PHARM
ANXIETY
OCD
ALCOHOL
OPIOID SCENARIOS
100

This type of drug is used for OCD treatment.

What are anti depressants (SSRI or TCA)?

100

This type of medication is considered the first-line pharmacologic treatment for most anxiety disorders

What are SSRIs?

100

These are repeatedly performed behaviors in a ritualistic fashion, used in an attempt to prevent or relieve anxiety and distress caused by intrusive thoughts.

What are compulsions?

100

A deficiency in B vitamins due to chronic alcohol use can lead to this painful condition involving tingling and nerve damage in the extremities. 

What is peripheral neuropathy?

100

A nurse is assessing a client who has been taking increasing amounts of prescribed oxycodone for chronic pain. The client states, "The dose that used to control my pain doesn't work anymore, so I keep needing more." Which concept is the client demonstrating?

What is Tolerance?

200

This alpha 2 agonist reduces the symptoms of opioid withdrawal.

What is Clonidine?

200

During this level of anxiety, the client's perceptual field narrows, concentration decreases, and restlessness increases.

What is moderate anxiety?

200

While an obsession might involve a need for symmetry, order, or exactness, a patient might perform these two specific types of compulsions to manage that stress.

What are repeating behaviors and ordering or arranging?

200

This dangerous complication of alcohol withdrawal can occur anytime in the first 72 hours and features autonomic hyperactivity, hallucinations, and can be fatal if untreated.

What are delirium tremens (DTs)?

200

A patient with a history of opioid use disorder is brought to the emergency department. The client is difficult to arouse, has pinpoint pupils, and respirations of 6 breaths/min. Which medication should the nurse expect to administer immediately?

What is Naloxone? 

300

This medication used as a treatment for alcohol use disorder is a glutamate inhibitor.

What is Acamprosate?

300

This therapy gradually exposes a client to feared objects or situations while teaching coping skills.

What is cognitive behavior therapy (CBT)?

300

This obsessive compulsive disorder is characterized by the recurrent pulling out of one’s hair from sites such as the scalp, eyebrows, or eyelashes, which often results in a sense of gratification or reduced anxiety.

What is trichotillomania?

300

This clinical tool, performed every 2–4 hours during withdrawal management, evaluates symptoms such as tremor, nausea, hallucinations, and orientation.

What is CIWA-Ar?

300

A patient stopped using heroin yesterday and reports sweating, diarrhea, abdominal cramps, and palpitations. The provider prescribes a medication to reduce these withdrawal symptoms without acting as an opioid. Which medication was prescribed?

What is Clonidine

400

Benzodiazipines, are used for short periods of time for anxiety and inhibit this neuropathway

What is GABA?

400

This behavioral therapy exposes a client immediately to a large amount of the feared stimulus to extinguish the anxiety response.

What is flooding?

400

In this disorder, an individual is preoccupied with an imagined defective body part; their beliefs are differentiated from delusions because the individual remains aware that their concerns are exaggerated.

What is body dysmorphia?

400

This alcohol‑related liver condition presents with nausea, vomiting, lethargy, anorexia, fever, jaundice, and may progress to ascites and weight loss in severe cases.

What is alcoholic hepatitis?

400

A nurse is caring for a client beginning medication-assisted treatment for opioid use disorder. The provider prescribes a medication that is a partial opioid agonist and helps reduce cravings. Which medication should the nurse administer?

What is buprenorphine?

500

Rapid cessation of this drug would cause a headache.

What is caffiene?

500

This treatment gradually introduces a client to a feared object or situation through a hierarchy from least frightening to most frightening.

What is systematic desensitization?

500

These three treatment modalities for OCD include a medication based approach using SSRIs, a method involving cognitive restructuring, and behavioral techniques such as flooding.

What is 

pharmacotherapy

deep brain stimulation and 

physiological therapy

500

This chronic condition, often preceded by Wernicke’s encephalopathy, is marked by confusion, memory loss, and confabulation, with only a 20% recovery rate.

What is Korsakoff's syndrome?

500

A patient with opioid use disorder has completed detoxification and asks about receiving the monthly injectable medication that prevents the rewarding effects of opioids. Before administering this medication, what important information should the nurse verify?

What is verify the client has been free of opioids for at least one week before starting extended-release naltrexone (Vivitrol)?