Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Exam 4 > Concept of addiction > Flashcards

Concept of addiction Flashcards

1
Q

This is the psychological/physiological need for a substance or process, where an individual will risk negative consequences in attempt to meet their needs.

A

Addiction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Some substances a person may become addicted to are…

A
  • -Alcohol
  • -tobacco
  • -caffeine
  • -prescription meds (narcotics, sedatives, stimulants)
  • -marijuana
  • -cocaine
  • -heroin
  • -hallucinogens
  • -inhalants (huffing hairspray)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

some processes a person may become addicted to are…

A
  • -gambling
  • -working
  • -shopping, spending/indebtedness
  • -porn, sex
  • -eating disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dependence is the physiological need for a substance in which the client cannot control themselves. Without it the client will have ____ symptoms.

A

Withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Genetics is a Rf for addiction, it can be linked to the ____ system in the brain.

A

Dopaminergic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the biological factor with addiction can be linked to reduced ____ and ____, which can lead to a risk of developing an addiction such as _____.

A
  • -Dopamine and serotonin

- -alcoholism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

dopamine regulates…

A
  • -movement
  • -emotions
  • -motivation
  • -pleasure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If a patient had taken heroin or cocaine this drug mimics endorphins so it would block the uptake of ____, _____, _____.

A
  • -dopamine
  • -serotonin
  • -norepinephrine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

For the psychological factor of addiction, psychoanalyst view the fixation at what stage of development?

A

oral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Behavior therapist believe addiction is a

A

learned maladaptive behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The family system theory believes addiction begins with…

A

dysfunctional family relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What two ethnic backgrounds show an increased percentage of people with alcohol use disorder?

A

Alaska natives

native Americans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what ethnic background has the least occurrence of alcohol use disorders?

A

Asians

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Older adults may develop an addiction later in life due to life events such as…

A
  • -loss of loved one
  • -stress
  • -retirement
  • -social isolation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The risk factor trauma can be linked to..

A
  • -childhood trauma (physical, mental, sexual)
  • -abuse
  • -combat (PTSD)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adolescents are at risk for addictions starting at the time of _____.

A

Puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

older adults are usually misdiagnosed because they can mimic other disorders such as…

A
  • -diabetes
  • -dementia
  • -depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Substance abusers can have trouble at home, increasing family problems/stress because of

A

The secrecy and shame of abuser (they push people away to hide the addiction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When a family see’s their loved one become addicted to something they tend to become…

A

enablers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
  • Parental substance abuser with put a strain on family life because they will start to…
  • This causes children to be forced to…
  • children may carry this into ___ because it will be their norm.
A
  • -neglect responsibilities
  • -take parental role
  • -adulthood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

the addict will become so preoccupied with obtaining their fix that boundaries become…

A

rigid and inflexible (may pawn valuables)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

diagnostic tests for addictions are:

A
  • -serum drug levels
  • -tox screen
  • -CXR (inhaled substances)
  • -Urine, saliva
  • -hair testing (if substance used within 90 days)
  • -organ biopsy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The nurse must develop ___ with the client!

A

TRUST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

During the assessment the client may feel…

A
  • -shame
  • -embarrassment
  • -denial
  • -fear of legal reprisal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

During the physical assessment the pt. may have _______ on their body. This can be a sign of suicide (cutting).

A

Unexplained lacerations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Narcotics can cause symptoms such as…

A
  • -slurred speech
  • -hallucinations
  • -pupillary changes
  • -reduced RR
  • -reduced LOC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Be on alert for abnormal symptoms of narcotic use such as…

A
  • -weird behavior
  • -violent
  • -how they act toward nurse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

the goal of a patient with an addiction is…

A

Treatment and recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The state of voluntary sobriety that requires COMMITMENT is called…

A

Recovery

30
Q

The patient may be good at hiding their addiction and avoiding the discussion so they will display poor…

A

communication skills

31
Q

The nurse must remember not to talk around the client or about the client to the family. The patient is the …

A

center of all communication

32
Q

This type of therapy is when family/loved ones get together, in a safe space, that is conducted by a professional to confront the client…

A

Intervention

33
Q

During an intervention the family will demonstrate the impact the addiction has had. They can do things such as…

A

–role play

34
Q

The desired result of an intervention is for the addict to be…

A

motivated to seek help

35
Q

Life changes such as marriage or retirement may evoke what type of crisis?

A

Maturational crisis (natural process of development)

36
Q

Unexpected life changes such as the loss of a spouse/child, car accident can result in what type of crisis?

A

Situational crisis

37
Q

What is usually the cause of an addict experiencing a crisis?

A

poor life management skills

38
Q

When an addict is experiencing a crisis they are more likely to get help before, during, or after the crisis?

A

during

39
Q

This type of therapy is when techniques are learned to modify/change addictive behavior.

A

Behavior therapy

40
Q

If a client presented to the clinic addicted to smoking, we would want the client to recognize the pattern, then change it. If a client eats a large lunch and needs a cigarette the nurse can advise them to do what instead?

A

chew gum

41
Q

What are three types of behavior therapy?

