Lecture 2- Mark Klimek Exam Questions and Answers Already Passed
What is the #1 psychological problem when dealing with alcohol? - Answers Denial
How do you respond/treat to Pts in denial? - Answers - Confront them by pointing out the difference
between what they say/do
- Pay attention to whether the Pt is dealing with a loss or abusive situation
"Support= Loss / Confront= Abuse"
What is the #2 psychological problem - Answers Dependency or Co-Dependency
How do you treat dependency/ codependency? - Answers - Dependent Pts are "abusers" ... Confront
them
- Co-dependent Pts have self esteem issues ... teach Pts how to set limits and enforce them
- Agree in advance on what request have are allowed then enforce them
- Teach significant other to say no
- Work on self esteem on the co-dependent
How is manipulation like dependency? - Answers - In both situations the dependent person gets the co-
dependent person to do things or make decisions
- If what the significant other is being asked to do is not inherently dangerous and harmful, then this is
dependency/ co-dependency
- If significant other is being asked to do something inherently dangerous/harmful then this is
manipulation
Wernicke (Korsakoff) Syndrome - Answers -Wernicke is an encephalopathy
-Korsakoff is a psychosis
-Wernicke and Korsakoff tend to go together
Wernicke and Korsakoff - Answers - Psychosis induced by vitamin B1, thiamine deficiency
- Situation where Pt looses touch with reality due to it B1 deficiency
-The primary S/Sx are amnesia (memory loss) and confabulation
How to deal with a Pt with Wernicke and Korsakoff who is confabulating about going to a meeting with
Elvis Presley? - Answers - Redirect the Pt to something they can do
What are the characteristics of Wernicke and Korsakoff syndrome? - Answers - Preventable ... Take B1
, - Arrestable (stop it from getting worse) ... TakeB1
- Irreversible (70%) ... Will kill human brain cells
-What is Antabuse - Answers Alcohol deterrent
What is Revia - Answers Antidote
What is Aversion Therapy? - Answers a type of behavior therapy designed to make a patient give up and
undesirable habit by causing them to associate it with and unpleasant effect
What are the onset and duration of Antabuse/Revia - Answers 2 Weeks
Teach Pt to avoid ___ forms of EtOH. Not doing so may lead to symptoms of ____, even death - Answers
All, n/v (On exam do not pick Red Wine Vinaigrettes they do not have alcohol)
What is the first thing to ask yourself during an overdose? - Answers Is it an upper or a downer?
What are the 5 UPPERs to memorize for the NCLEX? - Answers -Caffeine
-Cocaine
- PCP/LSD
-Methamphetamines
-Adderall
-
What are the signs and symptoms of an upper? - Answers Euphoria, seizures, restlessness, hyperreflexia,
tachycardia, increased bowels, diarrhea
What are the signs of a downer? - Answers Lethargic, respiratory depression/arrest, constipated
What are the highest nursing priority to anticipate in an upper or Downer? - Answers Upper: Highest
priority to anticipate in an upper suctioning due to seizures
Downers: Highest priority to anticipate in a downer is intubation/ventilation due to respiratory arrest
After you know if the drug is an upper or downer, what is the second question a nurse should be asking?
- Answers If this is an overdose or a withdraw (Opposite effects)
What can you assume with drug abuse in the newborn? - Answers Always assume intoxication, not
withdraw at birth if the newborn is less than 24 hours after birth. 24 hours or more after birth, you can
assume the newborn is in withdraw
Every alcoholic goes through alcoholic ____ approximately 24 hours after the person stops drinking. -
Answers Withdraw
What is the #1 psychological problem when dealing with alcohol? - Answers Denial
How do you respond/treat to Pts in denial? - Answers - Confront them by pointing out the difference
between what they say/do
- Pay attention to whether the Pt is dealing with a loss or abusive situation
"Support= Loss / Confront= Abuse"
What is the #2 psychological problem - Answers Dependency or Co-Dependency
How do you treat dependency/ codependency? - Answers - Dependent Pts are "abusers" ... Confront
them
- Co-dependent Pts have self esteem issues ... teach Pts how to set limits and enforce them
- Agree in advance on what request have are allowed then enforce them
- Teach significant other to say no
- Work on self esteem on the co-dependent
How is manipulation like dependency? - Answers - In both situations the dependent person gets the co-
dependent person to do things or make decisions
- If what the significant other is being asked to do is not inherently dangerous and harmful, then this is
dependency/ co-dependency
- If significant other is being asked to do something inherently dangerous/harmful then this is
manipulation
Wernicke (Korsakoff) Syndrome - Answers -Wernicke is an encephalopathy
-Korsakoff is a psychosis
-Wernicke and Korsakoff tend to go together
Wernicke and Korsakoff - Answers - Psychosis induced by vitamin B1, thiamine deficiency
- Situation where Pt looses touch with reality due to it B1 deficiency
-The primary S/Sx are amnesia (memory loss) and confabulation
How to deal with a Pt with Wernicke and Korsakoff who is confabulating about going to a meeting with
Elvis Presley? - Answers - Redirect the Pt to something they can do
What are the characteristics of Wernicke and Korsakoff syndrome? - Answers - Preventable ... Take B1
, - Arrestable (stop it from getting worse) ... TakeB1
- Irreversible (70%) ... Will kill human brain cells
-What is Antabuse - Answers Alcohol deterrent
What is Revia - Answers Antidote
What is Aversion Therapy? - Answers a type of behavior therapy designed to make a patient give up and
undesirable habit by causing them to associate it with and unpleasant effect
What are the onset and duration of Antabuse/Revia - Answers 2 Weeks
Teach Pt to avoid ___ forms of EtOH. Not doing so may lead to symptoms of ____, even death - Answers
All, n/v (On exam do not pick Red Wine Vinaigrettes they do not have alcohol)
What is the first thing to ask yourself during an overdose? - Answers Is it an upper or a downer?
What are the 5 UPPERs to memorize for the NCLEX? - Answers -Caffeine
-Cocaine
- PCP/LSD
-Methamphetamines
-Adderall
-
What are the signs and symptoms of an upper? - Answers Euphoria, seizures, restlessness, hyperreflexia,
tachycardia, increased bowels, diarrhea
What are the signs of a downer? - Answers Lethargic, respiratory depression/arrest, constipated
What are the highest nursing priority to anticipate in an upper or Downer? - Answers Upper: Highest
priority to anticipate in an upper suctioning due to seizures
Downers: Highest priority to anticipate in a downer is intubation/ventilation due to respiratory arrest
After you know if the drug is an upper or downer, what is the second question a nurse should be asking?
- Answers If this is an overdose or a withdraw (Opposite effects)
What can you assume with drug abuse in the newborn? - Answers Always assume intoxication, not
withdraw at birth if the newborn is less than 24 hours after birth. 24 hours or more after birth, you can
assume the newborn is in withdraw
Every alcoholic goes through alcoholic ____ approximately 24 hours after the person stops drinking. -
Answers Withdraw
