Podcast
Questions and Answers
Which of the following is NOT a symptom of benzodiazepine withdrawal?
Which of the following is NOT a symptom of benzodiazepine withdrawal?
What is the primary treatment approach for barbiturate overdose?
What is the primary treatment approach for barbiturate overdose?
Which of the following is a key slogan associated with the 12-step program?
Which of the following is a key slogan associated with the 12-step program?
What is the main objective of tapering a benzodiazepine dosage?
What is the main objective of tapering a benzodiazepine dosage?
Signup and view all the answers
What is the relationship between the half-life of a drug and the onset of withdrawal symptoms?
What is the relationship between the half-life of a drug and the onset of withdrawal symptoms?
Signup and view all the answers
Why is N., the patient in the clinical vignette, experiencing withdrawal symptoms?
Why is N., the patient in the clinical vignette, experiencing withdrawal symptoms?
Signup and view all the answers
Why was N. not diagnosed with alcohol dependence before his surgery?
Why was N. not diagnosed with alcohol dependence before his surgery?
Signup and view all the answers
What approach does Alcoholics Anonymous (AA) advocate for recovery from alcohol addiction?
What approach does Alcoholics Anonymous (AA) advocate for recovery from alcohol addiction?
Signup and view all the answers
What is a key difference between 'open' and 'closed' AA meetings?
What is a key difference between 'open' and 'closed' AA meetings?
Signup and view all the answers
Which characteristic of the 12-step program may be a deterrent for some individuals?
Which characteristic of the 12-step program may be a deterrent for some individuals?
Signup and view all the answers
What is the primary goal of group experiences in substance use treatment programs?
What is the primary goal of group experiences in substance use treatment programs?
Signup and view all the answers
Why is it important to understand that addiction is a medical illness?
Why is it important to understand that addiction is a medical illness?
Signup and view all the answers
What is a major challenge faced by traditional treatment programs and AA?
What is a major challenge faced by traditional treatment programs and AA?
Signup and view all the answers
What was the prevalent view of substance use before the concept of addiction as a medical illness was fully embraced?
What was the prevalent view of substance use before the concept of addiction as a medical illness was fully embraced?
Signup and view all the answers
What approach to treating substance use is based on the Hazelden Clinic model?
What approach to treating substance use is based on the Hazelden Clinic model?
Signup and view all the answers
What is a significant challenge faced in treating substance use?
What is a significant challenge faced in treating substance use?
Signup and view all the answers
What is a possible reason a nurse might hesitate to report a colleague's suspected substance abuse?
What is a possible reason a nurse might hesitate to report a colleague's suspected substance abuse?
Signup and view all the answers
Which of the following is NOT a general warning sign of substance abuse?
Which of the following is NOT a general warning sign of substance abuse?
Signup and view all the answers
What is the ethical responsibility of a nurse who suspects a colleague of substance abuse?
What is the ethical responsibility of a nurse who suspects a colleague of substance abuse?
Signup and view all the answers
Which of the following is a specific behavior that might indicate substance abuse by a nurse?
Which of the following is a specific behavior that might indicate substance abuse by a nurse?
Signup and view all the answers
What is the main reason that substance abuse by health professionals is a serious issue?
What is the main reason that substance abuse by health professionals is a serious issue?
Signup and view all the answers
What is the best course of action when a nurse suspects a colleague is abusing substances?
What is the best course of action when a nurse suspects a colleague is abusing substances?
Signup and view all the answers
What is the importance of self-awareness for nurses working with clients who have substance abuse problems?
What is the importance of self-awareness for nurses working with clients who have substance abuse problems?
Signup and view all the answers
What is the author's stance on the effectiveness of treatment programs for alcohol and substance use disorders?
What is the author's stance on the effectiveness of treatment programs for alcohol and substance use disorders?
Signup and view all the answers
Which of the following is NOT a sign of a nurse's self-awareness problems when working with clients with substance abuse problems?
Which of the following is NOT a sign of a nurse's self-awareness problems when working with clients with substance abuse problems?
Signup and view all the answers
Why does the author emphasize that substance abuse is a chronic, recurring disease?
Why does the author emphasize that substance abuse is a chronic, recurring disease?
Signup and view all the answers
What does the author suggest is the first step toward managing one's own beliefs and attitudes about substance abuse?
What does the author suggest is the first step toward managing one's own beliefs and attitudes about substance abuse?
Signup and view all the answers
What is the author's primary message regarding ethical considerations for substance abuse in healthcare?
What is the author's primary message regarding ethical considerations for substance abuse in healthcare?
Signup and view all the answers
Which of the following is NOT a substance category mentioned in the text?
Which of the following is NOT a substance category mentioned in the text?
Signup and view all the answers
What is the definition of withdrawal syndrome as provided in the content?
What is the definition of withdrawal syndrome as provided in the content?
Signup and view all the answers
Which substance is reported as the most commonly abused in the United States?
Which substance is reported as the most commonly abused in the United States?
Signup and view all the answers
What is the definition of intoxication as provided in the text?
What is the definition of intoxication as provided in the text?
Signup and view all the answers
What characterizes the later course of alcoholism?
What characterizes the later course of alcoholism?
Signup and view all the answers
What is the range of relapse rates for individuals recovering from substance use?
What is the range of relapse rates for individuals recovering from substance use?
Signup and view all the answers
Which factor is associated with better outcomes in recovery from substance use?
Which factor is associated with better outcomes in recovery from substance use?
Signup and view all the answers
What does spontaneous remission refer to?
What does spontaneous remission refer to?
Signup and view all the answers
Which is NOT considered a characteristic of gambling disorder?
Which is NOT considered a characteristic of gambling disorder?
