review qts from class

Question 1

how would you treat pt w/ chronic pain and SUD

Answer 1

treat pain & SUD at same time!! show compassion, empathy, respect, look at the reason why the person is using? (most likely to numb the pain)

Question 2

what would be the formal process of nurses with SUD returning to work look like

Answer 2

gradual return to work, nurse and OT work with nurse to formulate plan, start small hrs and gradually add more in to not overall nurse

Question 3

why do pts with OUD not respond to pain meds?

Answer 3

tolerance due to chronic opioid use, pt may require higher than normal dose of medication due to a build up tolerance

goal is comfort and pain control, do not hesitate to give higher dose

Question 4

what is TIP? how would you implement it?

Answer 4

trauma informed practice = assume everyone has some form of trauma

provide choice, safe clinical environment, not asking anything they feel uncomfortable sharing, validate their trauma, therapeutic alliance, language (ask pronouns), meet them where they are at

Question 5

women with SUD are usually introduced to drugs by partner?

Answer 5

TRUE

Question 6

how would you approach an adolescent in residential facility who has relapsed

Answer 6

education without lecturing, motivational interviewing, private discussion with pt (determine their triggers, what happened?), learning opportunity

Question 7

what is the current evidenced based treatment for pts with concurrent disorder

Answer 7

treating both at the same time, seen on long-term basis, need a lot of support, case management, psychotropic medications are continued while using drugs (stay away from benzo & some adhd meds)

Question 8

what different b/w change talk and sustain talk

Answer 8

change: change behaviour
sustain: staying where they are

Question 9

what are some triggers for relapse

Answer 9

stress, peer/family members using, trauma, emotional state (most common)

lapse: short term, one episode of using and then goes back to abstinence

relapse: much longer

Question 10

what is AA philosophy

Answer 10

higher power, forgiveness, make amends with people, peer focused, peers helping peers, having a sponsor (support person who has been for a while), abstinence-based program NOT a harm reduction

Question 11

supervised consumption site

Answer 11

client can go in and be supervised to administer drugs safely, can get drugs tested, provided clean needles, and encouraged to stay to be monitored, nurses there in case of OD

Question 12

how would rpn provide TIP to clients from LGBT+ community

Answer 12

educate yourself about the community, self-awareness (check biases), avoid stigma, pay attention to language, ask about their pronouns & how they would like to be addressed

Question 13

why are nurses at higher risk of substance use

Answer 13

accessibility & burnout, stress

Question 14

how would rpn work effectively with pregnant client with active drug use?

Answer 14

assess holistically (what using, how) make sure pt has primary care doc, empathy & compassion, non-judgemental, check biases, do a intense assessment of client & child

Question 15

what criteria for effective school-based drug prevention programs

Answer 15

involving family members, consistent intervention process, small groups, interactive techniques, peers

Question 16

what are some benefits of group therapy for SUD

Answer 16

cheaper, having connections like social interactions, accountability, feel supported and not alone, assess if client benefit from this form of therapy? likewise people in similar situations

Question 17

what’s involved in family therapy for SUD

Answer 17

looks at entire family, assess communication patterns b/w members = lots of blaming & enmeshed, psychoeducation to teach effects of drug use, provide resources, can be referred to higher level of therapy if needed

Question 18

what is managed alcohol program (MAT)

Answer 18

harm reduction approach to client that abstinence not work, gives them the opportunity to use alcohol on regular basis (prescription)

Question 19

what personality disorder has a higher risk of substance use

Answer 19

antisocial personality disorder

Question 20

what is cultural competency

Answer 20

self-awareness, asking client about their input and what makes them comfortable, ask them to teach you about their culture (singing, food), they are expert you are learning

Question 21

what is meant by rolling with resistance

Answer 21

being flexible, normalizing the resistance, let it occur, no arguing

Question 22

when planning drug prevention with youth who should be involved

Answer 22

family

Question 23

what teaching is important for a pt with hep C

Answer 23

harm reduction, safe sex practice, don’t share needles, teach them signs and symptoms, teach that alcohol exacerbates disease (avoid week & alcohol)

Question 24

what is DBT

Answer 24

works well for SUD, created for bpd, mainly focuses on mindfulness - preventing triggers and cravings

Question 25

what would you include in your teaching for a pt on prescription drugs for pain

Answer 25

provide education about abuse potential, regular consultation with prescriber, make sure they are locked away from others

Question 26

contingency management

Answer 26

good behaviours = rewarded, bad behaviours = no reward (works well on kids)

Question 27

why does drug use increase during pregnancy

Answer 27

domestic violence, psychological stress, change

Question 28

what are some barriers for women in accessing SUD treatment

Answer 28

not having women only options, childcare, trauma, money, transportation

Question 29

what is SMART recovery

Answer 29

harm reduction based, based on 12 step program

Question 30

what is Prochaska & DiClemente model of change

Answer 30

pre-contemplation, contemplation, preparation, action, maintained experience, relapse

NOT LINEAR

Question 31

what is the single factor for positive outcomes when working with clients with SUD

Answer 31

therapeutic foundation!!

Question 32

CBT

Answer 32

focus on positive aspects and move away from negative behaviours