Substance Use Disorder Assessment and Treatment Quiz
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Questions and Answers

Which neurotransmitter pathway is affected by all addicting substances?

  • GABA pathway
  • Dopamine pathway (correct)
  • Glutamate pathway
  • Serotonin pathway

    • What is the primary impact of repeated substance use on the brain's response to natural rewards?

  • Increased sensitivity to natural rewards
  • No change in response to natural rewards
  • Permanently altered response to natural rewards (correct)
  • Temporary suppression of response to natural rewards

    • Which category of substances includes benzodiazepines and sleeping aids like zolpidem?

  • Stimulants
  • Hallucinogens
  • Opioids
  • CNS Depressants (correct)

    • Which schedule of drugs has no accepted medical use and high potential for abuse?

    <p>Schedule I</p> Signup and view all the answers

    What is the primary characteristic of Schedule III drugs?

    <p>Moderate to low risk of dependence and abuse</p> Signup and view all the answers

    Which type of substances affect the central nervous system by depressing its activity?

    <p>Opioids</p> Signup and view all the answers

    What is the primary effect of inhalants like solvents and aerosol sprays on the body?

    <p>Depressant effect</p> Signup and view all the answers

    What is the defining characteristic of Schedule IV drugs?

    <p>Low risk of abuse and dependence</p> Signup and view all the answers

    Which type of substances have a lower risk for abuse potential than Schedule IV and are often used for antidiarrheal, antitussive, and analgesic purposes?

    <p>Schedule V drugs</p> Signup and view all the answers

    What is the impact of all addicting substances on dopamine levels compared to natural rewards like food or sex?

    <p>Dopamine levels spike much higher and for a longer time</p> Signup and view all the answers

    Which assessment tool is used for screening substance use disorder?

    <p>Alcohol Use Disorder Identification Test (AUDIT)</p> Signup and view all the answers

    What is the primary purpose of the Transtheoretical model in substance use disorder assessment?

    <p>Assessing readiness to change harmful behaviors</p> Signup and view all the answers

    What should interactions leading into assessment of substance use disorder address?

    <p>The patient's substance use, emotional and physical state, and HIV/HCV status</p> Signup and view all the answers

    What is the recommended approach and attitude for substance use disorder assessment interviews?

    <p>Nonjudgmental, prepared for defensiveness, and focused on obtaining accurate information</p> Signup and view all the answers

    What should be used to discuss drinking and drug use problems?

    <p>Nonthreatening language</p> Signup and view all the answers

    What does substance use disorder assessment include questions about?

    <p>Frequency, route, and readiness to change</p> Signup and view all the answers

    Which model helps to meet patients where they are in their recovery process?

    <p>Stages of change model</p> Signup and view all the answers

    What does milieu management in healthcare settings include?

    <p>Safety, structure, confrontation with support, and environmental modification</p> Signup and view all the answers

    What may treatment plans during and after hospitalization include for substance use disorder?

    <p>Detox, medication-assisted treatment, inpatient or outpatient programs, and support groups</p> Signup and view all the answers

    What should the nurse-patient relationship focus on in substance use disorder treatment?

    <p>Trust-building, discussing natural consequences, creating a recovery plan, and providing physical and nutritional needs</p> Signup and view all the answers

    What percentage of people over 12 years old used alcohol in the past month?

    <p>50%</p> Signup and view all the answers

    What percentage of those who drank alcohol were classified as binge drinkers?

    <p>44.4%</p> Signup and view all the answers

    What percentage of the population had a substance use disorder (SUD) in the past year?

    <p>14.5%</p> Signup and view all the answers

    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?

    <p>Alcohol Use Disorder</p> Signup and view all the answers

    What are the two main types of medications used in the treatment of alcohol withdrawal?

    <p>Benzodiazepine and Non-benzodiazepine</p> Signup and view all the answers

    What is a problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at least two specific criteria?

    <p>Opiate Use Disorder</p> Signup and view all the answers

    What is the first line treatment for opioid withdrawal?

    <p>Buprenorphine (partial opioid agonist)</p> Signup and view all the answers

    What substance blocks dopamine reuptake leading to euphoria and psychomotor agitation?

    <p>Cocaine</p> Signup and view all the answers

    What is the recommended method for nursing assessment related to substance use?

    <p>SBIRT method</p> Signup and view all the answers

    What is the name of the scale used for the assessment of alcohol withdrawal?

    <p>Clinical Institute Withdrawal Assessment for Alcohol (CIWA)</p> Signup and view all the answers

    What percentage of people over 12yo used alcohol in the past month?

    <p>50%</p> Signup and view all the answers

    What percentage of people over 12yo misused opioids from prescription pain relievers out of the total who misused opioids?

    <p>90%</p> Signup and view all the answers

    What percentage of the population had a co-occurring mental illness and substance use?

    <p>10%</p> Signup and view all the answers

    What are the first-line treatments for opioid withdrawal?

    <p>Methadone and buprenorphine</p> Signup and view all the answers

    Which assessment tool is used for assessing alcohol withdrawal symptoms?

    <p>Clinical Institute Withdrawal Assessment for Alcohol (CIWA)</p> Signup and view all the answers

    What are the characteristic criteria for Alcohol Use Disorder?

    <p>Continued use despite knowledge of physical or psychological problems caused by use</p> Signup and view all the answers

    What are the withdrawal symptoms of alcohol withdrawal?

    <p>Hand tremor and nausea</p> Signup and view all the answers

    What is the primary characteristic of Opiate Use Disorder?

    <p>Continued use despite knowledge of physical or psychological problems caused by use</p> Signup and view all the answers

    What are the withdrawal assessment tools for opioid withdrawal?

    <p>COWS and SOWS</p> Signup and view all the answers

    What does cannabis withdrawal cause?

    <p>Irritability and anxiety</p> Signup and view all the answers

    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.

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