NUR 180 EXAM 2 |Completeed With A+
Graded Answers
Fetal Alcohol Syndrome
Microcephaly
Small gestational age (body)
Fail to develop normally
Habituation + Adaptation =
Tolerance
S/S of heroin use
Dilated pupils
Drowsiness
Euphoria
Respiratory depression
S/S of heroin use that is main priority
Respiratory depression
S/S of PCP use
Increased VS (BP)
Agitated movements
Belligerence
Nonsensical talk
Violence
Bizarre behaviors
S/S of PCP use that is main priority
Safety
A patient comes into the ER staggering. When the nurses try to get VS on him, he kicks and fights. He
refuses to let anyone touch him and insists that all he wants is to lie down.
Which blood alcohol level do you expect?
0.20% (at least 5 drinks)
Dual diagnosis (or "co-occurring")
75% of patients with mental illness abuse substances
Stress reaction (effect)
Results from stress of stopping the addictive behavior
- Anxiety
Affects ANS
- Increased HR
- Increased BP
- Sweating
Rebound symptoms (effect)
,Occur when adaptive changes in the brain that encounter the effects of the addiction continue
despite cessation of the addictive substance or behavior
- Low mood
- Fatigue
- Opposite effect of abused drug
S/S of alcohol withdrawal
Occurs within 6 - 9 hrs
Tremors
HBP
Change in mental status
Prone to seizures
What assessment question should you ask someone who has struggled with alcohol abuse and is
being seen for withdrawal symptoms?
When was the last time you had a drink?
Symptoms/behaviors of addiction
Insomnia
Fatigue
Changes in mood
Weight loss
Anorexia
Overabundant use of mouthwash or toiletries
Unkempt appearance
DUIs
Financial problems
Poverty
Absenteeism from work
Wernicke's encephalopathy
Acute
Controls language reception
Left temporal lobe
Reversible brain damage
- Tx with thiamine
Korsakoff's syndrome
Chronic alcohol abuse
Results from severe thiamine deficiency
Not reversible
Brain damage
S/S of anxiety
Muscle rigidity
Sweating
Dry mouth
- Explore stressors
Denial
, Refusal to acknowledge conflict and thus escapes reality of situation
- A child covered with chocolate refuses to admit eating candy
Displacement
Redirecting of energies to another person or object
- A husband shouts at his wife, the wife then berates her child, who then scolds the dog
Projection
Putting off one's own unacceptable thoughts, wishes, and emotions onto others
- A woman is afraid to leave her house because she knows people will ridicule her
Rationalization
Use of a "good" (but not real) reason to explain behavior to make unacceptable motivation more
acceptable
- A student justifies failing an exam by saying there was too much material to cover
Regression
Coping with present conflict, stress by returning to earlier, more secure stage of life
- A 4 year old's parents are going through a divorce so she begins to suck her thumb and wet the bed
Suppression
Removal of conflict by removing anxiety from consciousness
- A woman with a family history of breast cancer "forgets" her mammogram appointment
Stages of grief by Kubler-Ross
DABDA
Denial
Anger
Bargaining
Depression
Acceptance
Types of Loss
Situational - Divorce, Death
Maturational - Child leaves home, Elder to NH
Unexpected
Anticipatory - Impending
Children with a terminal illness are more concerned with what?
Illness interfering with their play time
Generalized anxiety disorder (GAD)
Graded Answers
Fetal Alcohol Syndrome
Microcephaly
Small gestational age (body)
Fail to develop normally
Habituation + Adaptation =
Tolerance
S/S of heroin use
Dilated pupils
Drowsiness
Euphoria
Respiratory depression
S/S of heroin use that is main priority
Respiratory depression
S/S of PCP use
Increased VS (BP)
Agitated movements
Belligerence
Nonsensical talk
Violence
Bizarre behaviors
S/S of PCP use that is main priority
Safety
A patient comes into the ER staggering. When the nurses try to get VS on him, he kicks and fights. He
refuses to let anyone touch him and insists that all he wants is to lie down.
Which blood alcohol level do you expect?
0.20% (at least 5 drinks)
Dual diagnosis (or "co-occurring")
75% of patients with mental illness abuse substances
Stress reaction (effect)
Results from stress of stopping the addictive behavior
- Anxiety
Affects ANS
- Increased HR
- Increased BP
- Sweating
Rebound symptoms (effect)
,Occur when adaptive changes in the brain that encounter the effects of the addiction continue
despite cessation of the addictive substance or behavior
- Low mood
- Fatigue
- Opposite effect of abused drug
S/S of alcohol withdrawal
Occurs within 6 - 9 hrs
Tremors
HBP
Change in mental status
Prone to seizures
What assessment question should you ask someone who has struggled with alcohol abuse and is
being seen for withdrawal symptoms?
When was the last time you had a drink?
Symptoms/behaviors of addiction
Insomnia
Fatigue
Changes in mood
Weight loss
Anorexia
Overabundant use of mouthwash or toiletries
Unkempt appearance
DUIs
Financial problems
Poverty
Absenteeism from work
Wernicke's encephalopathy
Acute
Controls language reception
Left temporal lobe
Reversible brain damage
- Tx with thiamine
Korsakoff's syndrome
Chronic alcohol abuse
Results from severe thiamine deficiency
Not reversible
Brain damage
S/S of anxiety
Muscle rigidity
Sweating
Dry mouth
- Explore stressors
Denial
, Refusal to acknowledge conflict and thus escapes reality of situation
- A child covered with chocolate refuses to admit eating candy
Displacement
Redirecting of energies to another person or object
- A husband shouts at his wife, the wife then berates her child, who then scolds the dog
Projection
Putting off one's own unacceptable thoughts, wishes, and emotions onto others
- A woman is afraid to leave her house because she knows people will ridicule her
Rationalization
Use of a "good" (but not real) reason to explain behavior to make unacceptable motivation more
acceptable
- A student justifies failing an exam by saying there was too much material to cover
Regression
Coping with present conflict, stress by returning to earlier, more secure stage of life
- A 4 year old's parents are going through a divorce so she begins to suck her thumb and wet the bed
Suppression
Removal of conflict by removing anxiety from consciousness
- A woman with a family history of breast cancer "forgets" her mammogram appointment
Stages of grief by Kubler-Ross
DABDA
Denial
Anger
Bargaining
Depression
Acceptance
Types of Loss
Situational - Divorce, Death
Maturational - Child leaves home, Elder to NH
Unexpected
Anticipatory - Impending
Children with a terminal illness are more concerned with what?
Illness interfering with their play time
Generalized anxiety disorder (GAD)
