Rasmussen Mental Health - Exam 3 questions with
verified answers
Abuse Ans✓✓✓ Refers to the habitual use of a substance that falls outside of
medical necessity or social acceptance and is used for the single purpose of
altering one's mood, emotion, or state of consciousness.
Abuse vs Neglect Ans✓✓✓ Abuse: to cause harm (hitting a child)
Neglect: to omit something that causes harm (not feeding a child)
Addiction Ans✓✓✓ Is a chronic, relapsing brain disease characterized by
compulsive drug-seeking behavior motivated by cravings, despite harmful
consequences, and by long-lasting changes in the brain.
ADHD Medications Ans✓✓✓ Central nervous system stimulants, such as
methylphenidate and pemoline (Cylert), increase blood flow to the brain and have
proved helpful in reducing hyperactivity in children and adolescents with ADHD.
Aggression Ans✓✓✓ Can be harmful and destructive when not controlled.
Agnosia Ans✓✓✓ A client with agnosia does not recognize objects or understand
what they're used for, so the nurse should give the client concrete directions.
Alcohol Abuse Assessment Ans✓✓✓ Slurred speech, uncoordinated movements,
unsteady gait, restlessness, belligerence, confusion, sneaking drinks, drinking in
the morning, experiencing blackouts, binge drinking, arguments about drinking,
missing work, increased alcohol tolerance, intoxication.
,Part of the assessment should include type of alcohol, how much, how long, and
when was it last consumed.
Alcohol Abuse Signs and Symptoms Ans✓✓✓ Depression, hostility,
suspiciousness, irritability, isolation, decreased inhibitions, decrease self esteem,
denial that a problem exists.
Alcohol Abuse Therapeutic Communication Ans✓✓✓ • Direct the clients focus to
the substance abuse problem.
• Identify situations that precipitate anger.
• Set limits on manipulative behavior and verbal/physical abuse.
• Hold the client firmly to reasonable limits, consistently reinforce rules, with
reasonable
consequences for breaking rules.
• Hold the client accountable for all behavior. Assist them to explore strength and
weaknesses.
• Encourage the client to to focus on strength if the client is losing control.
• Encourage participation in group therapy and support groups.
Alcohol Dependence Ans✓✓✓ The United States has one of the highest levels of
substance abuse and addiction in the world. Drug overdose is the leading cause of
accidental death in the United States.
Alcohol Withdrawal Ans✓✓✓ Anorexia (nausea/vomiting) anxiety, easily startled,
hyper-alertness, hypertension, insomnia, irritability, jerky movements,
hallucinations, illusions, delusions, vivid nightmares, reports of shaking inside,
seizures (7-48 hrs), tachycardia and tremors.
,-Symptoms associated with the cessation of the substance
Substance taken to relieve withdrawal
symptoms
Alcohol Withdrawal Delirium Ans✓✓✓ Manifestations of alcohol withdrawal
delirium: 48-72 after cessation and lasts 2-3 days. agitation, anorexia, anxiety,
delirium, diaphoresis, disorientation w/ fluctuating levels of consciousness, fever,
hallucinations, insomnia, tachycardia and hypertension.
Alcohol Withdrawal Delirium Medications Ans✓✓✓ • Chlordiazepoxide (Librium)
is a common medication given for alcohol withdrawal. You can also give
benzodiazepines to decrease symptoms.
• IM injection of vitamin B1 "thiamine" followed by several days of oral
administration to prevent Wernicke's encephalopathy.
• Disulfiram (antabuse) alcohol deterrent, causes withdrawal symptoms for those
that abuse alcohol.
Alcohol Withdrawal Delirium Nursing Interventions Ans✓✓✓ • Provide non-
judgmental care. Check the client frequently, monitor vitals and neuro q 15 min,
one to one supervision.
• Provide a quiet non-stimulating environment, stay with the client, orient
frequently.
• Explain all procedures in a quiet simple way. Initiate seizure precautions,
administer sedation and anticonvulsants as ordered.
• Provide small frequent carbohydrate meals, give antiemetics as needed.
• Monitor intake and output. Administer vitamins, assist with ADL's as needed,
allow them to express
fears and feelings.
, Alcohol Withdrawal Nursing Interventions Ans✓✓✓ Usually begins 6 to 8 hours
after cessation or marked reduction of alcohol intake. It peaks between 24 and 48
hours, then resolves or progresses to delirium. Sedation allows for safe
withdrawal from alcohol. Benzodiazepines are the drugs of choice in most regions
because of their high therapeutic safety index and anticonvulsant.
Alcohol withdrawl and intoxication Ans✓✓✓ Alcohol intoxication: occurs at
blood alcohol levels from 100 to 200 mg/dL
Alcohol withdrawal: occurs within 4 to 12 hours of cessation of or reduction in
heavy and prolonged alcohol use
Carmen's last drink was 3 hours ago (6:30am), when is she most likely to
withdrawl?
-- 10:30am (4-12 hours)
Alcoholic phases Ans✓✓✓ Phase I. Prealcoholic phase: characterized by use of
alcohol to relieve everyday stress and tensions of life
Phase II. Early alcoholic phase: begins with blackouts: brief periods of amnesia
that occur during or immediately following a period of drinking; alcohol is now
required by the person
Phase III. The crucial phase: person has lost control; physiological dependence
clearly evident
verified answers
Abuse Ans✓✓✓ Refers to the habitual use of a substance that falls outside of
medical necessity or social acceptance and is used for the single purpose of
altering one's mood, emotion, or state of consciousness.
