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3920: Mental Health > Week 9 & 10 > Flashcards

Week 9 & 10 Flashcards

1
Q

Substance Use Disorder DSM 5

A
  • Substance specific (primary & contemporaneous substances)
  • Patterns of symptoms resulting from use of substance
  • Continue to take despite experiencing a problem as a result
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2
Q

Substance Induced Disorder DSM-5

A
  • Intoxication, withdrawal
  • Reversible substance specific syndrome due to recent ingestion/exposure to substance
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3
Q

Behavioral Addiction DSM 5

A

Addictive activity becomes problem when it affects daily activities, health, finances

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4
Q

Concurrent Disorder

A
  • Substance use disorder & co-occurring mental health disorder(s)
  • Challenges with integration of treatment
  • Mutually reinforcing
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5
Q

Substance Use Continuum

A
  • No use
  • Beneficial use
  • Non-problematic
  • Problematic
  • Potentially harmful
  • Substance use disorder
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6
Q

Substance Use Screening

A
  • Identify patients who are likely to have
  • Inquiring about substance use (determine need for comprehensive)
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7
Q

Substance Use Comprehensive Assessment

A
  • May use standardized assessment tools
  • Substances, route, source
  • Onset of use/change in pattern of use
  • Quantity, frequency
  • Triggers
  • Prior treatment
  • Goals
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8
Q

Opioid Intoxication S/S

A
  • Decrease RR & BP
  • Drowsiness
  • Impairment of attention, judgement, memory
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9
Q

Opioid Overdose S/S

A
  • Respiratory depression
  • Coma
  • Shock, convulsions
  • Pinpoint pupils
  • Unconscious
  • Blue lips
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10
Q

Opioid Withdrawal S/S

A
  • N/V
  • Muscle aches
  • Sweating
  • Diarrhea
  • Insomnia
  • Lacrimation
  • Agitation
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11
Q

Alcohol Intoxication S/S

A
  • Impairment of inhibition & control
  • Emotional lability
  • Impaired motor & cognitive function
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12
Q

Alcohol Overdose S/S

A
  • Respiratory depression
  • Coma
  • Shock
  • Convulsions
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13
Q

Alcohol Withdrawal S/S

A
  • N/V
  • Tremor
  • Auditory/tactile disturbances
  • Agitation
  • Autonomic increase BP/HR
  • Seizures, delirium
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14
Q

Alcohol Comorbidities

A
  • Wernicke’s encephalopathy
  • Korsakoff syndrome
  • Esophagitis
  • GI bleeding & ulcers
  • Esophageal varices
  • Hepatitis
  • Liver cirrhosis
  • Spider angioma
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15
Q

Acute OD

A
  • Medical emergency
  • Goal stabilize & support physiological symptoms
  • Pharm intervention - antidotes
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16
Q

Antidotes

A
  • Naloxone
  • Acetaminophen
  • Benzo - flumazenil
  • Alcohol - activated charcoal/gastric lavage
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17
Q

ABCDE

A
  • Airway - choking, vomiting
  • Breathing - RR, SpO2, oxygenation support
  • Circulation - perfusion, body temp, fluid balance
  • Disability - neurological, GCS, seizures
  • Examination - injuries
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18
Q

Acute Withdrawal

A
  • Goal stabilize & support physiological symptoms
  • Pharm intervention - symptom management meds
  • Physiological - fever, nausea, pain, diarrhea, sweating
  • Psychological - depression, anxiety, irritability
  • Safety - agitation, aggression
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19
Q

Withdrawal Timeline

A
  • Start - last dose
  • 72h - peak physical symptoms
  • 1wk - physical symptoms lessen
  • 2wk - psychological & emotional symptoms
  • 1mth - cravings & depression
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20
Q

Alcohol Withdrawal Pharm Interventions

A
  • Thiamine
  • Folic acid multivitamins
  • Benzos
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21
Q

Opioid Withdrawal Meds

A
  • Methadone, buprenorphine, suboxone
  • Clonidine
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22
Q

Chronic Recovery Goal

A
  • Treatment retention
  • Reduction of severity/frequency
  • Reduce harm
  • Manage comorbid conditions
  • Improve QOL
  • Prevent relapse
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23
Q

Methadone

A
  • Synthetic opioid
  • 1-20 years of treatment
  • Risk of misuse
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24
Q

