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Module 6 (Psych Mental Health) > Substance Use Disorders > Flashcards

Substance Use Disorders Flashcards

Know mainly alcohol, opioids, and stimulants

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1
Q

Substance Use Disorder is a

A

cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems
use even though it causes the problems knowingly

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2
Q

Addiction –

A

chronic relapsing long lasting changes to the brain

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3
Q

Flashbacks –

A

drug free state, experiencing disturbances (hallucinations)

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4
Q

Tolerance –

A

reaction decrease with continued use (take more to see the same result)

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5
Q

Amotivational syndrome –

A

apathy with no motivation to do ADLs or societal role

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6
Q

Cross-tolerance

A

– one substance is also tolerance to another substance (morphine and other opioids)

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7
Q

Psychological dependence –

A

need for the drug subjectively and emotionally

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8
Q

Physical dependence

A
  • no physical substance with no longer using the substance
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9
Q

Withdrawal –

A

psychological and physical dependence

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10
Q

Dual diagnosis –

A

substance use and other psych disorder as well

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11
Q

Goals for Substance Use Disorder Treatment

A

recognition of acute toxicity
facilitate of withdrawa
dx and tx medical complications of substance use
edu/counseling/therapy to sustain sobriety and long-term abstinence

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12
Q

10 categories of substances for abuse

A

caffeine
alcohol
nicotine
cannabis
dsedatives/hynotics/anxiolytics
opioids
stimulants
hallucinations
inhalants
**nutmeg and K2 and cough syrup

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13
Q

Substances have different types of reactions after taking a substance including

A

intoxication
toxicity
withdrawal

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14
Q

Abuse

A

Habitual use of a substance which falls outside of medical necessity or societal acceptance
Used solely for the purpose of altering mood, emotion or state of consciousness

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15
Q

Addiction

A

Chronic/relapsing disease
Compulsive substance-seeking behaviors motivated by cravings, despite harmful consequences
Long-lasting changes in the brain.
May include development of tolerance and withdrawal symptoms

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16
Q

SUD criteria

A

large amounts for a long period than intended
1+ unsuccessful to cut down or control use
time dedicated to obtain/use/recover
craving
failure to fulfill obligations (ADL or work)
persistent social problems
activities are neg. affected
continued use despite problems
hazardous situations in driving
tolerance

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17
Q

Tolerance of SUD

A

increased amounts to achieve intoxication/desired effect
diminished effects with continued use of the same amount

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18
Q

Withdrawal is manifested by

A

same substance taken to relieve or avoid withdrawal s/s

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19
Q

Mild SUD has how many criteria

A

2-3

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20
Q

Moderate SUD has how many criteria

A

4-5

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21
Q

Severe SUD has how many crieria

A

6+

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22
Q

Psychological risk factors for SUD

A

low frustration levels
poor impulse control
lack of meaningful relationships
childhood trauma
low self esteem
propensity for risk taking behaviors

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23
Q

Social risk factors for SUD

A

peer influences
family acceptance

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24
Q

Which gender has a greater risk for SUD

A

MALES

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25
Q

Patho of SUD

A

Brain reward system (reinforcement of behaviors and memories)
neurotransitters not effective
- double the amount of dopamine and floods the brain and neurotransmitters

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26
Q

Route Complications for SUD
IM/SubQ

A

scarring
lesions
abscesses
infections

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27
Q

Route Complications for SUD
IV

A

infectious
venous sclerosis
disease tranmission
endocarditis
- track marks on arms and legs with repeated injections

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28
Q

Route Complications for SUD
intranasal

A

Chronic sinusitis
Perforated nasal septum

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29
Q

Route Complications for SUD
smoking

A

respiratory problems

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30
Q

CNS Depressants are

A

alcohol
barbituates
bezodiazepines
- affect the GABA receptors

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31
Q

Barbituates are easier to

A

overdose

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32
Q

Benzodiazepines are extremely

A

addictive

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33
Q

Alcohol Use Disorder
- acute patho

A

binds with GABA/glutamate and dampens them
- activate reward circuit
- inhibits ADH (diuretic)

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34
Q

How much alcohol is too much?

