NUR 350 Exam 3 Questions and
Answers Latest Versions 2025 Graded
A+
what is a form of denial of alcoholism?
minimizing one's drinking
human and animal studies have confirmed what?
a genetic predisposition to alcohol
withdrawal
a set of physiological symptoms that occur when a person
stops using a substance; specific to the subsstance being
used, and each substance will have its own characteristic
syndrome
codependence
"enabling", an individual in a relationship with a person
who abuses alcohol inadvertently reinforces the drinking
behavior of the other person
CNS impairment level depends on...
-how much has been consumed in a given period of time,
and how rapidly the body metabolizes it
blood alcohol level (BAL)
determines intoxication due to the level of alcohol seen in
the blood
what can the body metabolize without intoxication?
1oz of liquor, 5oz of wine, and 12oz of beer per hour
legal defintion of intoxication
,blood concentration of 80 or 100mg ethanol per deciliter of
blood (mg/dl)
*.08= legal limit
1-2 drinks (0.05)
impaired judgment, giddiness, mood changes
5-6 drinks (0.10)
difficulty driving and coordinating movements
10-12 drinks (0.20)
motor functions severly impaired, ataxia (loss of muscle
control), emotional lability
15-20 drinks (0.30)
stupor (state of unconsciousness), disorientation,
confusion
20-24 drinks (0.40)
coma
25 drinks (0.50)
respiratory failure, death
CIWA addresses..
nausea/vomiting, tremor, sweating, anxiety, agitation; first
item that the nurse uses when a patient is admitted for
alcohol use
-antianxiety and sedating drugs such as benzos are
titrated downwardly over several days as a
substitution for alcohol
what is given typically if patient is withdrawing from
alcohol?
chlordiazepoxide and lorazepam
if patient has a history of addictions, what should be
given for anxiety?
,antihistamine (vistaril)
-do not give benzodiazepines
opioid intoxication
exhibit sedation, euphoria, constipation, reduced libido,
analgesia (absence of pain), memory and concentration
problems, pupillary constriction
*dilated pupils in withdrawal
opiate withdrawal
diarrhea, abdominal cramps, fever, diaphoresis, goose
bumps, muscle aches
opiate drugs include...
-heroin, morphine, and codeine
-semisynthetic opioids such as oxycodone or hydrocodone
naltrexone (opioid antagonist)
-treats withdrawal, relapse prevention, decreases
pleasurable feelings, and reduces cravings
-used in opioid use disorder- blocking opiate receptors,
blocking the euphoric effects
*has a low toxicity
what can naltrexone interfere with?
-can interfere with the tendency to want to drink more if a
patient slips and has a drink of alcohol
Disulfiram (Antabuse)
-maintenance, relapse prevention, aversion therapy to
alcohol
-used with patients who have shown ability to stay sober
-vomiting occurs with consumption of any alcohol
, acamprosate calcium
-used by patient who has quit drinking; wishes to remain
abstinent, helps brain to work normal again
physical effects of Disulfiram when alcohol is used...
-intense N/V, headache, sweats, flushed skin, respiratory
difficulties, confusion
*have to avoid hidden sources of alcohol
sources of alcohol can include
OTC medications such as cough syrup, and mouthwash
with alcohol
Wernicke encephalopathy
-a degenerative brain disorder caused by thiamine
deficiency
-characterized by vision impairment, ataxia, hypotension,
confusion, and coma
thiamine
vitamin B1
-keeps patients from going into Wernicke's syndrome
-used in patients with a chemical dependency
Korsakoff's amnestic syndrome (alcoholism)
-involves the heart and the vascular and nervous systems
-primary problem is acquiring new information and
retrieving memories; vitamin B deficiency!!!
symptoms of Korsakoff's amnestic syndrome
amnesia, confabulation (telling a plausiable but imagined
scenario to compensate for memory loss), attention deficit,
disorientation, and vision impairment
Answers Latest Versions 2025 Graded
A+
what is a form of denial of alcoholism?
minimizing one's drinking
human and animal studies have confirmed what?
a genetic predisposition to alcohol
withdrawal
a set of physiological symptoms that occur when a person
stops using a substance; specific to the subsstance being
used, and each substance will have its own characteristic
syndrome
codependence
"enabling", an individual in a relationship with a person
who abuses alcohol inadvertently reinforces the drinking
behavior of the other person
CNS impairment level depends on...
-how much has been consumed in a given period of time,
and how rapidly the body metabolizes it
blood alcohol level (BAL)
determines intoxication due to the level of alcohol seen in
the blood
what can the body metabolize without intoxication?
1oz of liquor, 5oz of wine, and 12oz of beer per hour
legal defintion of intoxication
,blood concentration of 80 or 100mg ethanol per deciliter of
blood (mg/dl)
*.08= legal limit
1-2 drinks (0.05)
impaired judgment, giddiness, mood changes
5-6 drinks (0.10)
difficulty driving and coordinating movements
10-12 drinks (0.20)
motor functions severly impaired, ataxia (loss of muscle
control), emotional lability
15-20 drinks (0.30)
stupor (state of unconsciousness), disorientation,
confusion
20-24 drinks (0.40)
coma
25 drinks (0.50)
respiratory failure, death
CIWA addresses..
nausea/vomiting, tremor, sweating, anxiety, agitation; first
item that the nurse uses when a patient is admitted for
alcohol use
-antianxiety and sedating drugs such as benzos are
titrated downwardly over several days as a
substitution for alcohol
what is given typically if patient is withdrawing from
alcohol?
chlordiazepoxide and lorazepam
if patient has a history of addictions, what should be
given for anxiety?
,antihistamine (vistaril)
-do not give benzodiazepines
opioid intoxication
exhibit sedation, euphoria, constipation, reduced libido,
analgesia (absence of pain), memory and concentration
problems, pupillary constriction
*dilated pupils in withdrawal
opiate withdrawal
diarrhea, abdominal cramps, fever, diaphoresis, goose
bumps, muscle aches
opiate drugs include...
-heroin, morphine, and codeine
-semisynthetic opioids such as oxycodone or hydrocodone
naltrexone (opioid antagonist)
-treats withdrawal, relapse prevention, decreases
pleasurable feelings, and reduces cravings
-used in opioid use disorder- blocking opiate receptors,
blocking the euphoric effects
*has a low toxicity
what can naltrexone interfere with?
-can interfere with the tendency to want to drink more if a
patient slips and has a drink of alcohol
Disulfiram (Antabuse)
-maintenance, relapse prevention, aversion therapy to
alcohol
-used with patients who have shown ability to stay sober
-vomiting occurs with consumption of any alcohol
, acamprosate calcium
-used by patient who has quit drinking; wishes to remain
abstinent, helps brain to work normal again
physical effects of Disulfiram when alcohol is used...
-intense N/V, headache, sweats, flushed skin, respiratory
difficulties, confusion
*have to avoid hidden sources of alcohol
sources of alcohol can include
OTC medications such as cough syrup, and mouthwash
with alcohol
Wernicke encephalopathy
-a degenerative brain disorder caused by thiamine
deficiency
-characterized by vision impairment, ataxia, hypotension,
confusion, and coma
thiamine
vitamin B1
-keeps patients from going into Wernicke's syndrome
-used in patients with a chemical dependency
Korsakoff's amnestic syndrome (alcoholism)
-involves the heart and the vascular and nervous systems
-primary problem is acquiring new information and
retrieving memories; vitamin B deficiency!!!
symptoms of Korsakoff's amnestic syndrome
amnesia, confabulation (telling a plausiable but imagined
scenario to compensate for memory loss), attention deficit,
disorientation, and vision impairment