Abuse vs Neglect Ans✓✓✓ Abuse: to cause harm (hitting a child)
Neglect: to omit something that causes harm (not feeding a child)
Addiction Ans✓✓✓ Is a chronic, relapsing brain disease characterized by
compulsive drug-seeking behavior motivated by cravings, despite harmful
consequences, and by long-lasting changes in the brain.
ADHD Medications Ans✓✓✓ Central nervous system stimulants, such as
methylphenidate and pemoline (Cylert), increase blood flow to the brain and have
proved helpful in reducing hyperactivity in children and adolescents with ADHD.
Aggression Ans✓✓✓ Can be harmful and destructive when not controlled.
Agnosia Ans✓✓✓ A client with agnosia does not recognize objects or understand
what they're used for, so the nurse should give the client concrete directions.
Alcohol Abuse Assessment Ans✓✓✓ Slurred speech, uncoordinated movements,
unsteady gait, restlessness, belligerence, confusion, sneaking drinks, drinking in
the morning, experiencing blackouts, binge drinking, arguments about drinking,
missing work, increased alcohol tolerance, intoxication.
,Part of the assessment should include type of alcohol, how much, how long, and
when was it last consumed.
Alcohol Abuse Signs and Symptoms Ans✓✓✓ Depression, hostility,
suspiciousness, irritability, isolation, decreased inhibitions, decrease self esteem,
denial that a problem exists.
Alcohol Abuse Therapeutic Communication Ans✓✓✓ • Direct the clients focus to
the substance abuse problem.
• Identify situations that precipitate anger.
• Set limits on manipulative behavior and verbal/physical abuse.
• Hold the client firmly to reasonable limits, consistently reinforce rules, with
reasonable
consequences for breaking rules.
• Hold the client accountable for all behavior. Assist them to explore strength and
weaknesses.
• Encourage the client to to focus on strength if the client is losing control.
• Encourage participation in group therapy and support groups.
Alcohol Dependence Ans✓✓✓ The United States has one of the highest levels of
substance abuse and addiction in the world. Drug overdose is the leading cause of
accidental death in the United States.
Alcohol Withdrawal Ans✓✓✓ Anorexia (nausea/vomiting) anxiety, easily startled,
hyper-alertness, hypertension, insomnia, irritability, jerky movements,
hallucinations, illusions, delusions, vivid nightmares, reports of shaking inside,
seizures (7-48 hrs), tachycardia and tremors.
,-Symptoms associated with the cessation of the substance
Substance taken to relieve withdrawal
symptoms
Alcohol Withdrawal Delirium Ans✓✓✓ Manifestations of alcohol withdrawal
delirium: 48-72 after cessation and lasts 2-3 days. agitation, anorexia, anxiety,
delirium, diaphoresis, disorientation w/ fluctuating levels of consciousness, fever,
hallucinations, insomnia, tachycardia and hypertension.
Alcohol Withdrawal Delirium Medications Ans✓✓✓ • Chlordiazepoxide (Librium)
is a common medication given for alcohol withdrawal. You can also give
benzodiazepines to decrease symptoms.
• IM injection of vitamin B1 "thiamine" followed by several days of oral
administration to prevent Wernicke's encephalopathy.
• Disulfiram (antabuse) alcohol deterrent, causes withdrawal symptoms for those
that abuse alcohol.
Alcohol Withdrawal Delirium Nursing Interventions Ans✓✓✓ • Provide non-
judgmental care. Check the client frequently, monitor vitals and neuro q 15 min,
one to one supervision.
• Provide a quiet non-stimulating environment, stay with the client, orient
frequently.
• Explain all procedures in a quiet simple way. Initiate seizure precautions,
administer sedation and anticonvulsants as ordered.
• Provide small frequent carbohydrate meals, give antiemetics as needed.
• Monitor intake and output. Administer vitamins, assist with ADL's as needed,
allow them to express
fears and feelings.
, Alcohol Withdrawal Nursing Interventions Ans✓✓✓ Usually begins 6 to 8 hours
after cessation or marked reduction of alcohol intake. It peaks between 24 and 48
hours, then resolves or progresses to delirium. Sedation allows for safe
withdrawal from alcohol. Benzodiazepines are the drugs of choice in most regions
because of their high therapeutic safety index and anticonvulsant.
Alcohol withdrawl and intoxication Ans✓✓✓ Alcohol intoxication: occurs at
blood alcohol levels from 100 to 200 mg/dL
Alcohol withdrawal: occurs within 4 to 12 hours of cessation of or reduction in
heavy and prolonged alcohol use
Carmen's last drink was 3 hours ago (6:30am), when is she most likely to
withdrawl?
-- 10:30am (4-12 hours)
Alcoholic phases Ans✓✓✓ Phase I. Prealcoholic phase: characterized by use of
alcohol to relieve everyday stress and tensions of life
Phase II. Early alcoholic phase: begins with blackouts: brief periods of amnesia
that occur during or immediately following a period of drinking; alcohol is now
required by the person
Phase III. The crucial phase: person has lost control; physiological dependence
clearly evident
