Psychiatric Nursing and Substance Use Disorders

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Questions and Answers

Korsakoff's psychosis is commonly characterized by

  • loss of recent memory (correct)
  • illusion
  • tactile hallucination
  • delusion

Nursing intervention during alcohol withdrawal include

  • express feelings of anger appropriately
  • helping patient to establish ego boundaries
  • recognizing patient drinking as his style of life
  • monitor vital signs and observe for seizures (correct)

The defense mechanisms commonly associated with substance addiction include

  • projection, denial, rationalization
  • denial, rationalization, displacement (correct)
  • regression, rationalization, sublimation
  • displacement, sublimation, reaction formation

Nursing care given to a patient suffering from alcohol withdrawal include

<p>I, II, and III (A)</p> Signup and view all the answers

Thiamine has been prescribed for an alcoholic patient. The rationale for administration of this medication is the prevention of:

<p>Wernicke-Korsakoff syndrome (C)</p> Signup and view all the answers

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Study Notes

Hallucinations in Psychosis

  • Psychosis is characterized by tactile hallucinations, not delusions or illusions

Nursing Interventions for Alcohol Withdrawal

  • Vital signs monitoring and seizure observation are crucial
  • Supporting the patient's expression of emotions and appropriate ego boundary development
  • Acknowledging the patient's drinking pattern as a component of their life

Defense Mechanisms in Substance Addiction

  • Common defense mechanisms include denial, rationalization, and sublimation

Nursing Care for Alcohol Withdrawal

  • Correcting electrolyte imbalances, decreasing stimulation, and constant observation are crucial
  • Steroid administration is not part of standard withdrawal care

Thiamine Administration Rationale

  • Thiamine administration aims to prevent Wernicke-Korsakoff syndrome, not alcohol withdrawal syndrome or alcoholic dementia

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