Substance Use Assessment Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What does a positive response to two or more questions in an alcohol use assessment indicate?

No immediate concern regarding alcohol use

Sufficient evidence to diagnose alcohol use disorder

A confirmation of safe drinking habits

Likelihood of alcohol use disorder and need for further assessment (correct)

Which of the following is NOT part of the SBIRT approach?

Brief counseling to motivate cessation

Referral to a primary care physician only (correct)

Screening with AUDIT or CAGE

Referral to specialized treatment programs

When utilizing the 5A's approach, what is the purpose of the 'Assess' step?

Offer medications for withdrawal symptoms

Determine the patient's willingness to quit (correct)

Arrange follow-up appointments for check-ins

Identify health risks associated with substance use

What aspect of substance use does the 'Relevance' step in the 5R's focus on?

How substance use affects the individual's health Signup and view all the answers

Which of the following statements about marijuana's impact on cognition is true?

Marijuana can impair attention and learning capabilities Signup and view all the answers

What is the prevalence of CBD use among U.S. adults?

26% Signup and view all the answers

Which group is identified as at risk for developing alcohol use disorder?

Younger adults with mental health disorders Signup and view all the answers

What is a recommended nursing intervention for patients using CBD?

Educate on potential risks and benefits Signup and view all the answers

Which substance has a prevalence of 56% among U.S. adults?

Alcohol Signup and view all the answers

Which tool is used to identify potential alcohol use disorder?

CAGE Questionnaire Signup and view all the answers

What is a common misconception about tobacco use prevalence in the U.S.?

Tobacco use is highest among older adults. Signup and view all the answers

Which population has a higher risk for nicotine use from e-cigarettes?

Adolescents in social circles where vaping is normalized Signup and view all the answers

What is a potential risk associated with CBD use?

Liver damage Signup and view all the answers

Which risk is NOT associated with excessive alcohol use?

Anxiety disorders Signup and view all the answers

What is the primary tool for assessing alcohol use disorder?

CAGE Signup and view all the answers

What is a key strategy in planning for tobacco cessation?

Setting a quit date Signup and view all the answers

Which of the following is a recognized risk of marijuana use?

Impaired memory and concentration Signup and view all the answers

What type of therapy is recommended for individuals attempting to quit smoking?

Behavioral therapy Signup and view all the answers

During the assessment phase of the nursing process for marijuana use, what should be evaluated?

Frequency of use and mental health impact Signup and view all the answers

Which is a recommended nursing intervention for patients at risk for respiratory issues due to tobacco use?

Provide resources for smoking cessation Signup and view all the answers

Which statement about CBD is MOST accurate in a monitoring context?

CBD should be monitored for potential effects on mental health. Signup and view all the answers

Study Notes

Tobacco, Nicotine, ETOH, Marijuana

Differentiate between common substances causing negative health outcomes in the U.S.
Identify how a nurse can intervene using the nursing process for clients who use, abuse, or are addicted to substances.

Alcohol

Risk Factors: Alcohol use disorder, liver disease, heart disease, cancer (mouth, liver, breast), stroke, brain damage.
Nursing Interventions:
- Assess using screening tools (CAGE, AUDIT).
- Educate on the effects of excessive alcohol use.
- Offer resources (counseling, support groups).
- Refer for alcohol treatment if necessary.
Nursing Process (ADPIE):
- Assessment: Gather alcohol use history, screen for alcohol use disorder.
- Diagnosis: Impaired coping, risk for injury.
- Planning: Set goals (reduce alcohol consumption).
- Intervention: Offer brief intervention, educational materials, and resources.
- Evaluation: Track progress with follow-up.

Tobacco/Nicotine (Including E-cigarettes)

Risk Factors: Lung cancer, heart disease, stroke, COPD, respiratory infections, secondhand smoke risks.
Nursing Interventions:
- Assess tobacco use and readiness to quit.
- Discuss nicotine replacement therapies and cessation aids.
- Provide resources.
Nursing Process (ADPIE)
- Assessment: Identify smoking history and e-cigarette use.
- Diagnosis: Risk for respiratory issues, ineffective health management.
- Planning: Set a quit date and provide behavioral therapy options.
- Intervention: Motivational interviewing, education on smoking cessation methods.
- Evaluation: Monitor for relapse and provide ongoing support.

THC/Marijuana

Risk Factors: Impaired memory, concentration, motor coordination, lung damage, mental health issues (anxiety, paranoia), marijuana use disorder.
Nursing Interventions:
- Assess marijuana use (frequency, impact on daily life).
- Discuss potential risks, especially for teens and clients with mental health conditions.

Prevalence of Substance Use in the U.S.

Alcohol: 56% of U.S. adults drink regularly
Tobacco: 14% of U.S. adults smoke
Nicotine (e-cigarettes): 20% of teens use e-cigarettes (2023)
THC/Marijuana: 18% of U.S. adults use marijuana regularly.
CBD: 26% of U.S. adults have used CBD.

