Theory and Communication
Facilitating expression of feelings and thoughts to support the consumers' problem solving and recovery.
What are the goals of therapeutic relationships and communication?
A BAL considered legally intoxicated for adults engaged in driving in all states.
0.08%
A nurse suspects a peer is working impaired and reports it to the supervisor.
What is the appropriate action for a nurse to take when impairment is suspected in a peer?
Signs of Opiate intoxication- 5
What are slurred speech, impaired cognition for memory, focus, and judgement, constricted pupils, decreased RR and B/P, impaired gait.
Primary reason for aggression and violence in secure milieu
What is loss of control?
Safety and security
What level of needs are freedom from physical and emotional harm?
Slurred speech, memory impairment, altered judgement, motor impairment, impaired alertness.
What are signs of alcohol intoxication?
Prevalence of nurses who are impaired or in recovery in US.
What is 15-20%
An antagonist used for opiod overdose that can be administered without a prescription in an emergency
Narcan/naloxone
The order of use for using de-escalization strategies.
What are verbal de-escalization, voluntary med adminstration,involuntary chemical restraint, physical restraint, then seclusion.
Why did you stop your medications?
Are you relaxed today?
I think you should go to him and apologize.
What are examples of non-therapeutic communication?
The consistent risk factor across mental health alterations
What is poverty?
Withdrawal without medical treatment can lead to death.
What is caused by alcohol?
Effect onset within seconds producing dilated pupils, excessive motor movement,and irritability. 3
What is cocaine, crack, methamphetamine, caffeine, and/or nicotine?
Screening tool for SUD/AUD which asks about inability to reduce use, social disapproval of use, guilt associated with use, and necessary use of the substance to "get right" in the early morning.
What is CAGE?
Stereotypes, prejudice, and discrimination directed at individuals with mental health disorders.
What is stigma?
Onset of withdrawal symptoms after the last ingestion of alcohol
What is within hours (4-6)?
Etiology of Addiction
What is a chronic, relapsing brain disorder with genetic predisposition?
Increases release of of this neurotransmitter and inhibits reuptake to the presynaptic terminal.
What is methamphetamine?
Addiction is a process of altered neurochemical pathways and neural dysfunction that leads to 4 chges in how the brain processes information and regulates behavior.
1. Intense craving to use
2. Poor judgement about consequences of use
3. Multisensory triggers to use (strong memories of people, places, & things associated with use)
4. Lack of focus, except on the substance
Possible only when other needs are met according to Maslow.
Self actualization
Signs of alcohol withdrawal are a result of this.
What is overstimulation of the CNS?
A journey over time of working a treatment plan to achieve higher levels of function and/or maintain sobriety.
What is recovery?
Heightened concerns for use by children and adolescents due to damage to the brain which is still developing synaptic growth.
What is cannabis?
Four categories of behavior that comprise symptoms of a SUD
What are
1. Lack of control of use
2. Social/relationship dysfunction
3.Tolerance and withdrawal
4. Continued use despite neg consequences