NURS 663 EXAM 3 NEWEST VERSION FROM
ACTUAL PAST EXAM AND 100% DETAILED
ANSWERS | WELL GRADED A+
Symptoms of drug dependence - CORRECT ANSWERS-Goes into withdrawal
Using drug in greater quantities for longer
Spending A LOT of time getting, using, recovering from drug
Using despite knowing the problems r/t to using
Constantly asking self - when am I going to use again?
Which illegal substance carries an immediate risk of death related to cardiac arrest? -
CORRECT ANSWERS-Cocaine, methamphetamine - act like adrenaline and can place
the heart on overdrive
Dopaminergic pathway and chemical addictions - CORRECT ANSWERS-Circuit (VTA-
Naci) - key detector of rewarding stimulus (reward system)
Dopamine released in the nucleus accumbent, tied with pleasure (pleasure center of the
brain). Addictive drugs provide shortcut to the brain's reward center by flooding the NA
w/ dopamine. Hippocampus lays down memories of this rapid sense of satisfaction and
amygdala creates a conditioned response to certain stimuli.
Which system is responsible for addiction - CORRECT ANSWERS-Dopamine pathway
= reward center = motivates = responsible for addiction
Nucleus accuses - pleasure center
Difference between crack and cocaine - CORRECT ANSWERS-Freebased cocaine
(crack) is mixed street cocaine with pure cocaine alkaloid (freebase) to get increased
effect.
Crack is super potent, sold in rocks, highly addictive (1-2 experiences causes cravings),
extreme violence
Physiological s/s of drug use in adolescents - CORRECT ANSWERS-Change in
academic performance, physical ailments, changes in relationship w/ family members,
unexplained phone calls, changes in personal hygiene
THC - memory & learning impairment, distorted perception, diminished problem-solving,
loss of coordination, increased heart rate, panic attacks
Cocaine - constriction of peripheral blood vessels, dilated pupils, hyperthermia,
increased heart rate, hypertension
Heroin - nausea, vomiting, flushed skin, itching, drowsiness, clouded thinking
Statistics for inherited alcoholism - CORRECT ANSWERS-Genetics = 60%
25% chance of becoming alcoholic if parents are alcoholics
Threefold to fourfold increased risk in close relative
, Increases with the number of alcoholic relatives
30% of alcoholics have one parent who is also
20% of 8th graders have used illicit drugs
30% of grades 10-12th graders have used illicit drugs
Up to 15% pf ETOH dependent persons commit suicide
Which environmental factors contribute to drug use - CORRECT ANSWERS-Low
socioeconomic class
Poor parental support
Drug availability
Depression
Enabling
Book says:
Parent modeling of substance use
Family conflict
Lack of parent supervision
Peer relationships
Individual stressful life events
Withdrawal sx for stimulants - CORRECT ANSWERS-Peak 2-4 days
Total time - 1 week
Crash
Anxiety
Tremors
Mood issues
Lethargy
Fatigue
Nightmares
Headache
Sweating
Cramps
hunger
Withdrawal sx for Cocaine - CORRECT ANSWERS-Resolve 7-10 days
Poor concentration
Slowed thinking
Slow activity
Exhaustion
Restlessness
No sex arousal
Anhedonia
dep/anx
SI
Vivid/bad dreams
ACTUAL PAST EXAM AND 100% DETAILED
ANSWERS | WELL GRADED A+
Symptoms of drug dependence - CORRECT ANSWERS-Goes into withdrawal
Using drug in greater quantities for longer
Spending A LOT of time getting, using, recovering from drug
Using despite knowing the problems r/t to using
Constantly asking self - when am I going to use again?
Which illegal substance carries an immediate risk of death related to cardiac arrest? -
CORRECT ANSWERS-Cocaine, methamphetamine - act like adrenaline and can place
the heart on overdrive
Dopaminergic pathway and chemical addictions - CORRECT ANSWERS-Circuit (VTA-
Naci) - key detector of rewarding stimulus (reward system)
Dopamine released in the nucleus accumbent, tied with pleasure (pleasure center of the
brain). Addictive drugs provide shortcut to the brain's reward center by flooding the NA
w/ dopamine. Hippocampus lays down memories of this rapid sense of satisfaction and
amygdala creates a conditioned response to certain stimuli.
Which system is responsible for addiction - CORRECT ANSWERS-Dopamine pathway
= reward center = motivates = responsible for addiction
Nucleus accuses - pleasure center
Difference between crack and cocaine - CORRECT ANSWERS-Freebased cocaine
(crack) is mixed street cocaine with pure cocaine alkaloid (freebase) to get increased
effect.
Crack is super potent, sold in rocks, highly addictive (1-2 experiences causes cravings),
extreme violence
Physiological s/s of drug use in adolescents - CORRECT ANSWERS-Change in
academic performance, physical ailments, changes in relationship w/ family members,
unexplained phone calls, changes in personal hygiene
THC - memory & learning impairment, distorted perception, diminished problem-solving,
loss of coordination, increased heart rate, panic attacks
Cocaine - constriction of peripheral blood vessels, dilated pupils, hyperthermia,
increased heart rate, hypertension
Heroin - nausea, vomiting, flushed skin, itching, drowsiness, clouded thinking
Statistics for inherited alcoholism - CORRECT ANSWERS-Genetics = 60%
25% chance of becoming alcoholic if parents are alcoholics
Threefold to fourfold increased risk in close relative
, Increases with the number of alcoholic relatives
30% of alcoholics have one parent who is also
20% of 8th graders have used illicit drugs
30% of grades 10-12th graders have used illicit drugs
Up to 15% pf ETOH dependent persons commit suicide
Which environmental factors contribute to drug use - CORRECT ANSWERS-Low
socioeconomic class
Poor parental support
Drug availability
Depression
Enabling
Book says:
Parent modeling of substance use
Family conflict
Lack of parent supervision
Peer relationships
Individual stressful life events
Withdrawal sx for stimulants - CORRECT ANSWERS-Peak 2-4 days
Total time - 1 week
Crash
Anxiety
Tremors
Mood issues
Lethargy
Fatigue
Nightmares
Headache
Sweating
Cramps
hunger
Withdrawal sx for Cocaine - CORRECT ANSWERS-Resolve 7-10 days
Poor concentration
Slowed thinking
Slow activity
Exhaustion
Restlessness
No sex arousal
Anhedonia
dep/anx
SI
Vivid/bad dreams