A

4+ for men in 1 day or 14 in one week
3+ for women in 1 day or 7 in one week

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35
Q

Can moms drink alcohol and breastfeed at the same time?

A

no

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36
Q

Standard Drink formula

A

12 oz of beer =
8 oz of malt =
5 oz of wine =
1.5 oz o spirits

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37
Q

Life-threatening signs of alcohol poisoning

A

inability to wake up
vomiting
slow breathin <8
irregular breathing
seizures
hypothermia

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38
Q

0.05 mg = 1-2 drinks effects

A

chnages in mood and behavior, impaired judgment

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39
Q

0.08 mg = 5-6 drinks effects

A

legal limit of intoxication
-clumbsiness in voluntary activity

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40
Q

0.2 mg = 10-12 drinks effects

A

depressed fucntions
staggering and ataxia
emotional lability

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41
Q

0.3 mg = 15-19 drinks effects

A

confusion
stupor

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42
Q

0.4 mg = 20-24 drinks effects

A

coma

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43
Q

0.5 mg = 25-30 drinks effects

A

death by respiratory depression

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44
Q

CIWA evaluates for

A

N/V
Tactile disturbances
auditory and visual distrbances
anxiety
HA/fullness
orientation x4
tremor (stick out tongue and move fingers)
paroxymal sweats
agitation

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45
Q

In a CIWA, the nurse should get a BP and apical heart rate for how long

A

1 minute

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46
Q

If the CIWA score is _______ then notify the doctor

A

> 20

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47
Q

Alcohol Withdrawal peaks

A

within 24-48 hours
- rapid disappear unless goes to delirium

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48
Q

What is possible in 7-48 hours of an alcohol withdrawal

A

grand mal seizures

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49
Q

Alcohol withdrawal s/s

A

irritable
“shaking inside”
illusion (misinterpret)
early signs in a few hours

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50
Q

Delirium Tremens (rapid)

A

emergency and possible death
peak 2-3 days after cessation and reduction
autonomic hyperactivity
disturbances
fluctuating LOC
delusions
agitated
100+ temp

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51
Q

Autonomic hyperactivity

A

HTN
sweating
hyper/hypo thermia

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52
Q

The clock starts from the last

A

drink consumed

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53
Q

Acute withdrawal needs to be closely monitored on

A

BP and heart rate

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54
Q

Post-acute withdrawal syndrome
episodic

A

days to weeks
- up to 2 years

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55
Q

Post-acute withdrawal syndrome
s/s

A

Mood swings
Anxiety
Irritability
Tiredness
Variable energy
Low enthusiasm
Variable ability to concentrate
Disturbed sleep

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56
Q

Risks for Post-acute withdrawal syndrome

A

distressing
relapsing
- brain remodels to regular chemistry

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57
Q

Effects of chronic alcohol use

A

CV damage (cardiomyopathy),
liver damage (hepatitis, cirrhosis),
erosive gastritis,
GI bleed,
esophageal varices,
ascites,
acute pancreatitis,
thiamine deficiency,
peripheral neuropathy,
inc risk of cancer,
thrombocytopenia,
damage to the brain,
dilation of cutaneous blood vessels,
hypertension,
testicular atrophy, impotence, sterility, & breast enlargement in men

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58
Q

Wernicke’s encephalopathy

A

Inflammatory,
hemorrhagic,
degenerative condition of the brain
- caused by thiamine deficiency from poor diet & alcohol-induced suppression of thiamine absorption

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59
Q

Wernicke’s encephalopathy tx

A
  • reversed if treated immediately and completely
  • tx with tyramine and vitamin B
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60
Q

Wernicke’s encephalopathy can lead to

A

Korsakoff’s psychosis

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61
Q

Korsakoff’s psychosis
is a

A

irreversible form of amnesia with
- short term memory loss
- long term memory gaps
- inability to learn