Suboxone

A
  • Partial opioid agonist
  • Long acting opioid (buprenorphine) & naloxone combo
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25
Road to Addiction Recovery
- 1 to 1 support - Medication assisted treatment - Triggers - Treatment plan - Ongoing support network
26
Addiction Cycle
- Emotional trigger - Craving - Ritual - Using - Guilt
27
Recovery & Relapse Nurse Role
- Compassionate care - Moral distress - Support for self
28
Primary Prevention - Substance Use
Healthy public policy
29
Secondary Prevention - Substance Use
- Harm reduction - Relapse prevention - Community support programs
30
Tertiary Prevention - Substance Use
Specialized residential treatment program
31
Neurodevelopment Disorder
Significant development delay/deficit in 1+ lines of development that impair functioning
32
Neurocognitive Disorder
Acquired condition due to underlying brain pathology resulting in decreased cognitive function
33
Neurobehavioral Disorder
- Interchangeable term for many conditions now classified as neurodevelopmental - Used to define ADHD & OCD as neurobehavioral
34
Risk Factors - Neurodev
- Compromises ability to move through normal developmental phases - SDoH - Parents with depression - Parents/adult role modelling coping strategies - Witnessing violence - Disrupted attachment
35
Protective Factors - Neurodev
- Supports ability to move through normal developmental phases - Resiliency - Normal attachment - Environment
36
Autism Spectrum Disorder
- Impairments of development in social interaction - Communication with restrictive repertoire of repetitive activity & interest - Uneven pattern of intellectual strengths & weaknesses
37
ADHD
- Altered degree of inattention , impulsivity, hyperactivity - Symptoms present in 2+ settings - Symptoms present before age of 12
38
Inattention Definition
- Difficulty listening - Easily distracted - Forgetfulness - Inattention to social cues
39
Hyperactivity Definition
- Excessive motor activity - Movement & utterances when not appropriate/purposeless
40
Fetal Alcohol Spectrum Disorder (FSAD)
- Exposure to alcohol before birth - Physical & cognition implications - Unclear how much alcohol to impact development
41
Client Assessment - Neurodev
- Social functioning - Maladaptive behaviors - Academic functioning - Physical/health co-morbidities - Interventions
42
Family Assessment - Neurodev
- SDoH - Family functioning - Risk - Family medical history
43
Non-Pharm Intervention - Neurodev
- Health teaching - Family therapy - Group therapy
44
Autism Meds
- Anti-psychotics (decrease irritability & liability) - SSRI (decrease compulsive behavior) - Beta Blockers (decrease aggression & severe anxiety)
45
ADHD Meds
- Psychostimulant - Non-stimulant SNRI
46
Methylphenidate (concerta, ritalin)
- CNS stimulant - Common for ADHD - Short acting started at 1 dose/day - Increase to 2-3 dose/day - Long acting taken 1/day
47
Amphetamines (adderall, vyvanse)
- CNS stimulant - Common for ADHD - Short & long acting available
48
Psychostimulant Side Effects
- Decrease appetite - Weight loss - Insomnia
49
Animal Assisted Mindfulness Training
- Help develop effective emotional regulation skills - Form deep connections with animals - Impact on overall mental well-being
50
Benefits of Animal Assisted Mindfulness
- Improved focus & concentration - Increased self-awareness, self-acceptance, confidence - Decreased anxiety & stress - Enhanced physical, social, emotional self regulation - Attuned communication skills - Enriched ability to identify & shift challenging emotions - Reduced fear - Improved sleep
51
How does Animal Assisted Mindfulness Work
- Teach mindfulness strategies - Give opportunities for practice with animals & at home with family - Provide home support
52
Working with FASD Families
- No place for blames/shame - Be present - Suspend judgement - Nurture own mental health
53
Forensic Mental Health
- People who commit criminal acts because of mental illness - Criminal law deals fairly while protecting public from future crimes
54
Significant Threat
- Risk of physical/psychological harm - Conduct giving rise to harm must be criminal nature
55
Not Guilty by Reason of Insanity
- Pre-1992 - Before NCR - No consideration of dangerousness
56
Not Criminally Responsible (NCR)
No person is criminally responsible for an act committed or an omission made while suffering from a mental disorder that rendered the person incapable of appreciating the nature and quality of the act or omission or of knowing that it was wrong *1992
57
Winko
- Granted conditional discharged - Appealed - Requested absolute discharge - Claiming criminal code violated his charter rights
58
Impact of Winko
Hospital needs to clearly establish actions/behaviors of posing an actual risk of significant harm
59
Not Criminally Responsible Reform Act
- Real risk of physical/psychological harm to public that is serious - Conduct giving rise to harm must be criminal in nature - Post Winko
60
Forensic Challenges for IP Team
- Overcoming pattern of custodial care model - Patients may not believe nurses hold their best interests - Pt may view treatment with suspicion - No individual confidentiality among treatment team & court - Vicarious trauma
61
Relational Ethics
- Mutual respect - Engagement - Attention to environment

3920: Mental Health (7 decks)

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