slides 36

Question 1

Definition of addiction

Answer 1

Excessive use of a substance
a decline of social and economic function
uncontrollable consumption of the substance

Question 2

Addictive personality

Answer 2

exhibiting a pattern of compulsive and habitual use of a substance or practice to cope with psychic pain from conflict and anxiety. These people have a low stress tolerance, are dependent, have a negative self-image, depression, and feelings of insecurity

Question 3

Early stage

Answer 3

more of substance more frequently and has to use a lot more to achieve the same effect.
medical signs-Anxiety, insomnia, cramps, heart palpitations

Question 4

middle stage

Answer 4

Moderate impairment, user tries to stop or cut back but ends up using more. This stage is when the person must have the drug to feel “normal

Question 5

Late stage

Answer 5

uses continually to avoid emotional and physical pain and does not feel normal anymore
med signs- liver disease, pancreatitis, toxic psychosis

Question 6

Alcohol withdrawal syndrome

Answer 6

withdrawal from alcohol can occur as early as 6 hours after cessation of alcohol intake and sometimes last for 3-5 days

Question 7

signs of alc withdraw

Answer 7

Diaphoresis, tremors, hypertension

Question 8

do NOT be judgmental

Question 10

Antabuse ( disulfiram) is

Answer 10

a med that will cause alcoholic to be nauseous if they drink alcohol while takin

Question 11

Deaths from alcohol related vehicle accidents, suicides, and homicides are approx

Answer 11

88,000 per year

Question 12

AA-Alcoholics Anonymous

Answer 12

group for alcoholics that consists of abstinent alcoholics that supports each other through a 12 step program

Question 13

Detoxification

Answer 13

keep the patient safe from aspiration and seizure At night during detox period use nightlights and remove extra furniture from the room to decrease disorientation at night.

Question 14

Rehabilitation

Answer 14

This phase focuses on abstaining from drug use

Question 15

Opioid analgesics

Answer 15

Narcan is antidote - it reverses the effect of opioids

Question 16

Heroin is an opioid and is very addictive

Answer 16

People with a heroin addiction are given methadone and the protocol is to give it daily until pt is stable then taper eventually to zero

Question 17

you will always taper a patient off of meds

Question 18

Stimulants- Amphetamines

Answer 18

an overdose of these like cocaine can cause symptoms that look like Parkinson’s Disease with tremors and shaking

Question 19

Ecstasy

Answer 19

Both a psychedelic and stimulant- Causes bruxism ( grinding teeth)
give adult pacifier

Question 20

Hallucinogens

Answer 20

PCP a hallucinogen and causes hallucinations that may last 6-12 hours

Question 21

Inhalants

Answer 21

-chemicals that alter thinking and mood when inhaled. Glue, lighter fluid, cleaning fluids

Question 22

Babies born to drug-addicted moms - should be cared for how?

Answer 22

swaddled closely and put in a low stimulation environment

Question 23

Nurse should get subjective data

Answer 23

drug use like how much, what kind, time of last use, etc.

Question 24

If you think a coworker is abusing drugs,

Answer 24

report to manager

Question 25

If found chemically impaird, The impaired nurse can

Answer 25

be in a peer-assistance program and can retain their license and continue to work under supervision

Question 26

Suspicions a coworker is abusing drugs

Answer 26

Often away form the unit, rapid changes in mood and performance, increased somatic complaints, patients reporting they did not get their medications