Substance Use Disorder Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

sustained moderation is most difficult with these substances

A

smoking, alcohol, opiods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

most important question during an assessment of substance abuse

A

when did you last use?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

why is it important to know when someone last used, particularly with alcohol

A

determines when you can expect withdraw symptoms

alcohol = 24-48 hrs. post use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

initial assessment/screen questions (2)

A

In past year, have you ever drank or used drugs more than you meant to?
Have you felt you wanted to cut down on drinking or drug use in past year?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CAGE AID screening tool questions

A

C: Have you ever felt the need to cut down?
A: Have people annoyed you by criticizing your use?
G: Have you ever felt guilty about use?
E: Have you ever felt need for an eye opener in morning?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

2 neuropsychiatric syndromes r/t alcohol

A

wernicke’s - confusion

korsikoff’s syndrome - memory loss - permanent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

to reverse s/s of wernicke’s

A

vitamin b - thiamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

is korsikoffs syndrome reversible

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

to determine drug use type/amount

A

urine toxicology or blood alcohol level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

defense mechanisms r/t substance use disorders

A

denial - I can stop whenever I want
projection - blame behaviors on someone else
rationalization - I’m more effective when i drink
all or none thinking - can’t stop once you start drinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

alcohol withdraw s/s

A

autonomic hyperactive response - increased VS, bilateral hand tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

primary treatment for alcohol withdraw

A

benzo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

alcohol delirium s/s

A

altered LOC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mr. Stewart’s blood alcohol level (BAL) is 0.31%. Even though he has a BAL of 0.31%, Mr. Stewart is alert and oriented, not slurring his speech or giving any other outward signs of intoxication. The difference between Mr. Stewart’s BAL and his behavior indicates the development of what symptom of physical dependence?

A

tolerance - needs more of a substance to illicit same reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

normal alcohol level

A

.08

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

trt approach for alcohol withdraw

A

sedate pt. for calmness

17
Q

trt approach for seizures r/t alcohol withdraw

A

dilantin - anticonvulsants

18
Q

drugs used to maintain abstinence

A

antibuse - if pt. drinks they become very ill

19
Q

relapse is part of recovery, t or f

A

true

20
Q

Jessie is attending AA meetings three times a week for the past 6 weeks. She has been sober during this time and visits bi-weekly the community mental health outpatient clinic. Jessie’s nurse counselor wants to talk with her about the AA meetings. Which initial question or statement is most appropriate?

A

D.“Tell me about the last AA meeting you attended.”

21
Q

most therapeutic approach you can have for substance abusers

A

empathy and support with firmness. confront abusers

22
Q

Jessie has missed three sessions at the mental health center and sporadically attends AA meetings. She is drinking heavily this weekend and has sustained a 2
-inch gash in her forehead after swerving off the road into a shallow ditch. She is taken by rescue to the ED. You are her nurse. She tells you, “I hope I just go to
sleep and never wake up.” What is your best intervention?

A

D. Stay with Jessie, call the supervisor, and arrange for

continuous monitoring.

23
Q

During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, “After discharge, I’m sure everything will be just fine.” Which remark by the nurse will be most helpful to the spouse?

A

B.“Although sobriety solves some problems, new ones

may emerge as one adjusts to living without alcohol.”

24
Q

why keep things simple in the beginning of treatment plans

A

pt is sick - when feeling better gradually incorporate insight therapy and CBT - teach damage to body systems

25
Q

SMART therapies alternative to 12 step programs

A

science based recovery - being accountable without spiritual component

26
Q

A patient comes to an outpatient appointment obviously intoxicated. The nurse should:

A

D.tell the patient, “We cannot see you today because

you’ve been drinking.”

27
Q

Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will

A

B. I see the need for ongoing treatment

28
Q

A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.

A

A.Rehearsing techniques to handle anticipated stressful
situations
C.Assisting the patient to identify life skills needed for
effective coping
E.Teaching the patient about the physical changes to
expect as the body adapts to functioning without substances