NSG 2271, Chapter 25, Addiction and Substance Related Disorders| QUESTIONS WITH 100%
CORRECT ANSWERS| LATEST UPDATE 100% VERIFIED
Some evidence shows that changes in the ________ are associated with addiction behavior
(gambling), similar to result reported for nicotine and alcohol dependence. serotonin system
One study showed a _____ to _____% lifetime prevalence for gambling. According to the DSM-
5, the lifetime prevalence rate is about _____ to _____% 1 to 3%; 0.4 to 1%
Individuals with gambling problems are _____ to commit suicide than those who do not have
gambling problems and are _____ to seek mental health treatment. more likely; less likely
Gambling disorder has four phases: winning, losing, desperation, and hopelessness
_____ gambling can be treated by psychotherapists; Gamblers Anonymous is sufficient to curb
the disorder. Pathologic
_____ gamblers feel omnipotent in their ability to win back what was lost. This omnipotence
serves as self-deception that leads to denial. Compulsive (care of these patients involves
confronting omnipotent beliefs)
The nurse can use the _____ as a guide in eliciting a substance use history in the assessment
process. Substance Abuse Assessment
_____ is the patient's inability to accept his or her loss of control over substance use or the
severity of the consequences associated with the substance abuse or addiction. Denial
(denial can be expressed in diverse behaviors and attitudes and may not be expressed as an
overt denial; Ex: a patient can admit a problem, thank you for help but insist they can overcome
the problem on their own without outside help)
,Typical characteristics of alcoholics in denial 1. Confusion about the severity of drinking
history
2. Difficulty reconciling early positive experiences of alcohol use with current problems
3. Confusion regarding the definition of alcoholic
4. Relief when they compare themselves with others and find others in worse condition
5. Delusion that drinking can be self controlled
6. Confusion or trouble accepting that behavior is different when intoxicated.
_____ is the key predictor of whether individuals will change their substance use behavior. It is
a goal-oriented attitude that propels action for change and can help sustain the development of
new activities and behaviors. Motivation
Method of therapeutic intervention that seeks to elicit self-motivational statements from
patients, supports behavioral change, and creates a disconnect between the patient's goals and
their continued alcohol and other drug use. motivational interviewing
FRAMES feedback, responsibility, advice, menu of strategies, empathy, and self-efficacy
(summarizes elements of brief interventions with patients using motivational interviewing)
_____ is the total emotional reaction of the treatment provider to the patient
countertransference
_____ has been described as "enabling" in which an individual in a relationship with a person
who has abused alcohol inadvertently reinforces the drinking behavior of the other person.
codependence
Nursing Diagnosis (Substance Abuse) The substance of use and patient's addiction must be
considered. One common nursing diagnosis is Ineffective Denial
,Several general guidelines are available to establishing therapeutic interactions with patients in
substance abuse treatment programs: 1. Encourage honest expression of feelings
2. Listen to what the individual is really saying
3. Express caring for the individual
4. Hold the individual responsible for his or her behavior
5. Provide fair and consistent consequences for negative behavior
6. Talk about specific objectionable actions
7. Do not compromise your own values or nursing practice
8. Communicate the treatment plan to the patient and to others on the treatment team
9. Monitor your own reactions to the patient
pointing out the inconsistencies in thoughts, feelings, and actions that can promote the
person's experience of the natural consequences of one's behavior. Confrontation (learning
from previous behavior and its consequences is how change occurs)
Principles of Effective Treatment for Addiction 1. Addiction is a complex but treatable
