Nurs 343 Exam 2 || Full Exam Pack: A+ Verified
Questions & Answers!!
Describe flashbacks correct answers recurrences of perceptual disturbance caused by a
person's earlier hallucinogenic drug use when in a drug free state
What's the DSM criteria for substance abuse? correct answers Pattern of drug use leading to
clinically significant impairment or distress
1) inability to fulfill major role @ home/work/school
2) participating in physically hazardous situations while impaired
3) recurrent legal/interpersonal problems
4) keep using even though having problems
What's the DSM criteria for substance dependence? correct answers 1) tolerance to drug
2)withdrawal syndrome
3)taken in larger amounts/for longer period than intended
4) unsuccessful or persistent desire to cut down or control use
5)^time in taking, getting, or recovering from substance
6)not showing up to important events
7)keep using even though you know its reason for problems
synergist effects correct answers when two or more drugs are taken together it results in
greater CNS depression
-effects are intensified and prolonged
antagonist effects correct answers when taken together, weaken or inhibit the effect of one of
the drugs
codependence correct answers often exhibit over-responsible behavior
doing things for people they can do for themselves
care for others @ exclusion of own needs
codependent behaviors correct answers attempt to control other people's drug use
think about drug user too much
find excuses for person's drug abuse
feeling responsible for person drug/alcohol use
What's the DSM criteria for substance-induced delirium correct answers 1) impaired
consciousness
2)change in cognition:memory, impairment, disorientation)
3)develops over short period of time and fluctuates over day
4)evidence of substance abuse and withdrawal
What's the DSM criteria for alcohol withdrawal correct answers 1) quit drinking
2)Two or more of following:
-nausea and vomiting
-anxiety -hand tremor
-hallucinations -seizures
-sweating -insomnia
,-tachycardia -psychomotor agitation
What's the DSM criteria for alcohol intoxication correct answers recently drank
behavior/mood changes
slurred speech, unsteady gait, coma, impaired memory and/or incoordination
not due to medical condition
How is addiction characterized correct answers 1) loss of control of substance consumption
2) substance use despite associated problems
3)tendency to relapse
Explain incentive salience correct answers Cue sensitive: presented w/a stimulus previously
associated w/the drug, get overwhelming urge to use
responsible for craving of a substance when not currently using it
Which 2 questions can be asked to detect alcohol or drug problems? correct answers 1) in the
last year, have you ever drunk or used more drugs than you meant to?
2) have you ever felt you wanted or needed to cut down on your drinking or drug use in the
last year?
** red flags: rationalizations, automatic responses as if question were predicted, slow,
prolonged response( thinking of what to say)
What are illusions? correct answers misinterpretations, usually of a threatening nature, of
objects in the environment
alcohol withdrawal delirium correct answers **medical emergency**
Usually die of sepsis, MI,fat embolism,electrolyte imbalance, suicide, aspiration pneumonia,
or peripheral vascular collapse
-delirium state usually peaks 2-3 days after last drink and lasts 2-3 days
What are some signs of alcohol withdrawal delirium correct answers **medical emergency**
Tachycardia
diaphoresis
hypertension
disorientation
hallucinations
change in LOC
paranoid delusions, agitation
fever
Explain the assessment guidelines for chemically impaired patients correct answers 1) check
for severe or major withdrawal syndrome
2) check for overdose to a drug or alcohol
3)check for suicidal thoughts/self-destructive behavior
4)check for physical complications related to drug abuse
5)does patient want to fix substance problem?
6)does patient/family know about community resources for drug/alcohol treatment
,What's the aim of treatment in substance abuse? correct answers Self-responsibility, not
compliance
Describe the concept of substance-abuse intervention correct answers Addiction is a
progressive illness and rarely goes into remission w/out outside help
FRAMES correct answers Feedback of personal risk
Responsibility of the patient ( personal control)
Advice to change
Menu of ways to reduce substance use(options
Empathetic counseling
Self-efficacy or optimism of the patient
What's the goal of relapse prevention? correct answers Help the individual learn from these
situations so that periods of sobriety can be lengthened over time and relapses aren't viewed
as total failure
Describe the steps in substance-abuse intervention correct answers 1) concerned people
gathered
2) specific evidence given by each person
3) right timing: person not high, current evidence available
4)privacy
5) don't react to defenses by person
6)genuine but firm concern is demonstrated
7)substance abuse seen as disease
8)treatment alternatives shown
9) response to possible outcomes ready
-yes=go to treatment
no=i gotta make some changes then
Describe some relapse prevention strategies correct answers 1) keep program simple=people
are dumb
2) Cognitive-behavioral therapy to increase coping skills=strengths/weaknesses
3)become a member of a relapse prevention group
4)Therapy
Explain the 3 basic concepts that are fundamental to 12 step programs correct answers 1)
individuals with addictive disorders are powerless over their addiction, and their lives are
unmanageable
2)although not responsible for disease, responsible for recovery
3)can no longer blame people, places, and things for addiction, must face problems and
feelings
Name 5 critical issues that arise in the first 6 months of sobriety correct answers 1) physical
changes as body adapts to functioning w/out substances
2)Learning different responses to cues that would trigger substance abuse
3)Emotional responses now felt full strength
4) response of family/friends to new behavior
5)New coping skills must be developed to prevent relapse
, What are the general strategies for relapse prevention? correct answers Cognitive and
behavioral:
-recognize and learn how to avoid or cope with threats to recovery
-changing lifestyle
-learn how to participate in society w/out drugs
- secure help from others/social support
A syndrome that occurs after stopping use of a drug is
A. amnesia.
B. tolerance.
C. enabling.
D. withdrawal. correct answers withdrawal.
The only class of commonly abused drugs that has a specific antidote is
A. opiates.
B. hallucinogens.
C. amphetamines.
D. benzodiazepines. correct answers opiates.
The term tolerance, as it relates to substance abuse, refers to
A. use of a substance beyond acceptable societal norms.
B. the additive effects achieved by taking two drugs with similar actions.
C. the signs and symptoms that occur when an addictive substance is withheld.
D. the need to take larger amounts of a substance to achieve the same effects. correct answers
the need to take larger amounts of a substance to achieve the same effects.
Benzodiazepines are useful for treating alcohol withdrawal because they
A. block cortisol secretion.
B. increase dopamine release.
C. decrease serotonin availability.
D. bind to ã-aminobutyric acid-benzodiazepine receptors. correct answers bind to ã-
aminobutyric acid-benzodiazepine receptors
A person who covertly supports the substance-abusing behavior of another is called a(n)
A. patsy.
B. enabler.
C. participant.
D. minimizer. correct answers enabler.
A client who is dependent on alcohol and drinks several six-packs of beer daily tells the nurse
"Alcohol is no problem to me. I can quit anytime I want to." The nurse can assess this
statement as indicating
A. denial.
B. projection.
C. rationalization.
D. reaction formation. correct answers denial.
What is the ethical obligation of the nurse who has seen a peer divert a narcotic compared
with the ethical obligation when the nurse observes a peer to be under the influence of
alcohol?
Questions & Answers!!
Describe flashbacks correct answers recurrences of perceptual disturbance caused by a
person's earlier hallucinogenic drug use when in a drug free state
What's the DSM criteria for substance abuse? correct answers Pattern of drug use leading to
clinically significant impairment or distress
1) inability to fulfill major role @ home/work/school
2) participating in physically hazardous situations while impaired
3) recurrent legal/interpersonal problems
4) keep using even though having problems
What's the DSM criteria for substance dependence? correct answers 1) tolerance to drug
2)withdrawal syndrome
3)taken in larger amounts/for longer period than intended
4) unsuccessful or persistent desire to cut down or control use
5)^time in taking, getting, or recovering from substance
6)not showing up to important events
7)keep using even though you know its reason for problems
synergist effects correct answers when two or more drugs are taken together it results in
greater CNS depression
-effects are intensified and prolonged
antagonist effects correct answers when taken together, weaken or inhibit the effect of one of
the drugs
codependence correct answers often exhibit over-responsible behavior
doing things for people they can do for themselves
care for others @ exclusion of own needs
codependent behaviors correct answers attempt to control other people's drug use
think about drug user too much
find excuses for person's drug abuse
feeling responsible for person drug/alcohol use
What's the DSM criteria for substance-induced delirium correct answers 1) impaired
consciousness
2)change in cognition:memory, impairment, disorientation)
3)develops over short period of time and fluctuates over day
4)evidence of substance abuse and withdrawal
What's the DSM criteria for alcohol withdrawal correct answers 1) quit drinking
2)Two or more of following:
-nausea and vomiting
-anxiety -hand tremor
-hallucinations -seizures
-sweating -insomnia
,-tachycardia -psychomotor agitation
What's the DSM criteria for alcohol intoxication correct answers recently drank
behavior/mood changes
slurred speech, unsteady gait, coma, impaired memory and/or incoordination
not due to medical condition
How is addiction characterized correct answers 1) loss of control of substance consumption
2) substance use despite associated problems
3)tendency to relapse
Explain incentive salience correct answers Cue sensitive: presented w/a stimulus previously
associated w/the drug, get overwhelming urge to use
responsible for craving of a substance when not currently using it
Which 2 questions can be asked to detect alcohol or drug problems? correct answers 1) in the
last year, have you ever drunk or used more drugs than you meant to?
