NURl 253/l NUR253l Examl 4l –l Conceptsl
ofl Mentall Healthl Nursingl Guide|l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l opioidl intoxicationl symptomsl
Answer:
Psychomotorl retardationl (slowl responsel time)
Drowsinessl (canl leadl tol coma)
Slurredl speech
Alteredl mood
Impairedl memoryl andl attention
Pupillaryl constrictionl (meiosis)
Bradycardia
Hypotension
Decreasedl bowell sounds
Q:l opioidl withdrawall symptomsl
Answer:
Moodl dysphoria
Nausea
Vomiting
Lacrimationl (wateryl eyes)
Rhinorrhea
Pupillaryl dilationl
Yawning
Piloerectionl (bristlingl ofl hairs,l "coldl turkey")
Musclel cramps
Tachycardia
Hypertensionl
Hyperthermia
,Malesl mayl experience
Sweating
Spontaneousl ejaculations
Q:l Opioidl withdrawall nursingl priorityl
Answer:
preventl ptl froml harmingl selfl orl others
-monitorl vitals
-lowl stimulationl environment
-reorientl ptl backl tol reality
-addressl hallucinationsl therapeutically
-maintainl adequatel nutritionl andl hydration
Q:l Opioidl overdosel symptomsl
Answer:
Unresponsiveness
Slowl respirations
Coma
Hypothermia
Hypotension
Bradycardia
Pinpointl pupils
Stridorl (snoring/gurglingl sounds=blockedl airways)
Floppyl armsl andl legs
Cyanosisl (bluel lipsl orl fingerl tips,l grayl skinl tone)l
Deathl isl usuallyl attributedl tol respiratoryl arrest
Q:l Opioidl overdosel treatmentl
Answer:
Naloxonel (Narcan)
-shortl acting
,-mayl neededl repeatedl dose
-mayl sendl ptl intol withdraw
-Intranasally,l IM,l SQ,l orl IV
Promotel breathingl byl aspiratingl secretions,l insertingl anl airway,l and/orl mechanicall
ventilation
Q:l Opioidl disorderl treatmentl
Answer:
Rehabilitation
Therapy-Individual,l family,l group
Supportl groupsl -l Narcoticsl anonymous,l familyl supportl groups
Psychopharmacologicall Txl -l Methadone,l Buprenorphine,l Naltrexone
Q:l Methadonel (Dolophine)l
Answer:
-Usedl tol decreasel painfull withdrawl symptoms
-Blocksl euphoricl effects
-Safestl optionl forl pregnantl usersl -l lowl dosel efficacy
Reportl tol providerl immediatelyl -l difficultyl breathing,l shallowl breaths,l feelingl
lightheaded,l chestl pain,l swellingl ofl lipsl orl throat,l rash,l hallucinationsl andl confusion
Q:l Buprenorphinel (Subutex)l
Answer:
-Helpsl tol reducel orl quitl usel ofl opioids
-Opioidl partiall agonist
-Doesl producel euphorial orl decreasedl respirationsl butl muchl lessl thanl opioids
-Somel onl thel marketl includel smalll amountsl ofl naloxone
-Onlyl usedl 12-24l hrsl afterl abstinencel (ifl not,l canl bringl onl acutel withdrawal)
-Longl actingl drugl somel ptsl switchl tol everyl otherl dayl dosing
, Q:l Naltrexonel (Vivitrol)l
Answer:
-Preventionl ofl relapsel (preventsl intoxication)
-Blocksl euphoricl andl sedativel effectsl (ifl theyl usel anl opioid)
-Long-actingl injectionl (givenl oncel al month)
Doesl notl blockl respiratoryl effectsl ofl opioidsl (ptl mayl tryl tol usel opioidsl inl highl dosesl
duel tol lackl ofl euphoricl effectsl andl overdosel froml decreasedl respirations)
Sidel Effects
weakness
tirednessl
insomnia
increasedl thirst
anxiety
nervousness
restlessness
irritability
musclel andl jointl aches
decreasedl sexl drive
Q:l Alcoholl Usel
Answer:
Initiall feelingl ofl euphoria,l butl isl al sedative
Q:l Typesl ofl problematicl drinkingl
Answer:
1.l Binge-drinking
2.l Heavyl drinking
