NURS 525 Psych Week 12 Test
With Complete Solution
Define tolerance - ANSWER The body requires more substance for the same
result
Happens when 2 biological events occur:
1. Pharmacokinetic tolerance (drug not reaching the brain's receptors)
2. Pharmacodynamic tolerance (receptors are damaged or lost)
Define dependence - ANSWER Occurs when the body changes to adapt to the
constant access and use of the drug; a defining factor is that withdrawal will
occur
Define addiction - ANSWER Characterized by the inability to consistently
abstain, impairment in behavioral control, craving; the behavior continues
despite resulting in destruction of relationships, economic conditions, and
health; major feature is compulsiveness
Define co-occurring/dual diagnosis - ANSWER Refers to a SUD + other
psychiatric illness
Define craving - ANSWER intense desire/urge for something (i.e., a drug)
Define misuse - ANSWER use of a medication in any way not prescribed,
including not having one's own Rx
Define diversion - ANSWER -Transfer of any legally prescribed controlled
substance from the individual for whom it was prescribed to another
,individual for any illicit use
-Puts patients at risk; most common drugs diverted from the healthcare
facility setting are opioids
Define nonmedical use of a drug - ANSWER Using Rx drugs not prescribed or
for the feeling/experience
Define pseudo-addiction - ANSWER Behaviors may present as addiction, but
once pain is controlled, behaviors resolve
Define withdrawal - ANSWER Sx resulting from decrease/absence of the drug
Define cross tolerance - ANSWER Tolerance that develops through continued
use of another drug with a similar action (Ex. BZD and alcohol)
Define recovery - ANSWER A state of mind, the emotional response of coping
with sober living in the face of triggers
Define Substance Use Disorder (SUD) - ANSWER A pathological pattern of
behaviors related to the use of a substance, leading to clinically significant
impairment or distress as manifested by at least 2/11 criteria
Name some criteria for Substance Use Disorders - ANSWER -cravings to use
the substance
-wanting to cut down or stop but not managing to
-taking the substance in larger amounts or for longer than you're meant to
-using substances even when it puts you in danger
-continuing to use, even when it causes problems in relationships
, -neglecting other parts of your life because of substance use
What are the DSM-5 Substance Relates Disorders? - ANSWER -Substance
(specified) Use Disorders
-Substance Induced Disorders, including Substance (specified) Intoxication,
Substance (specified) Withdrawal, Substance/medication-induced mental
disorders
What are the DSM-5 10 substance classes? - ANSWER -alcohol
-caffeine
-cannabis
-hallucinogens
-inhalants
-opioids
-sedatives, hypnotics, anxiolytics
-stimulants
-tobacco
-other (or unknown)
Define Gambling Disorder - ANSWER persistent and recurrent problematic
gambling behavior leading to clinically significant impairment or distress;
With Complete Solution
Define tolerance - ANSWER The body requires more substance for the same
result
Happens when 2 biological events occur:
1. Pharmacokinetic tolerance (drug not reaching the brain's receptors)
2. Pharmacodynamic tolerance (receptors are damaged or lost)
Define dependence - ANSWER Occurs when the body changes to adapt to the
constant access and use of the drug; a defining factor is that withdrawal will
occur
Define addiction - ANSWER Characterized by the inability to consistently
abstain, impairment in behavioral control, craving; the behavior continues
despite resulting in destruction of relationships, economic conditions, and
health; major feature is compulsiveness
Define co-occurring/dual diagnosis - ANSWER Refers to a SUD + other
psychiatric illness
Define craving - ANSWER intense desire/urge for something (i.e., a drug)
Define misuse - ANSWER use of a medication in any way not prescribed,
including not having one's own Rx
Define diversion - ANSWER -Transfer of any legally prescribed controlled
substance from the individual for whom it was prescribed to another
,individual for any illicit use
-Puts patients at risk; most common drugs diverted from the healthcare
facility setting are opioids
Define nonmedical use of a drug - ANSWER Using Rx drugs not prescribed or
for the feeling/experience
Define pseudo-addiction - ANSWER Behaviors may present as addiction, but
once pain is controlled, behaviors resolve
Define withdrawal - ANSWER Sx resulting from decrease/absence of the drug
Define cross tolerance - ANSWER Tolerance that develops through continued
use of another drug with a similar action (Ex. BZD and alcohol)
Define recovery - ANSWER A state of mind, the emotional response of coping
with sober living in the face of triggers
Define Substance Use Disorder (SUD) - ANSWER A pathological pattern of
behaviors related to the use of a substance, leading to clinically significant
impairment or distress as manifested by at least 2/11 criteria
Name some criteria for Substance Use Disorders - ANSWER -cravings to use
the substance
-wanting to cut down or stop but not managing to
-taking the substance in larger amounts or for longer than you're meant to
-using substances even when it puts you in danger
-continuing to use, even when it causes problems in relationships
, -neglecting other parts of your life because of substance use
What are the DSM-5 Substance Relates Disorders? - ANSWER -Substance
(specified) Use Disorders
-Substance Induced Disorders, including Substance (specified) Intoxication,
Substance (specified) Withdrawal, Substance/medication-induced mental
disorders
What are the DSM-5 10 substance classes? - ANSWER -alcohol
-caffeine
-cannabis
-hallucinogens
-inhalants
-opioids
-sedatives, hypnotics, anxiolytics
-stimulants
-tobacco
-other (or unknown)
Define Gambling Disorder - ANSWER persistent and recurrent problematic
gambling behavior leading to clinically significant impairment or distress;