2) have you ever felt you wanted or needed to cut down on your drinking or drug use in the
last year?
** red flags: rationalizations, automatic responses as if question were predicted, slow,
prolonged response( thinking of what to say)
What are illusions? correct answers misinterpretations, usually of a threatening nature, of
objects in the environment
alcohol withdrawal delirium correct answers **medical emergency**
Usually die of sepsis, MI,fat embolism,electrolyte imbalance, suicide, aspiration pneumonia,
or peripheral vascular collapse
-delirium state usually peaks 2-3 days after last drink and lasts 2-3 days
What are some signs of alcohol withdrawal delirium correct answers **medical emergency**
Tachycardia
diaphoresis
hypertension
disorientation
hallucinations
change in LOC
paranoid delusions, agitation
fever
Explain the assessment guidelines for chemically impaired patients correct answers 1) check
for severe or major withdrawal syndrome
2) check for overdose to a drug or alcohol
3)check for suicidal thoughts/self-destructive behavior
4)check for physical complications related to drug abuse
5)does patient want to fix substance problem?
6)does patient/family know about community resources for drug/alcohol treatment
,What's the aim of treatment in substance abuse? correct answers Self-responsibility, not
compliance
Describe the concept of substance-abuse intervention correct answers Addiction is a
progressive illness and rarely goes into remission w/out outside help
FRAMES correct answers Feedback of personal risk
Responsibility of the patient ( personal control)
Advice to change
Menu of ways to reduce substance use(options
Empathetic counseling
Self-efficacy or optimism of the patient
What's the goal of relapse prevention? correct answers Help the individual learn from these
situations so that periods of sobriety can be lengthened over time and relapses aren't viewed
as total failure
Describe the steps in substance-abuse intervention correct answers 1) concerned people
gathered
2) specific evidence given by each person
3) right timing: person not high, current evidence available
4)privacy
5) don't react to defenses by person
6)genuine but firm concern is demonstrated
7)substance abuse seen as disease
8)treatment alternatives shown
9) response to possible outcomes ready
-yes=go to treatment
no=i gotta make some changes then
Describe some relapse prevention strategies correct answers 1) keep program simple=people
are dumb
2) Cognitive-behavioral therapy to increase coping skills=strengths/weaknesses
3)become a member of a relapse prevention group
4)Therapy
Explain the 3 basic concepts that are fundamental to 12 step programs correct answers 1)
individuals with addictive disorders are powerless over their addiction, and their lives are
unmanageable
2)although not responsible for disease, responsible for recovery
3)can no longer blame people, places, and things for addiction, must face problems and
feelings
Name 5 critical issues that arise in the first 6 months of sobriety correct answers 1) physical
changes as body adapts to functioning w/out substances
2)Learning different responses to cues that would trigger substance abuse
3)Emotional responses now felt full strength
4) response of family/friends to new behavior
5)New coping skills must be developed to prevent relapse
, What are the general strategies for relapse prevention? correct answers Cognitive and
behavioral:
-recognize and learn how to avoid or cope with threats to recovery
-changing lifestyle
-learn how to participate in society w/out drugs
- secure help from others/social support
A syndrome that occurs after stopping use of a drug is
A. amnesia.
B. tolerance.
C. enabling.
D. withdrawal. correct answers withdrawal.
The only class of commonly abused drugs that has a specific antidote is
A. opiates.
B. hallucinogens.
C. amphetamines.
D. benzodiazepines. correct answers opiates.
The term tolerance, as it relates to substance abuse, refers to
A. use of a substance beyond acceptable societal norms.
B. the additive effects achieved by taking two drugs with similar actions.
C. the signs and symptoms that occur when an addictive substance is withheld.
D. the need to take larger amounts of a substance to achieve the same effects. correct answers
the need to take larger amounts of a substance to achieve the same effects.
Benzodiazepines are useful for treating alcohol withdrawal because they
A. block cortisol secretion.
B. increase dopamine release.
C. decrease serotonin availability.
D. bind to ã-aminobutyric acid-benzodiazepine receptors. correct answers bind to ã-
aminobutyric acid-benzodiazepine receptors
A person who covertly supports the substance-abusing behavior of another is called a(n)
A. patsy.
B. enabler.
C. participant.
D. minimizer. correct answers enabler.
A client who is dependent on alcohol and drinks several six-packs of beer daily tells the nurse
"Alcohol is no problem to me. I can quit anytime I want to." The nurse can assess this
statement as indicating
A. denial.
B. projection.
C. rationalization.
D. reaction formation. correct answers denial.
What is the ethical obligation of the nurse who has seen a peer divert a narcotic compared
with the ethical obligation when the nurse observes a peer to be under the influence of
alcohol?