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62
Q

Korsakoff’s psychosis
notable behavior

A

confusion
amnesia

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63
Q

Tx for Alcohol Withdrawal

A

1st Benzo (Lorazepam)
- cross tolerance taper
Gabapentin (low anxiety and prevent seizures)
Propanolol and Clondine (Beta and Alpha blocker) - autonmic and elevate vitals
Thiamine - prevent syndrome and correct high output heart failure
Folic acid, B12 (anemia and halt peripheral neuropathy)

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64
Q

If benzos aren’t effective in alcohol withdrawal, the nurse will

A

transfer to ICU and give barbituates - phenobarbital

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65
Q

Alcohol Withdrawal Sobriety
Naltrexone

A

opioid antagonist - block opioid recpetors with cravings
**reduce relapse

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66
Q

Alcohol Withdrawal Sobriety
Acamprosate (Campral)

A

reduce symptoms of long-lasting withdrawal insomnia, anxiety

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67
Q

Alcohol Withdrawal Sobriety
Disulfiram (Antabuse)

A

Interferes with breakdown of alcohol leading to unpleasant reactions such as flushing, NV
Stays in system up to 14 days

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68
Q

Alcohol Withdrawal Sobriety
Gabapentin (Neurontin)

A

Works on GABA to calm down the brain and mitigate hyper-aroused state
Reduces cravings by lowering anxiety, improving sleep

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69
Q

With Disulfiram, you should avoid alcohol for

A

14 days
- vanilla and mouthwash

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70
Q

Benzodiazepines toxicity s/s

A

Severe Confusion
Drowsiness
Lack of coordination/weakness
Lightheadedness
Memory loss
Fainting

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71
Q

Benzodiazepines overdose occurs with

A

ETOH, opiates, TCAs, or CNS depressants

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72
Q

Benzodiazepines withdrawal s/s

A

Body pain
Muscle tension
Cramping
Insomnia
Vomiting
Tremors
Sweating
Seizures
miserable

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73
Q

Benzodiazepines reversal agents

A

Flumazenil

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74
Q

Opiates include what types of drugs

A

Opium (poppy flower latex)
Oxycodone
Fentanyl
Heroin
Meperidine
Morphine
Codeine
Methadone
Hydromorphone

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75
Q

Heroin lipid solublity is

A

high
-easier to enter cells and overdose quicker

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76
Q

When Heroin crosses the blood-brain barrier it converts to

A

active form of morphine

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77
Q

Heroin effectiveness
IV
Internasal

A

7-8 sec
10-15 sec

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78
Q

Lethality comparison

A

Heroin 30 mg =
Fentanyl 3 mg =
Carfentanyl 30 mcg

79
Q

Oxycodone is a

A

controlled release of morphine
- chew, crush, snort, inject
If tolerance is too high = risk for OD

80
Q

Meperidine
effective when taken

A

orally - w/o obvious isgns of IV drug use

81
Q

Meperidine
has minimal effects on

A

smooth muscles
- less constipation and less retention
less pupillary constriction

82
Q

Opiates Intoxication s/s

A

constricted pupils
decreased respirations
sedation
decreased BP
slurred speech
psychomotor retardation

  • slow and tight
83
Q

Opiates Toxicity Triad

A

Pinpoint pupils (to nothing)
Respiratory Depression
Coma

84
Q

Opiates Overdose can lead to death r/t

A

Shock
Seizures
Cardiac arrest

85
Q

Opiates withdrawal s/s

A

Yawning (continuous)
Insomnia
Irritability
Rhinorrhea, lacrimation
Panic
Diaphoresis
Cramps
N/V/D
Muscle aches
Bone pain
Chills/fever
Increased BP & HR

  • speed up and juicy fluid loss
86
Q

Opiate Toxicity Tx

A

airway mgmt and O2
Naloxone (Narcan) - short acting
Nalmefene(Revex) - long acting

87
Q

Naloxone (Narcan)

A

reverses s/s of opioid OD
**precipatate withdrawal s/s
short acting
- violent reaction at revival
shoter half-life than opioid (multiple doses)

88
Q

Nafelmene (Refex)

A

long acting and longer half-life
- precipitate prolonged withdrawal syndrome

89
Q

Opioid Withdrawal time line

A

Begins 1-12 hours after last use
Peaks 3-5 days
Lasts 1-4 weeks based on severity

90
Q

Opiate Post-acute withdrawal time frame

A

Up to 2 years

91
Q

Opiate Post-acute withdrawal

A

Mood swings
Anxiety
Depressive symptoms
Insomnia

92
Q

Methadone used for opioid withdrawal is

A

long acting opioid
replace substance of abuse
titrate to ease withdrawal s/s

93
Q

Clonidone (short term)

A

helps with autonomic s/s (VS)

94
Q

What could occur as a result of an opioid withdrawal that is not addressed by medications?

A
  • DEHYRATION AND HYPERNATREMIA = HEART FAILURE
  • supportive
95
Q

Opioid sobriety maintenance

A

Methadone - lower cravings and relapses (daily)
Buprenorphine (Subutex) - lower cravings and relapses
- milder in neonatal
Naltrexone - blocks euphoric effects
Suboxone - prevents high

96
Q

CNS Stimulants - short acting

A

Cocaine
Crack

97
Q

CNS Stimulants - long acting

A

Amphetamines
Methamphetamines

98
Q

Cocaine patho

A

increase dopamine and norepinephrine
- anethetic and stimulant

99
Q

Cocaine has two forms , what are they?

A
  • cocaine hydrochloride (powder; snorted or uncommonly IV)
  • cocaine base (aka crack, crystal & rock; smoked aka freebasing – faster the inhale the faster the effects leave)
100
Q

Cocaine is found in

A

cocoa plant leaves

101
Q

Cocaine Intoxication S/S

A

Euphoria
Dilated pupils
Elevated BP & HR
N/V
Insomnia – no sleep or hunger
Grandiosity - genius
Impaired judgment

102
Q

Cocaine OD S/S

A

Respiratory distress
Ataxia
Hyperpyrexia
Convulsions
Hemorrhagic stroke
Ventricular dysrhythmias
MI
Coma
Death

103
Q

Cocaine Withdrawal S/S

A

Fatigue, lethargy, sleepiness
Anxiety, agitation, insomnia
Disorientation
Apathy
Craving
Depression
Suicidal ideation

104
Q

Cocaine ADVERSE EFFECTS
long term use

A

atrophy of the nasal mucosa
loss of smell
injury to lungs (from free-basing)

105
Q

Cocaine use in pregnancy

A

Crosses placenta barrier
Can result in:
Early delivery,
Smaller head,
Decreased birth length
Low birth weight
Long term effects may include deficits in:
Attention
Memory & language development

106
Q

Methamphetamines patho

A

Increases release of Norepi and dopamine
Reduces uptake of Norepi and dopamine

107
Q

Methamphetamines aka

A

Speed, chalk, ice, meth, crystal, crank, blue, glass, rocket fuel

108
Q

Methamphetamines dissolves in

A

water and becomes bitter

109
Q

Methamphetamines easy to

A

manufacture - decongestat

110
Q

Methamphetamines Intoxication
short term

A

Dialated pupils
Increased energy
Increased respirations
Hyperthermia
Euphoria

111
Q

Methamphetamines Intoxication
long term

A

Paranoia with delusions
Hallucinations
Anxiety
Potential for violence
- increase physical strength
Resemble schizophrenia
- tooth infection and kidney liver damage

112
Q

Methamphetamines OD

A

Respiratory distress
Ataxia
Hyperpyrexia
Convulsions
Hemorrhagic stroke
Ventricular dysrhythmias
MI
Coma
Death

Psych

113
Q

Methamphetamines Withdrawal

A

Fatigue, lethargy, sleepiness
Anxiety, agitation, insomnia
Disorientation
Apathy
Craving
Depression
Suicidal ideation

