exam 4

Question 1

What are risk factors for substance abuse

Answer 1

Family history of substance use.
Favorable parental attitudes towards the behavior.
Poor parental monitoring.
Parental substance use.
Family rejection of sexual orientation or gender identity.
Association with delinquent or substance using peers.

Question 2

Substance abuse prevention

Answer 2

therapy, hotline,

Question 3

Nursing interventions for opioid overdose

Answer 3

narcan

Question 4

Nursing interventions for patients in recovery

Answer 4

Providing physical treatments, emotional support, and patient education

Question 5

Disulfiram (Antabuse) patient education

Answer 5

You should not take Antabuse until you have not taken any alcohol for 24 hours. If you stop taking Antabuse, you should wait at least one week before consuming alcohol.

Question 6

AA program characteristics

Answer 6

12- STEP PROGRAM
* NOT EFFECTIVE FOR EVERYONE
* SOME OBJECT TO EMPHASIS ON GOD
* WOMEN AND MINORITIES REPORT
FEELING OVERLOOKED BY AN ESSENTIAL
“WHITE MALE, MIDDLE-CLASS”
ORGANIZATION

Question 7

addiction terms

Answer 7

TYPES OF SUBSTANCE ABUSE
* SEDATIVES INCLUDING ALCOHOL
* STIMULANTS
* CANNABIS
* OPIOIDS
* HALLUCINOGENS
* INHALANTS
* DESIGNER DRUG-SYNTHETIC MADE BY ALTERING
EXISTING
* MEDICATIONS OR FORMULATING NEW
SUBSTANCES

Question 8

Therapeutic communication techniques

Question 9

Nurse drug diversion

Answer 9

characteristics: isolates from others, eats alone, avoid staff events, unexplained disappearances, shows up on days off, volunteers for extra shifts, and hold narcotic keys, spills or waste narcotics, chaotic home life, refuses to comply, implausible excuses for behavior

handling waste: must have a documented witness, document as soon as u make a mistake, MAR, document pain score, report any discrepancies, suscpetd diversion, inapporiate access,

Question 10

delirium

Answer 10

a mental state in which you are confused, disoriented, and not able to think or remember clearly. It usually starts suddenly

Question 10

dementia

Answer 10

the loss of cognitive functioning — thinking, remembering, and reasoning — to such an extent that it interferes with a person’s daily life and activities, slow

Question 11

differences between dementia and delirium

Answer 11

dementia is gradual, long, LOC is unaffected, worsens as life goes on, memory is impaired, pt looks healthy, common disturbances
delirium is fast, brief, LOC fluctuates during the day, speech incoherent, hallucinations common, pt looks sick, memory infected

Question 12

Nursing interventions for dementia patients

Answer 12

maintain a safe and secure environment for patient at all times, with early cognitive loss, instruct the patient and family on memory tips such as a daily schedule and routine, sticky notes for example “bobs clothes” “bobs bathroom”

Question 13

cognitive disorder terms

Answer 13

-alzheimers: 60-70% dementia cases, amyloid plaque and beta tangles, impairments of memory, langue, and visuspacial skills
-vascular dementia: 10-20% dementia, disease or injury to blood vessels leading to the brain, impaired motor and judgement
-fronto temporal :10% of dementia, deterioration of frontal and temporal lobes, personality change, issue w language
-lewy body: 5% dementia, lewy body protein deposits on nerve cells, hallucinations, disordered sleep, impaired thinking and motor
-other: 5% dementia, parkinsons, huntingtons, HIV, crutzfeldt-jakob disease, korsakolf

Question 14

Characteristics of Conduct disorder

Answer 14

is the most common
disruptive behavior disorder and is
characterized by aggression to people
and animals, destruction of property,
deceitfulness and theft, and serious
violation of rules,
-Decreasing violent behavior
– Increasing compliance
– Improving coping skills and self-esteem
– Promoting social interactions
– Education and support of the paren

Question 15

Characteristics of Oppositional Defiant Disorder

Answer 15

conduct disorder may be
diagnosed with antisocial personality
disorder as adults, involves and
enduring pattern of uncooperative, defiant,
disobedient, and hostile behavior toward
authority figures that exceeds the periodic
negative behaviors that are usually seen in adolescence

Question 16

Characteristics of Intermittent Explosive Disorder

Answer 16

sudden, intense, and out-of-proportion anger outbursts

Question 17

limit setting

Answer 17

a technique used to establish boundaries and expectations for acceptable behavior, and to communicate the consequences of breaking those rules

Question 18

Nursing interventions for disruptive behavioral disorders

Answer 18

establishing clear limits and expectations, using positive reinforcement techniques, redirecting behavior, de-escalation strategies, providing emotional support, actively listening, collaborating with the patient’s support system, and utilizing cognitive behavioral therapy (CBT) techniques to help the patient identify and manage triggers for disruptive behavior; always prioritizing a calm and consistent approach while addressing the behavior directly and immediately

Question 19

Treatment for disruptive behavioral disorders

Answer 19

Stimulants like methylphenidate (Ritalin)
and amphetamine compounds such as
Adderall.
– Atomoxetine (Strattera) – THE ONLY NON-
STIMULANT MEDICATION THAT HAS
BEEN SPECIFICALLY DEVELOPED AND
TESTED BY THE USDA FOR THE
TREATMENT OF ADHD.

Question 20

parent education for child with ADHD

Answer 20

disorder of
childhood, results in poor academic
performance, strained family dynamics
and/or rejection by peers

Question 21

Adderall side effects and nursing considerations

Answer 21

monitor blood, heart, and blood pressure, tell your doctor right away if you notice possible mood changes, agitation, or unusual tiredness in your newborn. This medication passes into breast milk and may have undesirable effects on a nursing infant

Question 22

gender dysmorphia

Answer 22

a condition that describes a person’s distress or discomfort when their gender identity differs from their assigned sex at birth