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nur 253 Mental health Exam 3 2026.pdf

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nur 253 Mental health Exam 3

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nur 253 Mental health Exam 3 2026/2027 | Questions and Correct Answers |
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Topamax -answer-decreases alcohol cravings

campral -answer-helps abstain from alcohol

revia -answer-decreases or eliminates alcohol cravings

what are inhalants -answer-- big = sudden death because it leads to resp. then cardiac
arrest.
** No antidotes, support affected systems, Toxic to heart, liver and kidneys
Sudden death- anoxia, vagal stimulation, resp depression, dysrhhythmias

Hallucinens- LSD/PCP -answer-1 hour after ingestion, 5 min IV smoked and
intranasaly
LSD- causes trip
PCP- anxiety, acute psychosis, tranquilizer, generalized anesthesia

Marijuana -answer-THC- mixed depressant and hallucinogenic
Euphoria, detachment, relaxation
See- talkative, slowed perception of time, inappropriate hilarity, sensitivity to stimuli,
anxiety, and paranoia.
Overdose- cravings
Use: N/V w/ chemo, decreased intraocular pressure, appetite stimulant
Long Term Use causes: memory loss, difficult concentrating, lethargy, anhendonia

use marijuana for med tx such as -answer-Use: N/V w/ chemo, decreased intraocular
pressure, appetite stimulant
Long Term Use causes: memory loss, difficult concentrating, lethargy, anhendonia

Long Term Use causes from marijuana -answer-memory loss, difficult concentrating,
lethargy, anhendonia

, Heroin Phases: -answer-1st- euphoria, immediate rush- facial flushing and deep voice
2nd- "high" well being for several hours
3rd- "Nod" escape from reality, virtual unconsciousness
4th- period before withdraw, seeking more

what does opium/morphine/dilaudid/fentanyl overdose look like -answer-Dilated pupils
due to anoxia (can be constricted during intoxication), n/v/insomnia/impaired judgment ,
memory and attention, decrease in B/P, drowsiness, psychomotor retardation.

what does cocaine overdose look like -answer-pupils dialated, increase B/P, N/V,
insomnia, ataxia, hyperpyrexia, MI, Resp distress and death.

Know own biases about substance abuse: -answer-Disapproval, intolerance, morally
week, angry, exploited from manipulative behaviors. See patient as willful,
uncooperative, impossible to work with, may have power struggles with patients.

Asses for drug abuse: -answer-dilated pupils/or constricted, VS, needle marks, tremors

Two ? of importance to ask patient -answer-In last year have you ever drank or used
drugs more than you meant to?
Have you felt you wanted or needed to cut down on your drinking or drug use in the last
year?

what to know when talking to patient about drug/alcohol abuse -answer-Route
Quantity
Time last used
Usual pattern of use

Cocaine, crack, caffeine, nicotine-all CNS stimulants-s/s -answer-dryness oronasal
cavity, dilation of pupils, excessive motor

smoking crack-what it does, s/s -answer-Effects in 4-6 seconds
5-7 min high, followed by deep depression
S/E: Anestetic, stimulant sex and violent behaviors
Caused by Imbalance in neurotransmitters

• Rape -answer-type of sexual assault that is non-consensual, it can be vaginal, anal,
or oral penetration obtained by force or threat of bodily harm or when a person is
incapable of giving consent.

• Attempted rape -answer-physical attempts and verbal threats of rape. Attempted rape
can also be something a person is charged with.

#1 priority for abused patient -answer-safety!
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