Module 2 Chapter 6: Substance abuse assessment

Question 1

Alcohol consumption has dose-related effects: the more you drink…

Answer 1

the higher the risk

Question 2

__________ increases risk of sepsis, septic shock, and hospital mortality among intensive care unit (ICU) patients

Answer 2

Alcohol dependence

Question 3

what are some prescribed opiod pain releavers?

Answer 3

• Oxycodone
• Hydrocodone
• Methadone

Question 4

Alcohol problems ___________ both in primary care settings and in hospital

Answer 4

underdiagnosed

Question 5

_______ amount of alcohol has been determined

safe for pregnant women

Answer 5

NO

Question 6

What characterstcs in older adults cause a higher risk for alcohol use?

Answer 6

Liver metabolism and kidney functioning decrease, increasing availability of alcohol in blood for longer periods

– Less tissue mass means increased alcohol concentration in blood

– Older adults may be on multiple medications that can interact adversely with alcohol, including
benzodiazepines, antidepressants, antihypertensives, and aspirin

– Drinking alcohol increases risk of falls,
depression, and gastrointestinal problems

Question 7

Alcohol screening questions

Answer 7

“Do you sometimes drink beer, alcohol, or wine?

• “On average, how many days/week do you have an alcoholic drink?”
• “On a typical drinking day, how many drinks do you have?”

Question 8

list of alcohol screening tools

Answer 8

• TWEAK
• AUDIT
• SMAST-G
• CAGES

Question 9

TWEAK

Answer 9

• Useful for women, pregnancy

Question 10

SMAST-G

Answer 10

– Useful for older adults

Question 11

• AUDIT

Answer 11

– Alcohol consumption
– Drinking behavior or dependence
– Adverse consequences from alcohol

Question 12

• CAGES

Answer 12

– Works well in primary care settings because it takes less than 1 minute to complete

Question 13

moderate drinking pattern for men

Answer 13

< 2 drinks/day for men

Question 14

moderate drinking pattern for women and adults

Answer 14

– < 1 drink/day for women and adults > 65 years

Question 15

The nurse is assessing a patient who has been abusing opiates for 4 years. The patient says, “I
can quit anytime I want.” The nurse should interpret this statement to be a sign that this individual:

1. may be in denial of needing help or having a problem with opiates.
2. is ready to quit and can do so with little i nter venti o n.
3. is motivated to enter rehabilitation.
4. should not be trusted because this individual
   is not of sound mind.

Answer 15

1

Question 16

Obejective data

Answer 16

GGT= liver enzyme
MCV= part of hemoglobin
- Beath alcohol analysis ‘
- BAC

Question 17

The nurse is caring for a patient in the ED who has been a patient many times before in the ED. In fact, this is the patient’s second overdose in one month. The nurse says, “Here we go again. I don’t know why we bother with this guy, because he will be back out there as soon as he is discharged”. The nurse:

1. is not being professional and cannot give unbiased care.
2. is obligated to provide care.
3. is not obligated to provide care.
4. must find a way to come to terms with the way he
   or she feels about these types of issues and work on ways to deal with them.

Answer 17

4