone

Answer 23

changes neuro pathways
dopamine/serotonin
decrease cravings

Question 24

benzos

Answer 24

withdrawal period

Question 25

alcohol therapy

Answer 25

psychotherapy
motivation interviewing

Question 26

motivational interviewing

Answer 26

transtheroritcal or stages of change theory
uses person-centered approach to strength motivation for change

Question 27

transtheorteical stages of change theory

Answer 27

pre contemplation
contemplation
preparation
action
maintenance

Question 28

precontemplation

Answer 28

not thinking about change

Question 29

contemplation

Answer 29

idea is tossed around for the person
thinking about it

Question 30

preparation

Answer 30

prepping to make change
making plans

Question 31

action

Answer 31

when change is happening

Question 32

maintence

Answer 32

long term
how to maintence