Substance Use
Anxiety
Depression
Suicide
Pharmacology
100

What is the a concern regarding alcohol withdrawal in the first 24 to 72 hrs without alcohol 

At the highest risk for seizures 
100

Two pharmacological treatments for anxiety

Benzodiazepines (Lams and Pams) and SSRIs(first line of treatment)

100

What is anhedonia 

Lack of pleasure in normal activities 

100

What are two suicide protective factors (reasons why someone would not commit)

Supportive family and Spiritual/religious beliefs 

100

What are the three groups of medications used to treat anxiety/depression

SSRIs

SNRIs

MAOIs

200

What is physical dependence vs Psychological dependence 

Physical: Need for an increasing amount of the substance to get the desired effect

Psychological: Overwhelming desire to repeat the use of the drug to produce pleasure 

200

What are signs and symptoms of anxiety

Restlessness, muscle tension, avoiding stressful situations, sleep disturbances

200

Signs and symptoms of depression

Depressed mood, difficulty sleeping, suicidal ideation

200

What is the number one nursing priority for a suicidal patient?

SAFETY

200

What foods need to be avoided when on MAOIs?

Aged cheeses, beer, wine, smoked meats, grapefruit

300

What are 2 risks factors for substance abuse

Genetics and Hx of trauma 

300

What does OCD stand for and what is it?

Obsessive Compulsion Disorder: Intrusive thoughts of unrealistic obsessions that one tries to controls with compulsive behaviors. 

300

Risk factors for depression

Family history, Neurotransmitter deficiencies, stressful life events 

300

What are two risk factors for suicide 

previous attempts, physical/terminal illness

300

S/S of serotonin syndrome 

Changes in mental state, Neuromuscular excitement (Muscle rigidity, weakness, sluggish pupils), Diaphoretic 

400

What is Wernicke-Korsakoff disorder?

Memory disorder due to lack of vitamin B1 in those with alcohol use disorder.

400

Risk Factors for Anxiety

Being female, Trauma or a medical condition like hyperthyroidism or pulmonary embolism. 

400

What are two nursing interventions

Provide safety, encourage ADLs.

400

What is an example of a question you would aske a suicidal patient?

"Do you have a plan?"

"Would you kill yourself right now if you could?"

400

What two medications reduce alcohol cravings?

Naltrexone (Trexan) and Acamprosate (Campral)

500

What is delirium tremens?

Life threatening form of alcohol withdrawal, Slows down your CNS.

500

Two nonpharmacological treatments for anxiety

CBT, Systematic desensitization 

500

Two nonpharmacological treatments for depression

Light therapy, electrocomplusive therapy, Transcranial magnetic stimulation

500

an example of an acute suicidal ideation behavior vs chronic ongoing suicidal ideation behavior

Acute suicidal ideation: Giving away belongings, resolving personal issues, writing a suicide note, major change in behavior

Chronic: Wishing to be dead, no specific thought, plan or intent of taking own life. 

500

What is the top medication used to treat alcohol withdrawal?

Chlordiazepoxide (Librium)