A
  • -positive reinforcement (most desirable)
  • -punishment
  • -extinction
42
Q

a contingency contract is signed by the client stating they will abide by certain rules. the key terms used in a contingency contract are…

A

“if”…………“then”

43
Q

This method used in behavior therapy is used when the expected behavior is identified, the reward is specified, and rules are established for redeeming these rewards..

A

Token economies

44
Q

What type of therapy is used when an environment is created to support behavior change, teach new coping measures, and help client get to an addiction free life?

A

Milieu Therapy

45
Q

The client can participate in group, or social activities but the nurse must remember the client has the right to..

A

participate or not

46
Q

An informal environment of professional relationship consists of…

A
  • -clear communication
  • -safe environment
  • -activity schedule
  • -support network
47
Q

What type of therapy aided by a professional therapist includes participation from the client and group members to help each other through change?

A

Group therapy

48
Q

What are the two concepts of group therapy?

A
  • -social microcosm

- -Here and now concept

49
Q

What is social microcosm?

A

A clients problematic relationships in their personal life will characterize the relationships they form with group members.

50
Q

What does the Here and now concept entail?

A

The issues that emerge become the main focus

51
Q

Group therapy is effective with all ages especially….

A

children and adolescents

52
Q

What type of therapy focuses on the family as a unit and focuses on the dynamics?

A

Family therapy

53
Q

the goal of family therapy is…

A
  • -Teach better parenting/nurturing skills
  • -improve communication
  • -establish boundaries (kids should not be parents)
54
Q

This type of program uses guided principles to outline a course of action for recovery from addiction.

A

12 step program

55
Q

The only requirement of the 12 step program is the…

A

sincere desire to change

56
Q

If a patient enters the facility with a drug issue, the nurse will treat/prevent symptoms of withdrawal with…

A
  • -Librium

- -methadone

57
Q

the best way to prevent an addiction is to…

A

EDUCATE!

58
Q

Their are certain types of programs to help a person recovering from an addiction. Examples are…

A
  • -AA (alcoholics anonymous)

- -treatment homes (drug addiction)

59
Q

The nurse needs to practice self awareness when dealing with addictive behaviors and mental disorders. The nurse must…

A
  • -examine ones own beliefs
  • -be aware of own issues (maybe the nurse had an alcoholic father)
  • -substance abuse is chronic with relapses and remissions (may see that pt. again)
  • -remain objective
  • -be optimistic (helps them reach their goal)
60
Q

This substance in the brain is linked to causing changes in cognition when it is low (reduced memory, judgement, reaction times, cognitive ability)

A

Reduced B1 (thiamine)

61
Q

With cognition the nurse will assess for…
The nurse will provide….
treat with….

A
  • -Wernicke encephalopathy (linked to alcohol misuse), korsakoff psychosis (late complication of Wernicke)
  • -safety
  • -thiamine therapy
62
Q

A patient who is an addict is at risk for infection. The nurse should assess for conditions such as…

A
  • -Hep C
  • -bacterial pneumonia
  • -endocarditis
  • -TB
  • -Skin infections (at injection site)
  • -HIV/AIDS
63
Q
  • Addicts have high risk taking behaviors that leads to increased risk for injury, violence, HIV. The nurse should assess for…
  • The nurse will educate about…
  • and anticipate…
A
  • -risky behaviors (DUI, unprotected sex, sharing needles)
  • -safety
  • -denial, family enabling
64
Q
  • An addiction to nicotine can be through forms of cigarettes, cigars, pipes, or chewing tobacco. Meds to help a patient quit are…
  • Non-pharm therapy would be….
A
  • -Bupropion (zyban)
  • -Varenicline tartrate (chantix)
  • -nicotine gum, spray, or patch
  • -behavioral therapy
65
Q

Chronic use of alcohol can lead to addiction, resulting in delirium tremens (DT’s) if alcohol not consumed. Pharm and non-pharm tx.’s would be…

A
  • -Disulfiram (antabuse)
  • -behavioral, milieu, family therapy
  • -support group
  • -12 step program (AA)
  • -detox
66
Q

Substance addiction may include the use of heroin, cocaine, marijuana, crack, narcotics, barbiturates, inhalants. Tx. includes…

A

–Behavior, milieu, family therapy
–support groups
–12 step program (NA)
–Detox
–Removal of peers providing substances
(pharm therapy may be needed to minimize withdrawals)

67
Q

Process addictions are associated with compulsive behaviors to reduce anxiety (sex, gambling, shopping, work). Tx. will include:

A
  • -Psychotherapy, behavior, milieu, family therapy
  • -Support groups
  • -12 step program (GA)
68
Q

A person with an addiction will neglect…

A

responsibilities

69
Q

What is it called when a person has withdrawal symptoms when they cannot get the substance, and they cant control the need; (the patient starts to develop a psychologic tolerance to the substance)?

A

Dependence

70
Q

During a physical assessment of the patient the nurse may notice the patient is/has…

A
  • -malnourished
  • -dental problems
  • -HTN
  • -high HR
  • -cracks
  • -tremors
  • -dilated pupils
  • -lacerations/scabs
  • -bruises
  • -self inflicted wounds
71
Q

when a patient is addicted to substances some members of their family/friends may try to sneak things in… The nurse should…

A

inspect their room

Exam 4 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions