Substance Use Exam 3

Question 1

What are the substance use disorder continuum per DSM-5

Answer 1

*2-3 mild
*4-5 moderate
*6 or more severe

Question 2

Substance use is a chronic disease. Can this be cured true or false?

Answer 2

**False
This can be TREATED but not cured

Question 3

What are some risk factors for substance abuse

Answer 3

• drug experimentation,
  family history,
  chronic stress,
  low self-esteem,
  peer pressure
  Lack of adaptive coping skills
  social and environment factors
  *** influences initiate and continue use

Question 4

What is the standard drink amount size?

Answer 4

14 g

Question 5

What are the most important questions to ask a patient during assessment of alcohol intake?

Answer 5

How much do you drink?
What do you drink?
How often do drinking days occur?
What size are your drinks?
Last date alcohol use

Question 6

What is the normal blood alcohol concentration amount?

Answer 6

0.08 G

Question 7

What is the difference between male and female drinking limits?

Answer 7

Women metabolize alcohol at a different rate than men

Question 8

What Alcohol screening tool is used to assess patient’s lifetime of alcohol intake

Answer 8

CAGE

Question 9

Define the audit screening tool

Answer 9

**Alcohol use disorder identification test
This is a 10 question test that focuses only on RECENT alcohol use within the last 12 months.

Question 10

Define the audit scoring scale and the suggested actions the nurse should take to help the patient

Answer 10

*0-7 provide patient with alcohol education
*8-15 Simple discussions of facts and brief interventions
*16-19 simple and brief intervention and continue to monitor patient
*20-40 referral to specialist such as a drug and alcohol for diagnostics and treatment

Question 11

Define the assist screening tool

Answer 11

Alcohol, smoking, substance involvement screening test
* this test assess patient’s drug and alcohol use history in the past three months

Question 12

How can a nurse maintain privacy while providing care to patients with substances disorder?

Answer 12

*Any confidential information should only be accessed by person giving direct care to the patient
* patient information should not be released to anyone other than the provider without a specific sign release form from the patient

Question 13

What are some symptoms symptoms of alcohol intoxication?

Answer 13

• slurred speech
• unsteady gate (ataxia) ,lack of coordination
• impaired attention, concentration, memory, and judgment
• aggression, sexually inappropriate behavior or blackout

Question 14

Define alcohol overdose

Answer 14

Excessive alcohol intake in a short period of time

Question 15

What are some overdose symptoms The nurse should be aware of

Answer 15

• respiratory depression
• vomiting
• unconsciousness

Question 16

What are some major complications that patient could experience due to alcohol overdose

Answer 16

• aspiration, pneumonia
• pulmonary obstruction
• alcohol induced hypotension
• cardiovascular shock
  *** death

Question 17

What are some important treatments the nurse should implement for alcohol overdose

Answer 17

• gastric lavage (stomach pumping) or dialysis
• ICU respiratory and cardiovascular support

Question 18

How long does it take for alcohol withdrawal manifestations to start within the last drink and how long could it last?

Answer 18

• with a draw starts within 4-12hours after last drink
• with draw can continue up to five days

Question 19

What are the signs and symptoms of alcohol withdrawal a patient may experience

Answer 19

*Increase HR and BP
*COARSE hand tremors
*sweating
* nausea and vomiting
* headache
* transient hallucinations
* seizures, orientation delirium

Question 20

Alcohol withdrawal can include hallucinations, dysrhythmias, severe hypertension, and disorientation, true or false

Answer 20

True
* Severe hypertension, cardiac dysrhythmia, sensorium not intact

Question 21

What is the best treatment intervention for a patient with alcohol withdrawal delirium tremens

Answer 21

• hydration
• electrolyte imbalance= correct electrolytes
• administer thymine B1

Question 22

What are the two major physiologic effects of long-term use of alcohol?

Answer 22

*Wernickes encephalopathy= bleeding into the lower section of the brains caused by lack ofThiamine (B1)

*Korsakoff psychosis= amnesia for events that happened after Wernickes onset

Question 23

Define Wernickes classic triad

Answer 23

• confused mental state ( encephalopathy)
• double vision = oculomotor dysfunction
• gate ataxia= loss of muscle coordination

Question 24

What is the best treatment intervention the nurse can provide to the patient with Wernickes symptoms

Answer 24

Administer thiamine (B1) *IV or oral
Folic acid
vitamins and
healthy diet

Question 25

What is a complication that patient may experience from others due too Korsakoff psychosis

Answer 25

Patience, have difficulty understanding information of putting words in into contacts
* may by consider lying due to confabulation due to trying to fill in the blanks from memory loss

Question 26

Physiological effects caused by long-term use of alcohol

Answer 26

Cardiac myopathy
Hepatitis and cirrhosis
Ascites
***Pancreatitis
Gerd
Esophageal varices, esophageal cancer, Esophagitis
Leukopenia
Thrombocytopenia
Orphanygeal cancer

Question 27

What are the two methods alcohol detoxification?

Answer 27

• fixed schedule dosing = tapering down med

*using the CIWA scoring scale = symptom triggered dosing

Question 28

What are the nursing actions to assess in monitor for patient with alcohol withdrawal?

Answer 28

***MUST MONITOR
seizure precaution
monitor airway
checking vitals
**if administering medication {PROPRANOLOL} must monitor BP

Question 29

What type of tool is the CIWA

Answer 29

{Symptom triggered} treatment tool to not screening tour