Very hungry

114
Q

Meth adverse effects for long use

A

Parkinsonian symptoms
Cracked teeth
Skin infections
HTN
Stroke
Angina
Dysrhythmias
Respiratory damage
Renal and hepatic damage

115
Q

Meth use in pregnancy

A

Preterm birth
Hypertension
Placental abruption
Intrauterine growth restriction
Neonatal death

116
Q

CNS Stimulant OD Tx

A

ABCs
O2
Benzodiazepines (sedation and prevent seizures)
Cooling measures
IV antihypertensives

117
Q

CNS Stimulant Withdrawal Tx

A

excessive lethargy (Modafinil)
Agitation and sleeplessness (Diphenhydramine and Trazodone)
Minor pain relief
Benxodaizepines (sedative)

118
Q

What are the 3 club drugs

A

Ecstasy (MDMA) - increase serotonin
Gamma-hydroxybutrate (GHB)
Rohypnol - date rape drug

119
Q

Ecstasy Intoxication S/S

A

Euphoria
Disinhibition
Increased sensuality, empathy, closeness

120
Q

Ecstacy OD S/S

A

Hyperthermia
Seizures
Hypertensive crises
Cardiac dysrhythmias
Serotonin syndrome
Neuro effects
Confusion
Delirium
Paranoia
Cognitive impairment

121
Q

Ecstasy Withdrawal S/S

A

Profound depression
Confusion
Sleep problems
Anxiety
Cravings

122
Q

Tx for Ecstasy OD

A

NO ANTIDOTE
- Activated Charcoal
Comprehensive Chemistry panel
Mgmt of symtoms

123
Q

Symptom Mgmt for Ecstasy OD

A

ABCs and O2
Cooling measures
Calm quiet environment
Sedation with benzodiazepines

124
Q

Gamma-hydroxybutyrate (GHB) Intoxication

A

Euphoria
Disinhibiton
Impaired judgment
Feeling drunk
Amnesia
Loss of control over movement
Dizziness
Confusion
Sedation
N/V
Respiratory depression
unconscious quickly

125
Q

Gamma-hydroxybutyrate (GHB) OD

A

Cheyne-stokes respirations
Seizures
Slow Breathing
Low Heart rate
Low body temperature
Coma
Death

126
Q

Gamma-hydroxybutyrate (GHB) Withdrawal

A

tremors
insomnia
anxiety

127
Q

Rohypnol AKA roofies Intoxication S/S

A

Euphoria
Disinhibiton
Impaired judgment
Feeling drunk
Amnesia
Loss of control over movement
Dizziness
Confusion
Sedation
N/V
Respiratory depression

128
Q

Rohypnol AKA roofies OD S/S

A

Cheyne-stokes respirations
Seizures
Slow Breathing
Low Heart rate
Low body temperature
Coma
Death

129
Q

Rohypnol AKA roofies Withdrawal S/S

A

Seizures
Headache
Muscle pain
Anxiety
Delirium

130
Q

RohypnoL is tasteless and

A

odorless

131
Q

GHB and rohypnol overdose treatment

A

GHB - no antidote
Rohypnol - Flumazenil
Activated Charcoal

132
Q

Stymptom Mgmt for GHB and Roofies is

A

ABC’s
cooling
calm and quiet
sedation with benzo

133
Q

Dissocialtive Drugs

A

Phenylcyclohexyl piperidine (PCP)
Ketamine
Salvia

134
Q

PCP Intoxication S/S

A

Impervious to pain - FEEL NO PAIN
Elevated VS
Ataxia
Assaultive
Impulsive
Impaired judgment
Severe effects
Hallucinations
Paranoia
Bizarre behavior
Regressive or violent behavior
Labile emotions
Risk for suicide