disease that affects brain function and behavior
2. No single treatment appropriate for everyone
3. Treatment should be readily available
4. Effective treatment attends to multiple needs
5. Remaining in treatment for an adequate amount of time is critical.
6. Behavioral therapies
7. Medications important for treatment
8. Assess individual treatment and service plan continually
9. Many addicts also have mental disorders
, 10. Medically assisted detoxification is only the first stage of addiction treatment and does little
to change long-term drug abuse
11. Treatment does not need to be voluntary to be effective
12. Monitor drug use continuously
13. Treatment programs should provide assessment for HIV/AIDS, hepatitis B and C,
tuberculosis, and other infectious diseases, and provide risk reduction counseling
a negotiated conversation between the professional and patient designed to reduce or
eliminate alcohol or drug use brief intervention
The goals of screening and brief intervention are to: reduce risky substance use before
people become dependent or addicted
Brief intervention is most successful when working with people who: 1. are experiencing
few problems with their drug use
2. Have low levels of dependence
3. Have a short history of drug use
4. Have stable backgrounds
5. Are unsure or ambivalent about changing or ending their drug use
It is recommended that brief intervention at a minimum include: 1. Advising how to reduce
patient's drug use
2. Providing harm reduction information or self-help manuals relevant to the patient
3. Giving the patient relevant information about consequences of a drug conviction in terms of
international travel and employment and consequences of further or heavier drug charges
4. Discussing harm reduction strategies, especially those relating to: overdose, violence, driving
under the influence, safe practices, offering and arranging a follow-up visit
CORRECT ANSWERS| LATEST UPDATE 100% VERIFIED
Some evidence shows that changes in the ________ are associated with addiction behavior
(gambling), similar to result reported for nicotine and alcohol dependence. serotonin system
One study showed a _____ to _____% lifetime prevalence for gambling. According to the DSM-
5, the lifetime prevalence rate is about _____ to _____% 1 to 3%; 0.4 to 1%
Individuals with gambling problems are _____ to commit suicide than those who do not have
gambling problems and are _____ to seek mental health treatment. more likely; less likely
Gambling disorder has four phases: winning, losing, desperation, and hopelessness
_____ gambling can be treated by psychotherapists; Gamblers Anonymous is sufficient to curb
the disorder. Pathologic
_____ gamblers feel omnipotent in their ability to win back what was lost. This omnipotence
serves as self-deception that leads to denial. Compulsive (care of these patients involves
confronting omnipotent beliefs)
The nurse can use the _____ as a guide in eliciting a substance use history in the assessment
process. Substance Abuse Assessment
_____ is the patient's inability to accept his or her loss of control over substance use or the
severity of the consequences associated with the substance abuse or addiction. Denial
(denial can be expressed in diverse behaviors and attitudes and may not be expressed as an
overt denial; Ex: a patient can admit a problem, thank you for help but insist they can overcome
the problem on their own without outside help)
,Typical characteristics of alcoholics in denial 1. Confusion about the severity of drinking
history
2. Difficulty reconciling early positive experiences of alcohol use with current problems
3. Confusion regarding the definition of alcoholic
4. Relief when they compare themselves with others and find others in worse condition
5. Delusion that drinking can be self controlled
6. Confusion or trouble accepting that behavior is different when intoxicated.
_____ is the key predictor of whether individuals will change their substance use behavior. It is
a goal-oriented attitude that propels action for change and can help sustain the development of
new activities and behaviors. Motivation
Method of therapeutic intervention that seeks to elicit self-motivational statements from
patients, supports behavioral change, and creates a disconnect between the patient's goals and
their continued alcohol and other drug use. motivational interviewing
FRAMES feedback, responsibility, advice, menu of strategies, empathy, and self-efficacy
(summarizes elements of brief interventions with patients using motivational interviewing)
_____ is the total emotional reaction of the treatment provider to the patient
countertransference
_____ has been described as "enabling" in which an individual in a relationship with a person
who has abused alcohol inadvertently reinforces the drinking behavior of the other person.
codependence
Nursing Diagnosis (Substance Abuse) The substance of use and patient's addiction must be
considered. One common nursing diagnosis is Ineffective Denial
,Several general guidelines are available to establishing therapeutic interactions with patients in
substance abuse treatment programs: 1. Encourage honest expression of feelings
2. Listen to what the individual is really saying
3. Express caring for the individual
4. Hold the individual responsible for his or her behavior
5. Provide fair and consistent consequences for negative behavior
6. Talk about specific objectionable actions
7. Do not compromise your own values or nursing practice
8. Communicate the treatment plan to the patient and to others on the treatment team
9. Monitor your own reactions to the patient
pointing out the inconsistencies in thoughts, feelings, and actions that can promote the
person's experience of the natural consequences of one's behavior. Confrontation (learning
from previous behavior and its consequences is how change occurs)
Principles of Effective Treatment for Addiction 1. Addiction is a complex but treatable
disease that affects brain function and behavior
2. No single treatment appropriate for everyone
3. Treatment should be readily available
4. Effective treatment attends to multiple needs
5. Remaining in treatment for an adequate amount of time is critical.
6. Behavioral therapies
7. Medications important for treatment
8. Assess individual treatment and service plan continually
9. Many addicts also have mental disorders
, 10. Medically assisted detoxification is only the first stage of addiction treatment and does little
to change long-term drug abuse
11. Treatment does not need to be voluntary to be effective
12. Monitor drug use continuously
13. Treatment programs should provide assessment for HIV/AIDS, hepatitis B and C,
tuberculosis, and other infectious diseases, and provide risk reduction counseling
a negotiated conversation between the professional and patient designed to reduce or
eliminate alcohol or drug use brief intervention
The goals of screening and brief intervention are to: reduce risky substance use before
people become dependent or addicted
Brief intervention is most successful when working with people who: 1. are experiencing
few problems with their drug use
2. Have low levels of dependence
3. Have a short history of drug use
4. Have stable backgrounds
5. Are unsure or ambivalent about changing or ending their drug use
It is recommended that brief intervention at a minimum include: 1. Advising how to reduce
patient's drug use
2. Providing harm reduction information or self-help manuals relevant to the patient
3. Giving the patient relevant information about consequences of a drug conviction in terms of
international travel and employment and consequences of further or heavier drug charges
4. Discussing harm reduction strategies, especially those relating to: overdose, violence, driving
under the influence, safe practices, offering and arranging a follow-up visit