At-Risk Populations (for substance abuse)

Alcohol: Men, younger adults, low socioeconomic status, and those with mental health disorders.
Tobacco: Lower-income individuals, those with mental health issues, and the LGBTQ+ population.
Nicotine (e-cigarettes): Adolescents, young adults, and those in social circles where vaping is common.
THC/Marijuana: Young adults (particularly in states where marijuana is legal). People with chronic pain, sleep disorders, and/or anxiety disorders.

CAGE & SBIRT

CAGE: Questionnaire used to identify potential alcohol use disorder.
SBIRT: Screening, Brief Intervention, and Referral to Treatment. Uses AUDIT or CAGE to assess alcohol use, offers counseling to reduce or stop drinking, and refers to treatment programs.

Short- and Long-Term Effects of Substance Use

Alcohol: Short-term: Impaired judgment, accidents, violence, dehydration; Long-term: Liver disease, heart disease, stroke, cancer
Tobacco: Short-term: Increased heart rate, coughing; Long-term: COPD, lung cancer, heart disease, stroke
Nicotine: Short-term: Increased heart rate, addiction; Long-term: lung disease, cardiovascular issues
THC/Marijuana: Short-term: Impaired coordination, drowsiness; Long-term: Cognitive impairment, lung damage, mental health issues
CBD: Short-term: Drowsiness, dry mouth; Unknown long-term effects, potential liver damage, drug interactions

Motivational Interviewing Techniques

Open-ended questions: Encourage reflection on their behavior and feelings.
Affirmations: Acknowledge and reinforce client's strengths.
Reflective listening: Demonstrate understanding by reflecting the client's thoughts.

General Nutrition Concepts

Adequacy: Enough nutrients (vitamins, minerals, fiber).
Moderation: Avoid excess of unhealthy components (added sugars, saturated fats, sodium).
Balance: Include variety of foods (fruits, vegetables, grains, proteins, dairy).
Variety: Eat a diverse range of foods for nutrient sufficiency.

Cultural Intelligence/Racism

Importance of cultural intelligence from various perspectives (patient, administrator, researcher, provider, family).
How Cultural and Linguistic Services relate to health disparities.
How to protect someone with unique cultural considerations, such as non-English speakers.
Social determinants of health impacting health disparities.
Discuss the role of ableism and its impact on health disparities.

Trauma-Informed Care

Definition: Recognizes trauma's impact, creates safe, supportive environments, and avoids re-traumatization.
Importance of trauma awareness and response in healthcare.
Nurse's role in trauma-informed care, including screening, trauma-sensitive language, and policies that prevent re-traumatization.
How to encourage communities to be trauma-informed.

Resilience

Understanding of resilience as the ability to recover from trauma.
Traits that support resilience: strong social support, self-regulation, problem-solving, optimism, and a sense of purpose.
Ways to strengthen resilience: supportive relationships, coping strategies, promoting physical and mental well-being, and community engagement.

Levels of Prevention

Primary: Prevents disease/injury before occurring (vaccination, health education).
Secondary: Detects and treats a disease early (screenings).
Tertiary: Manages and reduces the impact of a disease (rehabilitation).

Health Screening

Objective: Identifying individuals at risk for diseases, enabling early intervention.
Types: Universal, targeted.
Advantages: Early detection, improved outcomes, reduced healthcare costs.
Disadvantages: False positives, overdiagnosis, psychological distress.
Sensitivity/Specificity: Ability of a test to correctly identify those with/without a disease.

Models/Theories (for health promotion)

Ecological Model: Views health as multi-level interactions (individual, interpersonal, institutional, community, public policy).
Health Belief Model: Focuses on individual perceptions of risk, severity, benefits, and barriers.
Self-Efficacy: Individual's belief in their ability to act.
Transtheoretical Model (Stages of Change): Behavior change as a process.
Theory of Reasoned Action/Planned Behavior: Focuses on intentions and perceived control.

Nurse Roles in Health Promotion

Implement evidence-based plans using ecological models, with considerations of individual needs, cultural backgrounds, and resources.

Health Promotion for specific populations.

Include considerations for cultural and linguistic appropriateness, and the developmental needs of the population in the plans.

Prenatal/Pregnancy

Assess physical and mental health, and provide counseling as needed regarding their concerns. Education should also include pregnancy-related resources, advice, and support.
Include considerations for different population groups such as teens, women over 35 etc.

Intrapartum/Postpartum

Nurses are instrumental in monitoring for complications and providing support for newborn care. This includes physical care, emotional needs as well as nutrition and wellness support.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on alcohol use assessments and the SBIRT approach. This quiz covers key concepts like the 5A's and 5R's, helping you understand the relevance in substance use interventions. Assess your understanding of marijuana's effects on cognition as well.