135
Q

PCP OD S/S

A

Psychosis
Hypertensive crisis
Stroke
Respiratory arrest
Hyperthermia
Seizures

136
Q

PCP Tx

A

Acidify urine
safe, quiet environment
low, slow, and clear speech
Benzodiazepines and Haldol
Support for hyperthermia, HTN, and respiratory distress

137
Q

PCP is highly

A

lipid soluble

138
Q

Ketamine Intoxication

A

floating and out of body experience

139
Q

Ketamine OD

A

amnesia
confusion
HTN
Acute respiratory distress

140
Q

Ketamine Tx

A

support airway, vents, and inhalation
HTN
Respiratory distress

141
Q

Salvia Divinorum intoxication

A

hallucinations
dissociation
derealization
depersonalization

142
Q

HallucinOGENS

A

LSD - Lysergic acid diethylaminde
Peyote - mescaline
Mushrooms - psilocybin

143
Q

Hallucnogens Intoxication S/S

A

Dilated pupils
Tachycardia
Diaphoresis
Palpitations
Tremors
Discoordination
Elevated VS
Hallucinations
Synesthesia - smelling colors
Fear
Paranoia
Anxiety
Distorted space/time

144
Q

Hallucinogens OD S/S

A

Psychosis
Can trigger other psychiatric disorders

145
Q

Hallucinogens OD Tx

A

Low-stimulation environment
Safety
Speech
Low
Clear
Slow
Medication
Benzodiazepines
Haloperidol - hallucinations

146
Q

Cathinones includes

A

Bath salts
K2
Spice

147
Q

Cathinones Intoxication

A

Hallucination
Dissociation
Disinhibition
Increased sex-drive
Extreme agitation
Combativeness

148
Q

Cathinones OD

A

Excited delirium
Dehydration
Rhabdomyolysis
Renal failure
Chest pain

149
Q

Cathinones Withdrawal

A

Depression
Anxiety
Insomnia
Paranoia

150
Q

Rhabdomyolysis

A

damaged muscle tissue releases its proteins and electrolytes into the blood. These substances can damage the heart and kidneys and cause permanent disability or even death.

151
Q

Inhalants

A

Volittle solvents (Paint thinner, Glues, Gasoline, Nail polish remover, Dry cleaner fluid)
Gases (butane, propane, and nitrous oxide)
Nitrates (isoamyl and isobutyl)
Aerosols (spray paint, keyboard cleaner, cooking oil)

152
Q

Inhalants Intoxication

A

Slurred speech
Disinhibition
Euphoria
Dizziness

153
Q

Inhalants OD

A

Respiratory arrest
Suffocation
Brain damage
Liver damage
Kidneys damage
Dysrhythmia
Heart failure
Myelin sheath damage
Muscle spasms
Tremors
Ataxia
Hearing loss
Coma
Death

154
Q

Inhalants Tx

A

Medical support
B12 and folate

155
Q

Teachign points for inhalants

A
156
Q

Which paint gets you a better high?

A

sparkling

157
Q

Nicotine

A

highly addictive
toxic
abstinence syndrome whne stopped

158
Q

Nicotine Toxicity

A

N/V/D
Salivation
Cold sweats
Visual and Auditory disturbance
Confusion
Syncope
Rapid weak pulse
Death r/t respiratory paralysis

159
Q

Nicotine Withdrawal

A

Cravings
Impaired concentration
Nervousness
Increased appetite

160
Q

Pharma. Aids in Nicotine Withdrawal

A

Patches – 8 hours no for acute
Gum
Lozenges
Nasal sprays
Inhalers
Varenicline (Chantix)
Bupropion (Zyban)

161
Q

Cannabis is used for

A

anxiety
fibromyalgia
MS
Neuropathy
seizure disorders
glaucoma
antiemetic
appetite stimulant
muscle spasm
bronchodilator

162
Q

Pharmacologic Cannabis is

A

Sativex
Dronabinol (Marinol)
Nabilone (Cesamet)

163
Q

THC Cannabis is used in what ways

A

smoked
vape
edibles (potent and cute for children)

