Psych Addictive Disorders
Card Set Information
Psych Addictive Disorders
lccc nursing psych anxiety
For Cummings Exam 2
What substances can lead to addictive disorders?
What is the DSM-5 criteria for an addictive use disorder?
The continued use of any mind altering substance DESPITE THE NEGATIVE CONSEQUENCES
Combination of substance dependence and abuse
*Evidence of tolerance, evidence of withdrawal
As an axis 1 diagnosis, what generally goes with this diagnosis (comorbidities)?
Mood disorders (dual diagnosis)
Chronic disease means addicted for life
15 years premature fatality
Define abuse and dependence. What is the most commonly abused substance? What drug is taken most to change how a person feels?
: use wrongfully or in a harmful way
: compulsive/chronic requirement
Most prevalent substance
Most common drug taken to change how a person feels
What common "personality" factors may contribute to an addictive use disorder?
Decreased tolerance for frustration and pain
Decreased self esteem and self regard
Lack of life success
Lack of meaningful relationships
What is a dual diagnosis? Give an example. Who has the highest incidence?
Axis I psychiatric diagnosis with another Axis II disorder
Prison inmates have the highest incidence
What is the legal BAL? At what level will you see coma? What level is fatal?
.08% legal BAL
0.5% possible death
What assessments can be done for substance abuse?
Describe the care continuum for clients with substance abuse
Intensive Outpatient treatment
Out patient treatment
Describe the CAGE Screening tool
: have you felt you should cut down on your usage?
: have other people annoyed you concerning your usage?
: have you ever felt guilty about your usage?
: do you need to use to wake up in the morning?
Describe the SBIRT response
: screening using a standardized screening tool
: brief intervention. discuss the risks associated with the use of substance
: referral to treatment. Suggest referral for a positive screen
What is Wernicke-Korsakoff Syndrome?
Due to long term alcohol use
Memory disorder caused by inadequate intake of thiamine and a continuation of carb consumption
: amnesia, confabulation, attention deficit, disorientation, vision impairment
What is Alcohol Withdrawal Syndrome? What are the S/S? What is the most important assessment question to ask to avoid this?
Occurs within the first 412 hrs of reduction in heavy ETOh use
Can progress to DT
Most important question to ask on assessment, "when was your last drink"
: tremors, insomnia, agitation
Ativan is used for alcohol withdrawal
How is Ativan dosed for alcohol withdrawal?
Using the CWIA tool, which is like a sliding scale
Given with thiamine, folate, MVI through IV on ED/MS floor
Assess the current state of withdrawal to use the tool
Describe the s/s of Delirium Tremens (DTs)
Seizures (norepi increase from removal of CNS depressant)
Hallucinations (tactile, usually first s/s)
Death (tachycardia, HTN, electrolyte imbalances leading to EKG changes)
What is the treatments for DTs?
What is PNAP? When was it started and what are it's goals?
Pennsylvania Nurse Assistance Program
Developed by the ANA in 1982
-have nurses recognize their impairment
-obtain necessary treatment
-regain accountability in their profession
*AA is the most successful way to stay sober