Exam 3 study guide: Ch 14 Flashcards
What is the most abused drug by chemically impaired nurses?
Followed by what?
Alcohol
Then narcotics
A nurse who is demonstrating perfect attendance, or a nurse who is demonstrating excessive absence can both be implications of what?
What can each situation mean?
Substance abuse
A nurse who is demonstrating perfect attendance may be getting their substance from the hospital.
A nurse who is demonstrating excessive absence can be getting their substances from outside of the hospital.
What might be physical signs and symptoms of a chemically impaired nurse?
What are signs that you would find among the hospital’s medications?
Physical signs:
Irritability, mood swings, unkept appearance, impaired motor function, slurred speech, flushed face
Medications: Incorrect narcotic accounts and an increase in wasted drugs.
Can state boards deny, suspend, or revoke a nurse’s license if they are caught abusing substances?
Yes
Treatment for chemically impaired nurses may entail successful completion of inpatient, outpatient, group or individual counseling programs. In peer assistance programs, nurses who administer efforts to help the chemically impaired nurses are themselves what?
In recovery
The children of Alcoholics are more likely to become what?
How likely are they to become this?
Alcoholics
4 times more likely
“A compulsive or chronic requirement so strong as to generate distress if left unfulfilled.”
What core concept is this?
Addiction
The physiological and mental readjustment that accompanies stopping an addictive substance.
What core concept is this?
Withdrawal
People are considered to have a substance use disorder when the use of a substance interferes with their ability to do what?
Fulfill all obligations, such as work, school, or home duties.
What are the three neurotransmitters that are most closely linked with addiction to substances?
Dopamine, glutamate, and GABA.
The pleasurable sensations associated with the addictive substances create a memory that trigger the desire for repeated use of the substance.
Individuals with punitive super egos turn to drugs to diminish unconscious “blank” and increase the feelings of “blank” and self-worth.
Turn to drugs to diminish unconscious anxiety and increase the feelings of power and self worth
If a person does not have the ability to delay gratification, and seeks instant pleasure, what might this put them at risk for?
Substance abuse
What kind of thinking patterns have long been identified as a problem that is central in addiction?
Irrational thinking patterns
Which of these people have high risks of substance abuse potential? (Select all that apply.)
A 13-year-old girl with frequent depression
A football player with high self esteem
A 32-year-old man with antisocial tendencies
A local businessman with high risk taking traits
A 16-year-old girl with low risk taking traits
A 22-year-old man with passivity
All apply except the football player, and the 16 year old girl
What is the age group(s) most affected by their peers to abuse substances?
Children and adolescents
A learned response that occurs after repeated exposure to a stimulus.
What aspect of substance abuse is this describing?
Conditioning
Some races and ethnic groups have a higher risk for genetic variations that affect the activity of enzymes involved in alcohol metabolism. These changes cause alcohol to be converted quickly and oxidize slowly.
Which races or ethnic groups have a higher risk of these alcohol reactions?
Native Americans and Asians
Where is alcohol metabolized in the body?
The Liver
