MANIFESTATIONS, MEDS, & MORE
Susan tells the you that she only drinks when she is stressed; therefore, she does not have a substance problem. What defense mechanism is Susan using?
What is denial?
The healthcare professional that a nurse would work closely with when caring for an alcoholic patient who has nutritional deficiencies.
What is a dietitian?
__________ is the psychologic or physical need for a substance to the extent that the individual will risk negative consequences in an attempt to meet the need.
What is addiction?
A patient who has a history of abusing opioids breaks her femur in a motorcycle accident. She is given medications to help curb her pain. She asks you why it takes a large dose of medication to provide her with the same relief that she used to receive from a much smaller dose. What do you tell her this is due to?
What is tolerance?
The legal BAL of intoxication in the US.
What is 0.08%?
John developed a narcotics addiction after being placed on heavy analgesics following a partial bowel removal for his Crohn's disease. John wants to quit abusing narcotics, so he received a prescription for a medication that is intended to help prevent withdrawal symptoms and cravings. Which medication was John prescribed?
What is methadone or buprenorphine?
The vitamin deficiency that is commonly associated with alcoholism.
What is thiamine deficiency or beriberi?
__________ is a state of voluntary sobriety in which the individual maintains personal health and functions normally within society without the use of the addictive substance or behavior.
What is recovery?
You are a community health nurse who is practicing primary prevention of alcohol abuse. You would know to target your educational efforts on which group of individuals?
What are adolescents in late teens and young adults in early twenties?
The powerhouse of the cell.
What is the mitochondria?
Depressants and analgesics
What are opiates?
Three of the toxic effects that alcohol can have on the liver.
What is hepatitis, cirrhosis, cancer, hepatomegaly, or fatty liver?
Providing __________ competent care is important in reducing barriers and improving patient outcomes.
What is culturally?
A patient arrives at the ER visibly intoxicated. You ask how much he had to drink tonight. He states that he drank 12 99 Banana shooters, just as he does every other night of the week. You want to know more about his drinking habits, so you use a questionnaire to determine if he is alcohol dependent. Which questionnaire do you use?
What is the CAGE questionnaire?
The two neurotransmitters that nicotine, in low doses, can stimulate nicotinic receptors to release.
What are dopamine and epinephrine?
Patrick has been admitted to the general medical unit after arriving at the ER with alcohol withdrawal symptoms. He requests another dose of lorazepam (Ativan). In order to determine which dose of lorazepam that Patrick can receive, you use which scale for evaluation alcohol withdrawal?
What is the CIWA scale?
Thiamine deficiency can lead to neurological impairments, such as what disorder?
What is Wernicke-Korsakoff syndrome?
__________ removes a negative stimulus to increase the chances that a desired behavior will occur.
What is negative reinforcement?
82-year-old Gertrude was discharged from the orthopedics unit after undergoing a bilateral total knee arthroplasties. She was discharged with new prescriptions of Tramadol and aspirin. Later that night, Gertrude's husband brings her back to the ER after she became lethargic, dyspneic, and seized in their bed. Which medication will you prepare to administer?
What is Naloxone?
The percentage of high school students who will have taken an illegal drug by the time of graduation.
What is 50%?
Kevin goes to group therapy once a week. You know that he is experiencing __________ when he begins to express his feelings in a goal-oriented way. He openly shares what is bothering him and expresses his feelings about other group members in a responsible way.
What is catharsis?
You are a labor and delivery nurse. You have been assigned Kathleen as a patient. Kathleen brought herself to the hospital when she noticed her contractions were about 7 minutes apart. She admits to you that she has a cocaine addiction and that she has been using throughout the entirety of her pregnancy. She asks you what effects this could have on her newborn. What are three effects you could inform Kathleen of?
What are cerebral infarctions, microcephaly, learning disabilities, decreased interactive behavior, CNS anomalies, cardiac anomalies, genitourinary anomalies, or SIDS?
When combined with the neurotransmitter __________, alcohol creates an additive effect, which further inhibits arousal and depresses the __________.
What is GABA and ANS?