Med-Surg Chp 71 Caring for Clients With Substance Use Disorders

Question 1

repetitive pattern of drug seeking and substance abuse that interferes with work, relationships, and normal activities; also known as dependence.

Answer 1

addiction

Question 2

chronic, progressive multisystem disease characterized by an inability to control the consumption of alcohol.

Answer 2

alcoholism

Question 3

technique that deters a behavior by causing unpleasant physical reactions when the behavior occurs.

Answer 3

aversion therapy

Question 4

periods of amnesia involving events and activities while consuming alcohol.

Answer 4

blackouts

Question 5

chemical agents that slow brain and physiologic activity.

Answer 5

central nervous system depressants

Question 6

chemical agents that accelerate physical and mental functions.

Answer 6

central nervous system stimulants

Question 7

condition of needing to take a drug to avoid withdrawal symptoms.

Answer 7

chemical dependence

Question 8

reduced pharmacologic effect when taking sedative-hypnotic drugs developed by alcoholics.

Answer 8

cross-tolerance

Question 9

process of stabilizing a client with a sedative drug while alcohol is metabolized from their system.

Answer 9

detoxification

Question 10

smoke given off by the burning end of a cigarette, pipe, or cigar and the exhaled smoke from the lungs of a smoker.

Answer 10

environmental tobacco smoke

Question 11

repetition of substance abuse often leads to psychological and physical dependence, and, finally, addiction.

Answer 11

habituation

Question 12

technique that involves substituting a synthetic addictive drug for another addicting drug to forestall withdrawal, avoid a toxic overdose, or reduce the potential for blood-borne infections.

Answer 12

methadone maintenance therapy

Question 13

the number of persons who are sick with a particular disease in a specific population.

Answer 13

morbidity

Question 14

the death rate or the ratio of the number of deaths for a specific population.

Answer 14

mortality

Question 15

addiction to central nervous system depressant drugs (narcotics) that are either derived from or chemically similar to opium.

Answer 15

opioid dependence

Question 16

abuse of more than one substance.

Answer 16

polydrug abuse

Question 17

procedure for accelerating opioid drug withdrawal within 4 to 8 hours while the client is under anesthesia.

Answer 17

rapid opioid detoxification

Question 18

(1) exacerbation of an illness

(2) return of a recovering alcoholic to drinking.

Answer 18

relapse

Question 19

cluster of signs indicating sedative (alcohol) withdrawal; evidenced by body temperature greater than or equal to 100°F, pulse rate greater than or equal to 100 beats/min, or diastolic blood pressure greater than or equal to 100 mm Hg.

Answer 19

Rule of One Hundreds

Question 20

given off by the burning end of a cigarette, pipe, or cigar and the exhaled smoke from the lungs of a smoker; also called passive smoking.

Answer 20

secondhand smoke

Question 21

use of a drug that is different from its accepted purpose.

Answer 21

substance abuse

Answer 22

substance use disorders

Question 23

condition in which a client needs larger doses of a drug to achieve the same effect as when the drug was first administered.

Answer 23

tolerance

Question 24

physical symptoms or craving for a drug that occurs when a person abruptly stops using a drug that they have taken routinely for some time.

Answer 24

withdrawal

Question 25

Central nervous system depressant

Lethargy

Slurred speech

Slowed motor reaction

Impaired judgment

Decreased social inhibition

Answer 25

Alcohol

Question 26

SIGNS AND SYMPTOMS OF TOXICITY

Nausea and vomiting, loss of coordination, belligerence, stupor, coma

Answer 26

Alcohol

Question 27

SIGNS AND SYMPTOMS OF WITHDRAWAL

Anxiety, agitation, elevated vital signs, hyperactive reflexes, tremors, diaphoresis, insomnia, hallucinations, seizures

Answer 27

Alcohol

Question 28

Central nervous system stimulants

Tachycardia

Hypertension

Increased energy

Feeling of well-being

Insensitivity to pain and fatigue

Weight loss

Answer 28

Cocaine and methamphetamine

Question 29

SIGNS AND SYMPTOMS OF WITHDRAWAL

Restlessness, paranoia, irritability, auditory and tactile hallucinations, convulsions, respiratory or cardiac arrest

Answer 29

Cocaine and methamphetamine

Question 30

Central nervous system stimulants

Depressed mood, lethargy, impaired concentration, craving for drug

Answer 30

Cocaine and methamphetamine

Question 31

Central nervous system depressants

Initial brief rush of euphoria

Sedation

Reduced motivation, attention, and concentration

Altered sensitivity to stressors

Pain relief

Lowered vital signs, especially respiratory rate

Slowed peristalsis

Constricted pupils

Decreased interest in sex

Answer 31

Heroin and other opioids

Question 32

SIGNS AND SYMPTOMS OF TOXICITY

Respiratory depression, hypothermia, pinpoint pupils, coma

Answer 32

Heroin and other opioids

Question 33

SIGNS AND SYMPTOMS OF WITHDRAWAL

Yawning, runny nose, perspiration, goosebumps, anorexia, vomiting, diarrhea, dilated pupils, insomnia, elevated vital signs, drug craving

Answer 33

Heroin and other opioids