164
Q

Cannabis Intoxication

A

Euphoria
Detachment
Relaxation
Increased appetite
Talkativeness
Slowed perception of time
Sensitivity to stimuli

165
Q

Cannabis OD

A

Paranoia
Anxiety
N/V

166
Q

Cannabis for long term use

A

Cannabis hyperemesis syndrome

167
Q

Cannabis hyperemesis syndrome

A

Severe vomiting
Abdominal discomfort
Acute dehydration
Renal failure

168
Q

Assessments for Hx of Substance Use includes

A

age of first use
substance
period of sobriety
Hx of Tx,
withdrawal complications
Hx of OD
level of insight
DO NOT ASK where or who with

169
Q

Medical Hx for SUD

A

coexisting conditions
meds current
and medical status current

170
Q

Psychiatric Hx Assessment for SUD

A

mental state
hx of disorders
- Rx meds and outcome
Hx of abuse, violence, suicide, violence toward others
- current Suicidal thought

171
Q

Psychosocial Issues Assessment

A

work
relationships
role expectations
criminal/legal problems
support systems
lifestyle

172
Q

What labs need to be done for a SUD?

A

urine drug screen
toxicology
BAC

173
Q

Psychological Issues - defense mechanisms

A

denial
underreporting
minimization
ambivalance

174
Q

Denial

A

clarifying

175
Q

Underreporting

A

not saying the amount they really had

176
Q

Minimization

A

not a problematic drug

177
Q

Ambivalance

A

not able to be sober or afraid to go off the substance

178
Q

Things that negatively affect the care you provide

A

CHECK YOUR BIASES!
- social stigma and prejudices
- personal neg experiences
- lack of understanding
- lack of empathy

179
Q

Relapse is a

A

symptom of a complex disease
- not a sign of weakness
- part of the change process
- opportunity to learn

180
Q

SUD nursing dx risk for

A

Injury
Dehydration
Delirium/confusion
Loneliness
Suicide

181
Q

SUD nursing dx impaired

A

Cognition
Sleep
Self-care
Coping
Role performance
Family coping

182
Q

SUD nursing dx for all drugs

A

Denial
Craving
Shame
Spiritual distress
Anxiety
Distorted thinking process
Hallucinations
Hopelessness/shame
Lack of family support

183
Q

Expected Patient Outcomes for SUD

A

increased insight and accountability
coping
attend tx , relapse prevention, AA, group therapy
identify stress and social habit triggers

184
Q

Relapse prevention

A

Common symptom
Part of the recovery process
Identify triggers
- confront triggers and manage cravings
- healthy coping strategies

185
Q

Dual-diagnosis

A

Equal priority
Individualized treatment
Small steps over long period of time

186
Q

Relapse prevention strategies starts with

A

emotional cues
mental reponses
physical cues

187
Q

Psychotherapy Tx for SUD

A

Cognitive-behavioral therapy (CBT)
Motivational enhanvement therapy (MET)
Screening, brief intervention, referral to treatment (SBIRT)
Motivational interviewing

188
Q

Recovery Model

A

Health - overcome/manage disease
Home - safe, stable place to live
Purpose - conduct meaningful activities
Community - support, friendship, and hope

189
Q

AA and 12 steps helps them

A

Powerlessness over addiction
Responsible for recovery
Take ownership of problems and feelings
Spirituality

190
Q

SMART Recovery helps them

A

Motivation to abstain
Coping with urges
Managing self
Lifestyle balance
- self-management

191
Q

Residential Programs for SUD

A

Patients with long history of treatment
24/7 drug-free environment
Goal
Lifestyle change
Abstinence from all medications
Develop social skills
Eliminate problem behaviors

192
Q

Outpatient programs for SUD help

A

Flexible
Diverse
Cost-effective

193
Q

Evaluation of a SUD patient depends on

A

length and extent of sobriety
adherence to recovery
occupational functioning
improved family relationships
coping skills
support systems

Module 6 (Psych Mental Health) (12 decks)

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