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Nurs 327 > lab 4 and 5- withdrawal, harm reduction, intro to psychotherapy > Flashcards

lab 4 and 5- withdrawal, harm reduction, intro to psychotherapy Flashcards

1
Q

history

things to know

A
  • ask about substances in non judgemental way
  • assume they are using something
  • give wide range of numbers of days of use
  • review other use of substances
  • last use
  • previous withdrawal experiences
  • seizure history
  • other health problems
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2
Q

signs and symptoms

alcohol withdrawal

A
  • sweating
  • increased pulse/temp/BP
  • tremors
  • N+V
  • anxiety/agitation
  • tactile and auditory disturbances
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3
Q

signs and symptoms

opiate withdrawal

A
  • dilated pupils
  • gooseflesh skin
  • stomach cramps/diarrhea
  • rhinorrhea
  • light sensitivity
  • myalgia
  • restless
  • increased pulse
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4
Q

AWS (alcohol withdrawal syndrome)

diagnostic criteria (2), assessment tool

A
  1. clear evidence of cessation of prolonged use
  2. symptoms are not accounted for by a medical disorder
    - use CIWA to measure
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5
Q

AWS (alcohol withdrawal syndrome)

scoring

A

less than 8: mild withdrawal
8-15: moderate withdrawal
greater than 15: severe withdrawal

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6
Q

minor AWS

A

will last about 48 hours
- autonomic and motor symptoms

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7
Q

moderate AWS

A

will last about 6 days
- illusions and hallucinations

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8
Q

severe AWS

A

will last about 14 days
- delirium shows up at 48 hours
- paranoia and disinhibition

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9
Q

seizures

A

occur primarily during early phase of withdrawal

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10
Q

delirium

A

occur in late stages of AWS
- perceptual changes, confusion, changes in LOC
- agitation/hyperarousal

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11
Q

alcohol withdrawal interventions

A
  • seizure precautions
  • encourage fluids
  • CIWA q 1-4 hours
  • antiemetics, electrolytes
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12
Q

opiate withdrawal interventions

A
  • decrease discomfort
  • use COWS q 1-4 hours
  • symptom management
  • fluids
  • suboxone
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13
Q

4 pillars of healthy drug and alcohol policy

A
  1. prevention
  2. treatment
  3. harm reduction
  4. enforcement
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14
Q

abuse

definition (substance)

A

person is misusing

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15
Q

abuse –> addict

A

there must be a degree of tolerance and elements of withdrawal

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16
Q

moral model

A

substance use is a moral weakness and is indicative of an individuals character

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17
Q

drug-set-setting model

A

a way to think about how problems with drug use come about

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18
Q

drug

drug-set-setting model

A

potency, action, delivery, legality

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19
Q

set

drug-set-setting model

A

persons physiology, emotional state, motivation, cultural identity

20
Q

setting

drug-set-setting model

A

stress/support factors, people using with, social/cultural attitudes

21
Q

psychotherapy

definition

A

treatment using psychological methods through collaboration and conversation

22
Q

goal of psychotherapy

A

teach person skills to manage current and future problems in a healthy way
- improved self concept and increased sense of agency

23
Q

ways to develop competence in psychotherapy

3

A
  • workplace learning
  • structured courses
  • certification program
24
Q

CBT

characteristics

A

problem oriente therapy that focuses on present and future
- structured short term format
- requires insight and self awareness

25
Q

CBT teaches person to

A

identify, and challenge dysfunctional patterns of thinking and behaving

26
Q

Becks negative cognitive triad

A

self, future, others/world

26
Q

CBT process

A

identify –> examine –> respond

27
Q

C in CBT

A

techniques designed to help people detect, evaluate, and modify inner thoughts as well as identify thoughts associated with emotional symptoms

28
Q

B in CBT

A

tracks how you behave when you have certain thoughts
- actions connected to the way we feel

29
Q

most difficult thinking styles to change

3

A

global, rigid, over generalized

30
Q

core beliefs

A

absolute rules for interpreting information related to self esteem
- arent directly observable

31
Q

DBT

definition

A

follows CBT based approach but emphasizes psychosocial to help people who react in a more intense manner

32
Q

DBT characteristics

A
  • used for patients with borderline personality disorder
  • balances change and acceptance with validation
33
Q

skills learned from DBT

important for final

A
  • mindfulness
  • emotional regulation
  • distress tolerance
  • interpersonal effectiveness
34
Q

distress tolerance

A

getting through crisis without making things worse and accepting reality

35
Q

interpersonal effectiveness

A

maintaining relationships and increasing self respect

36
Q

when to use distress tolerance skills

A

when you cannot leave or change the situation
- eg. snapping rubber band on wrist

37
Q

emotional regulation skills

A

logic or cognitive based techniques used to understand and change emotions

38
Q

interpersonal effectiveness skill

A

DEAR MAN
- describe
- express
- assert
- reinforce
- mindful
- appear
- negotiate

39
Q

motivational interviewing

characteristics

A
  • highly useful for people considering change
  • asking questions in a specific way to have person want to change certain things
  • about developing persons motivation to change
40
Q

motivational interviewing

definition

A

method for enhancing intrinsic motivation to change by exploring and resolving ambibalence

41
Q

conviction

A

importance of the change to the person
- related to relevance and impact they feel it could have

42
Q

confidence

A

how capable a person feels to make change
- related to their sense of control and previous experience with change

43
Q

interventions to increase conviction

A
  • provoke expression of their benefits
  • reinforce emotional benefits of change
  • provide information on benefits of changing the behavior
44
Q

interventions to increase confidence

A
  • remove barriers
  • help find strategies
  • build on prior success
45
Q

types of summaries

3

A
  • collecting
  • linking
  • transitional
46
Q

transitional summary

A

used to gather info that the client has given to you and then move them to next steps

Nurs 327 (8 decks)

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