Week 2 Flashcards
Define Substance abuse
the harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs
If there is a pattern of substance use, what is it defined as?
Substance use disorder
If there is NOT a patter, what is the substance use defined as?
Substance abuse
What are some examples of risk factors for substance abuse
- history of early aggressive behavior
- Lack of parental supervision
- prev hx of substance abuse
- Drug availability
- Poor coping skills (self medicating)
What is diversion
Pulls opioids and charts that it was given to the patient but then pockets the med
Who is most likely to divert?
burnt out nurses
What is the AUDIT tool?
a simple method for screening hazardous or risky alcohol use
What does AUDIT stand for?
Alcohol Use Disorders Identification Test
Why do we say ETOH at the bedside rather than alcohol?
sometimes the word alcohol can trigger the patient
What is the SBIRT screening tool?
in deifies harmful use of drugs and alcohol.
What is PHQ-9 questionnaire use to screen for?
depression
what is the most common signs that someone is depressed
trouble falling falling or staying asleep, or sleeping too much
consistent pattern
What is a sign that someones anxiety is growing?
becoming easily annoyed or irritable
are males or females more likely to carry out suicide?
men
what ages are those more likely to commit suicide?
early age and end of age
20s-elderly
What are risk factors for SAD PERSONS risk assessment?
- age
- sex
- Depression
- Rational thinking loss
- No spouse
- sickness
In an inpatient setting, what does assessment and re-assessment focus on?
lethality and pain
What are common questions we can ask in an inpatient setting for assessing mental status?
- can you tell me your name and date of birth
- where are we right now
- Who is the current president
- What brought you into the hospital today
What is the Glasgow coma scale
effective for rating na patients response to stimuli and assessing changes in level of consciousness following traumatic brain injury
do we always document a GCS?
YES
Define Alzheimer’s disease
a progressive neurodegenerative disease that causes disturbances in thinking, behavioral and social skills, and the ability to function independently
Why is Alzheimers disease starting to be refereed to as Type 3 diabetes?
because of insulins role in the prevention of amyloid plague buildup
when caring for a patient with alzheimers disease, what factors would you consider assessing outside of those that are already related to the disease progression?
make sure the caregiver has access to respite care due to burnout which will lead to abuse
What is the CAM tool and what is it used for?
Confusion Assessment Method
used by clinicians to quickly identify the onset delirium
The diagnosis of delirium by CAM requires the presence of which assessment features?
1, 2, and 3
OR
1, 2, and 4
What are features 1, 2, and 3 of the CAM tool?
- Acute onset or fluctuating course
- inattention
- disorganized thinking
What are features 1, 2, and 4of the CAM tool?
- Acute onset or fluctuating course
- inattention
- Altered level of consciousness
What is the difference between dementia vs delirium?
Delirium has a rapid onset with a short period of time and can be treated
Dementia is long term, slow progression, and cannot be treated
Define violence?
the use pf physical force or intimidation with the intent of harming someone or something
Define domestic violence?
A pattern of abusive behavior in any relationship that is sed by one partner to gain or maintain control over another intimate partner
What are the different theories of family violence
- psychopathology
- Social learning
- Biologic
- Family systems
- Feminist
What is psychopathology theory?
aggressors are afflicted by an underlying personality disorder
what is social learning theory?
violence is a learned behavior from childhood
what is biologic theory?
genetics os physiologic changes from childhood trauma incite violent behavior
What is family systems theory?
family relationships and interactions incorporate and accommodate violent behavior from the family member who displays it.
Why is family systems theory subject to criticism?
it can be seen as victim blaming
what is feminist theory?
gender inequality in a patriarchal society leads to violent behavior
What are the different types of family violence?
Physical
psychologicL
Economic
sexual
What is intimate partner violence?
Physical, sexual, or psychological harm directed at a current or former partner or spouse.
What do victim of Intimate partner violence (IPV) report?
experiencing chronic pain, difficulty sleeping, headaches, and poor physical/mental health when compared to those who have not experienced violence.
What is often seen in children who are suspected to have been or are being abused?
spiral fractures! detected in radiological survey of the wrist and lower forearm
what age group is bullying typically seen in?
grades 6-10 are most likely to engage in bullying
What is a hate crime?
violence against a person based on their sexual orientation/identity, race/ethnicity, gender identity, national origin, and religion.
Define human trafficking
an organized form of exploitation that can involve sex, forced labor, slavery, servitude, and organ removal.
What are some signs that may alert you to a possible human trafficking scenario?
if they don’t have an I.D, someone is refusing to leave at bedside and answering all of the questions
What is PTSD?
a mental health condition that is brought on by witnessing or experiencing a terrifying event.
In order to be diagnosed with PTSD, how long must they experience symptoms for?
longer than one month
What is PTS?
post traumatic stress: occurs following a harrowing or extremely difficult experience that reults in clinical manifestations resembling a fight-or-flight response.
How long does it typically take for PTS symptoms to resolve?
typically one month, which means it is not a disorder
