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Which neurotransmitter pathway is affected by all addicting substances?
Which neurotransmitter pathway is affected by all addicting substances?
What is the primary impact of repeated substance use on the brain's response to natural rewards?
What is the primary impact of repeated substance use on the brain's response to natural rewards?
Which category of substances includes benzodiazepines and sleeping aids like zolpidem?
Which category of substances includes benzodiazepines and sleeping aids like zolpidem?
Which schedule of drugs has no accepted medical use and high potential for abuse?
Which schedule of drugs has no accepted medical use and high potential for abuse?
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What is the primary characteristic of Schedule III drugs?
What is the primary characteristic of Schedule III drugs?
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Which type of substances affect the central nervous system by depressing its activity?
Which type of substances affect the central nervous system by depressing its activity?
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What is the primary effect of inhalants like solvents and aerosol sprays on the body?
What is the primary effect of inhalants like solvents and aerosol sprays on the body?
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What is the defining characteristic of Schedule IV drugs?
What is the defining characteristic of Schedule IV drugs?
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Which type of substances have a lower risk for abuse potential than Schedule IV and are often used for antidiarrheal, antitussive, and analgesic purposes?
Which type of substances have a lower risk for abuse potential than Schedule IV and are often used for antidiarrheal, antitussive, and analgesic purposes?
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What is the impact of all addicting substances on dopamine levels compared to natural rewards like food or sex?
What is the impact of all addicting substances on dopamine levels compared to natural rewards like food or sex?
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Which assessment tool is used for screening substance use disorder?
Which assessment tool is used for screening substance use disorder?
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What is the primary purpose of the Transtheoretical model in substance use disorder assessment?
What is the primary purpose of the Transtheoretical model in substance use disorder assessment?
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What should interactions leading into assessment of substance use disorder address?
What should interactions leading into assessment of substance use disorder address?
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What is the recommended approach and attitude for substance use disorder assessment interviews?
What is the recommended approach and attitude for substance use disorder assessment interviews?
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What should be used to discuss drinking and drug use problems?
What should be used to discuss drinking and drug use problems?
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What does substance use disorder assessment include questions about?
What does substance use disorder assessment include questions about?
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Which model helps to meet patients where they are in their recovery process?
Which model helps to meet patients where they are in their recovery process?
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What does milieu management in healthcare settings include?
What does milieu management in healthcare settings include?
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What may treatment plans during and after hospitalization include for substance use disorder?
What may treatment plans during and after hospitalization include for substance use disorder?
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What should the nurse-patient relationship focus on in substance use disorder treatment?
What should the nurse-patient relationship focus on in substance use disorder treatment?
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What percentage of people over 12 years old used alcohol in the past month?
What percentage of people over 12 years old used alcohol in the past month?
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What percentage of those who drank alcohol were classified as binge drinkers?
What percentage of those who drank alcohol were classified as binge drinkers?
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What percentage of the population had a substance use disorder (SUD) in the past year?
What percentage of the population had a substance use disorder (SUD) in the past year?
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What is a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of the following occurring within a 12-month period?
What is a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of the following occurring within a 12-month period?
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What are the two main types of medications used in the treatment of alcohol withdrawal?
What are the two main types of medications used in the treatment of alcohol withdrawal?
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What is a problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at least two specific criteria?
What is a problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at least two specific criteria?
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What is the first line treatment for opioid withdrawal?
What is the first line treatment for opioid withdrawal?
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What substance blocks dopamine reuptake leading to euphoria and psychomotor agitation?
What substance blocks dopamine reuptake leading to euphoria and psychomotor agitation?
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What is the recommended method for nursing assessment related to substance use?
What is the recommended method for nursing assessment related to substance use?
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What is the name of the scale used for the assessment of alcohol withdrawal?
What is the name of the scale used for the assessment of alcohol withdrawal?
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What percentage of people over 12yo used alcohol in the past month?
What percentage of people over 12yo used alcohol in the past month?
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What percentage of people over 12yo misused opioids from prescription pain relievers out of the total who misused opioids?
What percentage of people over 12yo misused opioids from prescription pain relievers out of the total who misused opioids?
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What percentage of the population had a co-occurring mental illness and substance use?
What percentage of the population had a co-occurring mental illness and substance use?
