FNP Review Dunphy Chapter 18 Psychosocial Problems with 100% Correct Answers Latest 2024 Version

FNP Review Dunphy Chapter 18 Psychosocial Problems with 100% Correct Answers Latest 2024 Version Life expectancy rates in the United States have declined for the first time for several years in a row. The reasons for this are A. little understood B. increased suicide rates C. more drug-resistant and/or nosocomial infections D. the opioid crisis - D There has been an overall rise in suicide rates for several years, but these numbers are not significant enough to account for the decrease in life expectancy. Deaths from opioid overdoses have continued to rise in dramatic numbers, and it is more accepted that it is this rise that has accounted for an overall decrease in life expectancy. Some theorize that opioid deaths may actually be suicides, but this can be difficult to tease out. Medications may be needed in additions to screening, early intervention, counseling, and education to treat alcohol use disorder (AUD), moderate to severe subtype. You are treating Jerry, age 60, who has this diagnosis. He has been in detox numerous times. Jerry is desperate to stop drinking. He continues his usual heavy usage of alcohol and is fearful of the consequences. You decide you must consider pharmacological therapy for this client. What drug is your best choice? A. Citalopram (Celexa) B. Chlorpromazine (Thorazine) C. Naltrexone (Revia) D. Disulfiram (Antabuse) - C Naltrexone (Revia), an opioid antagonist thatis a synthetic congener of oxymorphone with no opioid agonist properties, has been used effectively for treatment of AUD in combination with non- pharmacological treatment. It can be started when a patient is still drinking alcohol. Naltrexone usein randomized trials demonstrated lower relapse rates, fewer days drinking, and a decrease in crav- ing for alcohol. There are well-validated screening instru- ments to assist in diagnosing psychosocial problems, as well as tracking progress with treatment. Your patient Gloria, age 29, presents with symptoms of restlessness and anxiety. You decide to have Gloria fill in the following screening instrument. A. GAD-7