HIN 269 24 Flashcards
For a nurse to develop a therapeutic attitude toward the treatment of alcohol, tobacco, and other drug (ATOD) problems in the community, the nurse must realize drug addiction can be successfully treated, anyone may develop drug dependence, and
any drug can be abused
A long-distance truck driver being assessed by a nurse in a community-based clinic states, “I smoke 3 packs of cigarettes a day. I use coffee and diet pills from the drug store to stay awake on the road. That makes it difficult to sleep when I do pull over, so I use a prescription sleeping pill from my doctor to sleep for 4 hours. It’s giving me palpitations.” The nurse’s assessment should include a diagnosis of
substance abuse
The nurse is evaluating a new home health client for ongoing management at home following back surgery for a traumatic injury. The client has been receiving a morphine-based drug for long-term pain management over the past 6 months. The nurse’s assessment should include a plan for addressing the client’s
drug dependence
An eighth-grader is brought to the emergency department by a parent for unusual skin blistering and discoloration around the nose and lips. The parent states that the child will not say what caused the injury. The nurse should consider the possible use of
inhalants
The harm reduction approach to substance abuse focuses on health promotion and disease prevention. A primary prevention strategy that can be used by the nurse to address substance abuse under this approach is to
destroy the myth of good drugs versus bad drugs
A client is back for his follow-up appointment and says to the nurse, “I know. I know. I drink too much, but the job is so stressful that I need to find a way to unwind at the end of the day. You would too!” The nurse should recognize that this is a primary symptom of addiction known as
denial
Methadone maintenance for heroin addiction is a harm reduction strategy because it reduces deviant behavior and introduces addicted persons to the health care system. What is a disadvantage to the use of Methadone?
Methadone carries a risk of overdose
Indiscriminate use of “good drugs” has caused more health problems from adverse reactions, drug interactions, dependence, addiction, and overdoses than has the use of “bad drugs.” The high-risk population group that most experiences the negative consequences identified above is
older adults
A nurse in community health is following an older woman who complains frequently of migraine headaches, backaches, and GI disturbances. During a recent visit, the woman states that her adult son now lives with her. He was recently let go from his job. He enjoys hanging out with his old buddies. When he feels better he will look for a new job. Despite the added burden she really enjoys having her son around again. The nurse should explore this further to determine whether the family is
codependent
Marijuana (Cannabis sativa or C. indica) is the most widely used illicit drug in the United States. The nurse should be aware that marijuana has which of the following characteristics? (Select all that apply.)
- May lead to tolerance
- Has little quality control
- Is a safe therapeutic agent
