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DSM-5 > Substance-related & Addictive Disorders > Flashcards

Substance-related & Addictive Disorders Flashcards

1
Q

What are substances?

A

They refer to a drug (this includes alcohol), medication–prescribed or not, or toxin.

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2
Q

How many classes of substances?

A

10

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3
Q

In how many ways can substance-related disorders be diagnosed?

A

3

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4
Q

What are the 3 ways for substance-related disorders to be diagnosed?

A

Substance use d/o
Substance Intoxication
Substance withdrawal

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5
Q

What does a person must exhibit in the diagnostic criteria for Substance Use d/o?

A

a pathological pattern of behaviors related to use of the substances

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6
Q

How many must a person exhibit in the diagnostic criteria for Substance Use d/o?

A

2 or more

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7
Q

You do need to experience withdrawal or tolerance to have a substance use diagnosis.
True OR False.

A

False. You DO NOT need to experience withdrawal or tolerance to have a substance use diagnosis.

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8
Q

When diagnosing every diagnosis for Substance Use what do you need to note about the symptoms?

A

You will need to note the severity of symptoms such as, mild, moderate, or severe.

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9
Q

What does mild symptoms indicate?

A

Indicate if your client experiences 2 or 3 of the diagnostic criteria for Substance Use d/o.

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10
Q

What does moderate symptoms indicate?

A

Indicate if your client experiences 4 or 5 of the diagnostic criteria for Substance Use d/o.

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11
Q

What does severe symptoms indicate?

A

Should be noted if your client is experiencing 6 or more of the diagnostic criteria for Substance Use d/o.

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12
Q

If your client has withdrawal symptoms or describes signs of tolerance to the drug, the disorder tends to be more what?

  • Mild
  • Moderate
  • Severe
A

Severe

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13
Q

You should not specify if your client is “On maintenance therapy” OR “In a controlled environment.”
True OR False.

A

False. You should specify if your client is “On maintenance therapy” OR “In a controlled environment.”

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14
Q

What may be different if your client is if your client is “On maintenance therapy” OR “In a controlled environment.”?

A

Treatment plans

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15
Q

What does substance intoxication refer to?

A

Refers to the reversible substance-specific syndrome following the recent consumption or exposure to a substance.

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16
Q

The criteria for substance intoxication will vary across what?

A

Drug class

17
Q

What one class substance is excluded from the list for substance intoxication?

A

Tobacco

18
Q

What is substance withdrawal?

A

Refers to the changes in physiology and cognition due to substance cessation or as the substance is leaving a person’s system.

19
Q

Symptoms of substance withdrawal do cause significant distress and impairment.
True OR False.

A

True

20
Q

It is NOT clinically important to work with a medical team if someone is in need of services during intoxication or detox. True OR False.

A

False. It is clinically important to work with a medical team if someone is in need of services during intoxication or detox.

21
Q

Substance-induced d/os are when symptoms (ex, mania or depression) are judged to be a consequence of the substance use.
True OR False.

A

True

22
Q

If substance-induced symptoms persist after a period of abstinence (around four weeks), it may be a substance-induced d/o.
True OR False.

A

False. If substance-induced symptoms persist after a period of abstinence (around four weeks), it may NOT be a substance-induced d/o.

23
Q

If substance-induced symptoms persist after a period of abstinence (around four weeks), it may be a substance-induced d/o, then what should you consider?

A

Consider in changing the dx to a proper mental illness dx.

24
Q

Which of following are NOT true about alcohol intoxication?

  • slurred speech
  • involuntary eye movements
  • insomnia
  • impairment in attention or memory
A

Insomnia

25
Q

Withdrawal does NOT include autonomic hyperactivity (ex palpitations, shortness of breath), hand tremor, insomnia, nausea or vomiting, hallucinations, psychomotor agitation, anxiety, and seizure.
True OR False.

A

False. Withdrawal DOES include autonomic hyperactivity (ex palpitations, shortness of breath), hand tremor, insomnia, nausea or vomiting, hallucinations, psychomotor agitation, anxiety, and seizure.

26
Q

Hallucinogens can be diagnosed with use, intoxication, and withdrawal.
True OR False.

A

False. Hallucinogens can be diagnosed with ONLY use and intoxication b/c there is limited research on withdrawal.

27
Q

What of the following indicate intoxication for hallucinogens use?

  • duration varies with drug
  • Phencyclidine: hypertension
  • tachycardia (rapid heartbeat)
  • numbness
  • loss of coordination
  • All
A

All

28
Q

Inhalants can be diagnosed with use or intoxication.

True OR False.

A

True

29
Q

Glues, gases, fuels, paints are not considered volatile hydrocarbon inhalants.
True OR False.

A

False. Glues, gases, fuels, paints ARE considered volatile hydrocarbon inhalants.

30
Q

Opioid cannot diagnose use, intoxication, or withdrawal.

True OR False.

A

False. Opioid CAN diagnose use, intoxicaton, and withdrawal.

31
Q

Stimulants can be diagnosed as use, intoxication, or withdrawal.
True or False.

A

True

32
Q

When assessing for substance use and the subsequent treatment planning, always remember to assess for:

  • potential barriers to recovery
  • the degree of risk of continued use in the environment, social network, interpersonally
  • coping skills, social skills, and resources for managing high-risk events
  • Stage of change/Motivation to change
  • All
A

All

33
Q

There is not a high risk in relapse.

True OR False.

A

False. There IS a high risk in relapse.

34
Q

It is important to gather information from multiple sources to fully assess your client.
True OR False.

A

True

35
Q

It is common not for people to use multiple substances (i.e., polysubstance use).
True OR False.

A

False. It IS common for people to use multiple substances (i.e., polysubstance use).

36
Q

There is a high prevalence of substance use among 18-24 YO.

True OR False.

A

True

37
Q

There is a high rate of co-occurring mental disorders and substance use.
True OR False.

A

True

38
Q

There is also a risk for deterioration in general health for people with more chronic abuse.
True OR False.

A

True

DSM-5 (10 decks)

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