Violence and Substance Abuse

Question 1

what is homicide

Answer 1

the killing of one by another

Question 2

what is gender base violence

Answer 2

violence targeted at a certain gender

Question 3

what is intimate partner violence (aka domestic violence)

Answer 3

violence towards a partner

Question 4

what is sexual violence

Answer 4

sexual behavior that is forced causing injury

Question 5

what is suicide

Answer 5

taking someones own life

Question 6

homicide is the 3rd leading cause of death aged 5-14, T or F

Answer 6

True

Question 7

what type of prevention strategies should a school nurse use knowing homicide rates in children

Answer 7

monitor for abuse - homicide is a pattern, not the first step, patterns escalate

Question 8

all healthcare workers are mandatory reporters in PA for elder and child abuse but not domestic violence, T or F

Answer 8

True - all you need to do is call - you don’t need to know for sure- 1800CHILDLINE if you Suspect

Question 9

what are the lethality risks r/t IPV - top 5

Answer 9

owning a gun
recently becomes unemployed
**victim previously called 911 - most indicative of death
perpetrator has previous arrest record
drugs/alcohol involvement

Question 10

what type of question is do you feel safe in your home

Answer 10

secondary prevention (screening) - trying to find people who don’t feel safe so that you can intervene early - know your resources

Question 11

what type of questions are appropriate to ask for abuse screenings

Answer 11

do you feel safe in your home

every couple has disagreements - what happens when you and your partner disagree

Question 12

people who have been abused are usually abusers, T or F

Answer 12

True

Question 13

effects on children who witness abuse

Answer 13

smoking, early sex experience, suicide attempts, drug/alcohol use

Question 14

what correlates with your adult health

Answer 14

childhood experiences

Question 15

higher ace scores increase your risk for suicide, stroke, ischemic heart disease, cancer, COPD, and diabetes. T or F

Answer 15

True. 4 or more

Question 16

is addiction a physical or emotional problem

Answer 16

physical problem

Question 17

symptoms when using a substance, addiction, substance dependence and habituation

Answer 17

Health and emotional problems
Unsuccessful efforts to cut down on use
Symptoms of tolerance or withdrawal
Reduce other activities in order to use substance
Spending time in activities r/t to substance use
Using the substance in greater quantities for longer periods of time than intended

Question 18

substance abuse symptoms

Answer 18

Having problems at work, school or home
Problems w/family or friends
Physical danger
Trouble with the law

Question 19

more people die from this substance than any other

Answer 19

alcohol

Question 20

when it comes to substance abuse what is powerful

Answer 20

the environment - key to behavior control

Question 21

what is drug dependence

Answer 21

needing more and more of something (tolerance)

physiologic change in CNS

Question 22

what is drug addiction

Answer 22

pattern - overwhelming preoccupation - can’t function

Question 23

who is at highest risk of becoming substance abusers

Answer 23

mentally ill, past trauma/abuse, pregnancy, children

Question 24

what is an assessment tool to determine alcohol withdrawal

Answer 24

CIWA

Question 25

what is binge drinking defined as for men/women

Answer 25

women = 4

men =5

Question 26

SAMSHA (substance abuse and mental health services administration) falls under the jurisdiction of

Answer 26

dept of health and human services

Question 27

what is the purpose of SAMSHA

Answer 27

track/survey/understand drug use/prevalence among age groups in an attempt to intervene

Question 28

what is the harm reduction model

Answer 28

addiction is a health problem
any drug can be abused
people can be helped - how can we help you have less long-term problems long term, and prevent death
“needle exchange system”

Question 29

are heroin and alcohol stimulants or depressants

Answer 29

CNS depressants - stop breathing

Question 30

cocaine is a stimulant or depressant

Answer 30

stimulant - could have a heart-attack

Question 31

s/s of alcohol withdrawal

Answer 31

n/v, HTN, diaphoresis, tremors, coma

Question 32

s/s of alcohol overdose

Answer 32

ataxia, slurred speech, hypotension, drowsiness, coma, convulsions

Question 33

s/s of heroin withdrawal

Answer 33

rhinorrhea, cramps, panic, chills, fever, diaphoresis, irritability

Question 34

s/s of heroin overdose

Answer 34

constricted pupils, euphoria, slurred speech, CNS depressant

Question 35

s/s of cocaine withdrawal

Answer 35

craving, agitation, anxiety, depression

Question 36

s/s of cocaine overdose

Answer 36

CNS stimulant, tachy, euphoria, insomnia, HTN

Question 37

s/s of marijuana withdrawal

Answer 37

none

Question 38

s/s of marijuana overdose

Answer 38

red eyes, dry mouth, panic

Question 39

what are stimulants

Answer 39

nicotine, cocaine, caffeine, amphetamines

Question 40

what is the most helpful way to get people to stop smoking

Answer 40

multiple interventions, continuous reinforcement

most require several attempts of cessation

Question 41

what are the 2 variables that influence the drug experience

Answer 41

set - the individual using the drug

setting - the environment

Question 42

primary prevention strategies for addiction

Answer 42

mental health, help make informed decisions

Question 43

secondary prevention strategies for addiction

Answer 43

screening: “do you smoke”, “do you want to quit”

Question 44

tertiary prevention strategies for addiction

Answer 44

addiction treatment, support groups