nur 253 Mental health Exam 3 | Questions and Answers | Fall
2026/2027 Update | 100% Correct | pass!!! Graded a+
Abuse= - answer-that's all they focus on, that drug will interfere in ability to maintain
work, unable to fulfill major roles.
Substance dependence- - answer-3 or more of the following in 12 months:
- Presence of tolerance of drug
- Presence of withdraw syndrome
- Substance taken in larger amounts, a longer period than intended
- Unsuccessful or persistent desire to cutdown or control use
- Increase time in getting, taking, or recovering from substance
- Absence from social, occupational, or recreational activities
- Substance used despite knowing problem caused by substance
Dependence - answer-withdrawal symptoms. Larger amounts for longer time, does not
want to cut down on substance
• Alcohol - answer-CNS depressant ( acts on GABA receptors, increases availability of
dopamine and norepinephrine)
• Opiates/Herion - answer-action on opiod receptors, dopamine, catecholamine, GABA
syst., and glutamate.
• Cocaine and Amphetamines - answer-increases level of norepinepherine, serotonin,
and dopamine.
• Tolerance- - answer-person physical response, when body gets used to amount of the
substance that is being ingested. Person requires more substance for same effect.
, • Withdraw - answer-Body's response to a sudden discontinuance of a substance- due
to a blood and tissue concentration decreased levels. Psychological, and physical
symptoms depending on substance.
• Alcohol intoxication s/s - answer-- signs- slurred speech, incoordination, unsteady
gait, decreased B/P, drowsiness, stupor, Nystagmus, impaired memory or attention,
sexual, mood, and judgment prob.
overdose of alcohol - answer-coma, shock, convulsions, vomiting
tx of overdose of alcohol - answer-If awake- Activated charcoal, check vitals every 15
min.
o If in a coma- IV fluids, clear airway, gastric levage, seizure precautions, Flumazenil
(Benzo antagonist)
Alcohol withdrawal- - answer-• Cessation of alcohol with cause- n/v/anxiety,
hallucinations (visual, auditory, and tactile), increased pulse (greater than 100), hand
tremors, seizures (Grand Mal), sweating, psychomotor agitation, insomnia. With use
that has been heavy or prolonged.
(2 or more of the side effects is considered alcohol withdrawal)
delirium w/ alcohol abuse - answer-after 5-15 years
alcohol and opiates equal - answer-synergistic effect-will have double the effect
(both are cns depressants)
can be lethal
alcohol and cocaine together - answer-can cause tachycardia. must not mix
benzos for alcohol withdrawal - answer-helps patient relax, decreases delirium,
decrease s/s, help prevent seizures
when do alcohol withdrawal s/s peak - answer-24-48 hours
may have seizures, delirium, tachycardia, disorientation, fevers visual or tactile
hallucinations
Delirium from alcohol withdrawal - answer-medical emergency, peaks 2-3 Days after
substation of alcohol.
*** Immediate medical attention****
Physical complications with drug abuse- Ingest cocaine - answer-nasal defect, ulcers,
tachycardia, respiratory arrest, arrhythmias
2026/2027 Update | 100% Correct | pass!!! Graded a+
Abuse= - answer-that's all they focus on, that drug will interfere in ability to maintain
work, unable to fulfill major roles.
Substance dependence- - answer-3 or more of the following in 12 months:
- Presence of tolerance of drug
- Presence of withdraw syndrome
- Substance taken in larger amounts, a longer period than intended
- Unsuccessful or persistent desire to cutdown or control use
- Increase time in getting, taking, or recovering from substance
- Absence from social, occupational, or recreational activities
- Substance used despite knowing problem caused by substance
Dependence - answer-withdrawal symptoms. Larger amounts for longer time, does not
want to cut down on substance
• Alcohol - answer-CNS depressant ( acts on GABA receptors, increases availability of
dopamine and norepinephrine)
• Opiates/Herion - answer-action on opiod receptors, dopamine, catecholamine, GABA
syst., and glutamate.
• Cocaine and Amphetamines - answer-increases level of norepinepherine, serotonin,
and dopamine.
• Tolerance- - answer-person physical response, when body gets used to amount of the
substance that is being ingested. Person requires more substance for same effect.
, • Withdraw - answer-Body's response to a sudden discontinuance of a substance- due
to a blood and tissue concentration decreased levels. Psychological, and physical
symptoms depending on substance.
• Alcohol intoxication s/s - answer-- signs- slurred speech, incoordination, unsteady
gait, decreased B/P, drowsiness, stupor, Nystagmus, impaired memory or attention,
sexual, mood, and judgment prob.
overdose of alcohol - answer-coma, shock, convulsions, vomiting
tx of overdose of alcohol - answer-If awake- Activated charcoal, check vitals every 15
min.
o If in a coma- IV fluids, clear airway, gastric levage, seizure precautions, Flumazenil
(Benzo antagonist)
Alcohol withdrawal- - answer-• Cessation of alcohol with cause- n/v/anxiety,
hallucinations (visual, auditory, and tactile), increased pulse (greater than 100), hand
tremors, seizures (Grand Mal), sweating, psychomotor agitation, insomnia. With use
that has been heavy or prolonged.
(2 or more of the side effects is considered alcohol withdrawal)
delirium w/ alcohol abuse - answer-after 5-15 years
alcohol and opiates equal - answer-synergistic effect-will have double the effect
(both are cns depressants)
can be lethal
alcohol and cocaine together - answer-can cause tachycardia. must not mix
benzos for alcohol withdrawal - answer-helps patient relax, decreases delirium,
decrease s/s, help prevent seizures
when do alcohol withdrawal s/s peak - answer-24-48 hours
may have seizures, delirium, tachycardia, disorientation, fevers visual or tactile
hallucinations
Delirium from alcohol withdrawal - answer-medical emergency, peaks 2-3 Days after
substation of alcohol.
*** Immediate medical attention****
Physical complications with drug abuse- Ingest cocaine - answer-nasal defect, ulcers,
tachycardia, respiratory arrest, arrhythmias
