Mental health/subs abuse Flashcards
Which statement indicates that the nurse understands the principle of caring for a pt with drug dependency?
Genetics may play a role in contributing to the cause of substance abuse
Varenicline is prescribed for a middle-aged pt for smoking cessation. What is the priority nursing action for this pt?
Monitoring every 4 hours for orthostatic hypotension
The nurse is caring for a patient with a history of alcoholism who is undergoing long-term alcohol treatment. Which intervention is the highest priority?
Ensuring the pt knows all alcohol must be avoided when taking disulfiram
The nurse is caring for a patient with a diagnosis of acute alcohol toxicity. Which assessment finding requires immediate action?
Vomiting
The clinic nurse is reviewing medication instructions with a patient taking nicotine replacement gum for smoking cessation. Which statement by the patient indicates a need for additional teaching by the nurse?
I can continue to smoke a cigarette once in a while when taking this drug
The nurse is caring for a patient who arrived at the Emergency Department exhibiting slurred speech, giddiness, euphoria, and a decrease in his inhibitions. The nurse suspects that the patient has been abusing which substance?
Inhalants
The nurse is assessing a patient who has been admitted after exhibiting hallucinations and delusions at a party. Upon assessment, the nurse determines that the patient is experiencing perceptual distortions. The patient has most likely been abusing which substance?
PCP
The nurse would anticipate the health care provider to prescribe which drug of choice to manage the short-term opiate side effect of respiratory depression?
Naloxone
The nurse is working with a health care worker who exhibits emotional lability, drowsiness, and decreased inhibitions. Which substance has the health care worker most likely been abusing?
MDMA
Which symptoms are likely to be produced by abuse of cannabis? (Select all that apply.)
Euphoria
Lack of motivation
Which of the following disorders would be considered medically appropriate for anabolic-androgenic steroid (AAS) use? (Select all that apply.)
Delayed puberty
Hypogonadism
Cachexia as a result of chronic disease
A patient who smoked 1 pack of cigarettes a day for 2 years abruptly stopped smoking 2 days ago. Which of the following would the nurse performing an assessment on the patient expect to identify as manifestations of nicotine withdrawal?
Depression and decreased blood pressure
Which of the following does the nurse performing an assessment on a patient expect to identify as the manifestations of cocaine use?
Cardiac dysrhythmias and violent behavior
A patient with a known opioid addiction is to have surgery. Which of the following is necessary in planning the patient’s postoperative pain management?
Provide pain management as needed
Substance use disorder
“when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home.”
Neurobiology is what?
When drugs act on the dopamine receptors to give a person a euphoric feeling….want to get that high again.
Epigenics
Environment influences a persons genetics
Intoxication
a condition that results in disturbances in the level of consciousness, cognition, perception, judgment, affect or behavior, or other psychophysiological functions.
Stabilization
Acute treatment for substance use disorder involving supervision, observation, support, intensive education and counseling that involves multidisciplinary treatment interventions.
Social impairment
recurrent drug use despite problems at work or school, interpersonal problems, or the cessation of social and recreational activities.
Risky use
recurrent drug use despite the difficulity it is causing.
Short term effects of alcohol use
HA
N/V
slurred speech
Disulfiram
don’t give if alcohol is consumed within 12 hrs.
Don’t take metronidazole/paraldehyde/ritonavir/ eliglustat
call 911 if take with alcohol
Acamprostate
Take if refrained from alcohol
Naltrexone intensifies medication
Suicidal?