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What are the first-line treatments for opioid withdrawal?
What are the first-line treatments for opioid withdrawal?
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Which assessment tool is used for assessing alcohol withdrawal symptoms?
Which assessment tool is used for assessing alcohol withdrawal symptoms?
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What are the characteristic criteria for Alcohol Use Disorder?
What are the characteristic criteria for Alcohol Use Disorder?
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What are the withdrawal symptoms of alcohol withdrawal?
What are the withdrawal symptoms of alcohol withdrawal?
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What is the primary characteristic of Opiate Use Disorder?
What is the primary characteristic of Opiate Use Disorder?
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What are the withdrawal assessment tools for opioid withdrawal?
What are the withdrawal assessment tools for opioid withdrawal?
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What does cannabis withdrawal cause?
What does cannabis withdrawal cause?
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Study Notes
Substance Use Disorder Assessment and Treatment in Healthcare Settings
- Screening tools include the Alcohol Use Disorder Identification Test (AUDIT) and the CAGE questionnaire
- The Transtheoretical model is used to assess readiness to change harmful behaviors
- Interactions leading into assessment should address the patient's emotional and physical state, substance use, and HIV/HCV status
- Interview approaches and attitudes should be nonjudgmental, prepared for defensiveness, and focused on obtaining accurate information
- Nonthreatening language should be used to discuss drinking and drug use problems
- Substance use disorder (SUD) assessment includes questions about frequency, route, and readiness to change
- The stages of change model helps to meet patients where they are in their recovery process
- Milieu management in healthcare settings includes safety, structure, confrontation with support, and environmental modification
- Treatment plans during and after hospitalization may include detox, medication-assisted treatment, inpatient or outpatient programs, and support groups
- The nurse-patient relationship should focus on trust-building, discussing natural consequences, creating a recovery plan, and providing physical and nutritional needs
- Discharge planning includes prevention of opioid overdose, educational materials, referrals for inpatient or outpatient treatment, and resources for recovery groups in the community
- Knowing how to use naloxone and keeping it within reach is essential for preventing opioid overdose, as recommended by the US Surgeon General Dr. Jerome Adams
Substance Use Disorder and Withdrawal Management
- 50% of people over 12yo used alcohol in the past month, with 44.4% classified as binge drinkers, highest among young adults (18-25yo).
- 3.4% of people over 12yo misused opioids, with 9.3 million from prescription pain relievers out of 9.5 million who misused.
- 14.5% of the population had a substance use disorder (SUD) in the past year, with alcohol use being the highest, followed by illicit drug use.
- Almost ten percent of the population had a co-occurring mental illness and substance use.
- When conducting a physical assessment, signs of trauma, abuse, chronic housing instability, and malnutrition should be considered.
- Alcohol Use Disorder is characterized by specific criteria such as taking alcohol in larger amounts than intended and giving up important activities due to alcohol use.
- Alcohol withdrawal symptoms include autonomic hyperactivity, hand tremor, insomnia, nausea, hallucinations, and seizures.
- Alcohol withdrawal can be assessed using the Clinical Institute Withdrawal Assessment for Alcohol (CIWA) and treated with benzodiazepines or phenobarbital.
- Opiate Use Disorder involves criteria such as taking opioids in larger amounts than intended and continued use despite knowledge of physical or psychological problems caused by use.
- Opioid withdrawal can be triggered by cessation of heavy and prolonged use and assessed using the Clinical Opiate Withdrawal Scale (COWS) or Clinical Institute Narcotic Assessment (CINA).
- First-line treatment for opioid withdrawal is buprenorphine, followed by methadone or clonidine, with the choice between tapering or maintenance.
- Cocaine use can lead to euphoria and psychomotor agitation, while cannabis withdrawal can cause irritability and anxiety, and lead to cannabis hyperemesis syndrome. Therapeutic language should be used to avoid stigmatization, e.g., "individual who uses substances" instead of "addict." Nursing assessment should follow the SBIRT method (Screening, Brief Intervention, Referral to Treatment).
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Description
Test your knowledge of substance use disorder assessment and treatment in healthcare settings with this informative quiz. Explore screening tools, interview approaches, treatment plans, and discharge planning to ensure comprehensive care for patients with substance use disorder.