Q:l bingel drinkingl
ofl Mentall Healthl Nursingl Guide|l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l opioidl intoxicationl symptomsl
Answer:
Psychomotorl retardationl (slowl responsel time)
Drowsinessl (canl leadl tol coma)
Slurredl speech
Alteredl mood
Impairedl memoryl andl attention
Pupillaryl constrictionl (meiosis)
Bradycardia
Hypotension
Decreasedl bowell sounds
Q:l opioidl withdrawall symptomsl
Answer:
Moodl dysphoria
Nausea
Vomiting
Lacrimationl (wateryl eyes)
Rhinorrhea
Pupillaryl dilationl
Yawning
Piloerectionl (bristlingl ofl hairs,l "coldl turkey")
Musclel cramps
Tachycardia
Hypertensionl
Hyperthermia
,Malesl mayl experience
Sweating
Spontaneousl ejaculations
Q:l Opioidl withdrawall nursingl priorityl
Answer:
preventl ptl froml harmingl selfl orl others
-monitorl vitals
-lowl stimulationl environment
-reorientl ptl backl tol reality
-addressl hallucinationsl therapeutically
-maintainl adequatel nutritionl andl hydration
Q:l Opioidl overdosel symptomsl
Answer:
Unresponsiveness
Slowl respirations
Coma
Hypothermia
Hypotension
Bradycardia
Pinpointl pupils
Stridorl (snoring/gurglingl sounds=blockedl airways)
Floppyl armsl andl legs
Cyanosisl (bluel lipsl orl fingerl tips,l grayl skinl tone)l
Deathl isl usuallyl attributedl tol respiratoryl arrest
Q:l Opioidl overdosel treatmentl
Answer:
Naloxonel (Narcan)
-shortl acting
,-mayl neededl repeatedl dose
-mayl sendl ptl intol withdraw
-Intranasally,l IM,l SQ,l orl IV
Promotel breathingl byl aspiratingl secretions,l insertingl anl airway,l and/orl mechanicall
ventilation
Q:l Opioidl disorderl treatmentl
Answer:
Rehabilitation
Therapy-Individual,l family,l group
Supportl groupsl -l Narcoticsl anonymous,l familyl supportl groups
Psychopharmacologicall Txl -l Methadone,l Buprenorphine,l Naltrexone
Q:l Methadonel (Dolophine)l
Answer:
-Usedl tol decreasel painfull withdrawl symptoms
-Blocksl euphoricl effects
-Safestl optionl forl pregnantl usersl -l lowl dosel efficacy
Reportl tol providerl immediatelyl -l difficultyl breathing,l shallowl breaths,l feelingl
lightheaded,l chestl pain,l swellingl ofl lipsl orl throat,l rash,l hallucinationsl andl confusion
Q:l Buprenorphinel (Subutex)l
Answer:
-Helpsl tol reducel orl quitl usel ofl opioids
-Opioidl partiall agonist
-Doesl producel euphorial orl decreasedl respirationsl butl muchl lessl thanl opioids
-Somel onl thel marketl includel smalll amountsl ofl naloxone
-Onlyl usedl 12-24l hrsl afterl abstinencel (ifl not,l canl bringl onl acutel withdrawal)
-Longl actingl drugl somel ptsl switchl tol everyl otherl dayl dosing
, Q:l Naltrexonel (Vivitrol)l
Answer:
-Preventionl ofl relapsel (preventsl intoxication)
-Blocksl euphoricl andl sedativel effectsl (ifl theyl usel anl opioid)
-Long-actingl injectionl (givenl oncel al month)
Doesl notl blockl respiratoryl effectsl ofl opioidsl (ptl mayl tryl tol usel opioidsl inl highl dosesl
duel tol lackl ofl euphoricl effectsl andl overdosel froml decreasedl respirations)
Sidel Effects
weakness
tirednessl
insomnia
increasedl thirst
anxiety
nervousness
restlessness
irritability
musclel andl jointl aches
decreasedl sexl drive
Q:l Alcoholl Usel
Answer:
Initiall feelingl ofl euphoria,l butl isl al sedative
Q:l Typesl ofl problematicl drinkingl
Answer:
1.l Binge-drinking
2.l Heavyl drinking
Q:l bingel drinkingl
