Psych Addictive Disorders

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julianne.elizabeth
ID:
298266
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Psych Addictive Disorders
Updated:
2015-03-23 21:59:16
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lccc nursing psych anxiety
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For Cummings Exam 2
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  1. What substances can lead to addictive disorders?
    • alcohol
    • caffeine
    • cannabis
    • hallucinogens
    • inhalants
    • opioids
    • sedative-hypnotics
    • stimulants
    • tobacco
  2. 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
  3. 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
  4. Define abuse and dependence. What is the most commonly abused substance? What drug is taken most to change how a person feels?
    • Abuse: use wrongfully or in a harmful way
    • Dependence: compulsive/chronic requirement

    • Most prevalent substance: alcohol
    • Most common drug taken to change how a person feels: nicotine
  5. 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
    • Risk taking
  6. 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
  7. What is the legal BAL? At what level will you see coma? What level is fatal?
    • .08% legal BAL
    • 0.4% coma
    • 0.5% possible death
  8. What assessments can be done for substance abuse?
    • CAGE-AID
    • SBIRT
    • Family Assessment
    • Codependence
    • Self assessment
  9. Describe the care continuum for clients with substance abuse
    • Detoxification
    • rehab
    • Halfway huse
    • Other housing
    • Partial Hosp
    • Intensive Outpatient treatment
    • Out patient treatment
  10. Describe the CAGE Screening tool
    • Cut Down: have you felt you should cut down on your usage?
    • Annoyed: have other people annoyed you concerning your usage?
    • Guilty: have you ever felt guilty about your usage?
    • Eye Opener: do you need to use to wake up in the morning?
  11. Describe the SBIRT response
    • S: screening using a standardized screening tool
    • B, I: brief intervention. discuss the risks associated with the use of substance
    • RT: referral to treatment.  Suggest referral for a positive screen
  12. 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
    • S/S: amnesia, confabulation, attention deficit, disorientation, vision impairment
  13. 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"
    • S/S: tremors, insomnia, agitation
    • Ativan is used for alcohol withdrawal
  14. 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
  15. Describe the s/s of Delirium Tremens (DTs)
    • Seizures (norepi increase from removal of CNS depressant)
    • Hallucinations (tactile, usually first s/s)
    • Confusion
    • Agitation
    • Stupor
    • Coma
    • Death (tachycardia, HTN, electrolyte imbalances leading to EKG changes)
  16. What is the treatments for DTs?
    • MEDICAL EMERGENCY
    • Benzodiazepines
    • IV Dilantin
    • Mag sulfate
    • Haldol
    • Triamine
    • beta blockers
  17. What is PNAP? When was it started and what are it's goals?
    • Pennsylvania Nurse Assistance Program
    • Developed by the ANA in 1982
    • Goals:
    • -have nurses recognize their impairment
    • -obtain necessary treatment
    • -regain accountability in their profession

    *AA is the most successful way to stay sober

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