Signup and view all the answers
What may occur as a result of extended substance use?
What may occur as a result of extended substance use?
Signup and view all the answers
Which factor contributes to the development of substance-related disorders?
Which factor contributes to the development of substance-related disorders?
Signup and view all the answers
Which factor is NOT considered a significant risk factor for alcoholism?
Which factor is NOT considered a significant risk factor for alcoholism?
Signup and view all the answers
What is a primary neurochemical influence in substance use patterns?
What is a primary neurochemical influence in substance use patterns?
Signup and view all the answers
Which statement about children of alcoholic parents is correct?
Which statement about children of alcoholic parents is correct?
Signup and view all the answers
What is an essential nursing action for clients treated for substance abuse?
What is an essential nursing action for clients treated for substance abuse?
Signup and view all the answers
What is the focus of recent discussions regarding internet addiction?
What is the focus of recent discussions regarding internet addiction?
Signup and view all the answers
Which symptom is characteristic of alcohol withdrawal?
Which symptom is characteristic of alcohol withdrawal?
Signup and view all the answers
Which of the following statements about the 12-step philosophy of Alcoholics Anonymous is true?
Which of the following statements about the 12-step philosophy of Alcoholics Anonymous is true?
Signup and view all the answers
What is true about substance-induced disorders?
What is true about substance-induced disorders?
Signup and view all the answers
What is the primary ethical responsibility of healthcare professionals regarding substance abuse among colleagues?
What is the primary ethical responsibility of healthcare professionals regarding substance abuse among colleagues?
Signup and view all the answers
What factor can increase the likelihood of severe outcomes in substance use?
What factor can increase the likelihood of severe outcomes in substance use?
Signup and view all the answers
How is the genetic component of alcoholism described?
How is the genetic component of alcoholism described?
Signup and view all the answers
Which of the following statements about naltrexone is accurate?
Which of the following statements about naltrexone is accurate?
Signup and view all the answers
Which behavior is most indicative of stimulant intoxication?
Which behavior is most indicative of stimulant intoxication?
Signup and view all the answers
Which medication is prescribed for managing symptoms of opioid withdrawal?
Which medication is prescribed for managing symptoms of opioid withdrawal?
Signup and view all the answers
A client who states, 'I am not an alcoholic' while seeking treatment exhibits which psychological defense mechanism?
A client who states, 'I am not an alcoholic' while seeking treatment exhibits which psychological defense mechanism?
Signup and view all the answers
What does a 12-step program primarily emphasize in treating alcoholics?
What does a 12-step program primarily emphasize in treating alcoholics?
Signup and view all the answers
What is the term for the lack of conscious awareness of behavior during substance use?
What is the term for the lack of conscious awareness of behavior during substance use?
Signup and view all the answers
Which of the following best defines 'codependence' in the context of substance use?
Which of the following best defines 'codependence' in the context of substance use?
Signup and view all the answers
What characterizes 'designer drugs'?
What characterizes 'designer drugs'?
Signup and view all the answers
What does the process of detoxification aim to achieve?
What does the process of detoxification aim to achieve?
Signup and view all the answers
How is 'polysubstance abuse' defined?
How is 'polysubstance abuse' defined?
Signup and view all the answers
What is meant by 'tolerance' in substance use?
What is meant by 'tolerance' in substance use?
Signup and view all the answers
What phenomenon does 'spontaneous remission' refer to?
What phenomenon does 'spontaneous remission' refer to?
Signup and view all the answers
Which group is primarily affected by the consequences of parental substance use disorders?
Which group is primarily affected by the consequences of parental substance use disorders?
Signup and view all the answers
Alcohol is associated with which of the following statistics?
Alcohol is associated with which of the following statistics?
Signup and view all the answers
What is the most common setting for detoxification in clients with severe withdrawal symptoms?
What is the most common setting for detoxification in clients with severe withdrawal symptoms?
Signup and view all the answers
What is 'withdrawal syndrome' associated with?
What is 'withdrawal syndrome' associated with?
Signup and view all the answers
Which of the following medications is commonly used to suppress alcohol withdrawal symptoms?
Which of the following medications is commonly used to suppress alcohol withdrawal symptoms?
Signup and view all the answers
What behavioral pattern is described by 'enabling' in substance use disorders?
What behavioral pattern is described by 'enabling' in substance use disorders?
Signup and view all the answers
What does a score greater than 15 indicate on the Clinical Institute Withdrawal Assessment of Alcohol Scale?
What does a score greater than 15 indicate on the Clinical Institute Withdrawal Assessment of Alcohol Scale?
Signup and view all the answers
How long does alcohol withdrawal typically last?
How long does alcohol withdrawal typically last?
Signup and view all the answers
What is one significant risk factor for developing substance use disorders?
What is one significant risk factor for developing substance use disorders?
Signup and view all the answers
In what case can clients be treated for alcohol withdrawal at home?
In what case can clients be treated for alcohol withdrawal at home?
Signup and view all the answers
Which dosing method depends entirely on the client's withdrawal symptom severity?
Which dosing method depends entirely on the client's withdrawal symptom severity?
Signup and view all the answers
Which symptom is NOT assessed in the Clinical Institute Withdrawal Assessment for Alcohol?
Which symptom is NOT assessed in the Clinical Institute Withdrawal Assessment for Alcohol?
Signup and view all the answers
What is a potential progression of severe or untreated alcohol withdrawal?
What is a potential progression of severe or untreated alcohol withdrawal?
Signup and view all the answers
What is the maximum possible score on the Clinical Institute Withdrawal Assessment scale?
What is the maximum possible score on the Clinical Institute Withdrawal Assessment scale?
Signup and view all the answers
What typically occurs in alcohol withdrawal symptoms by the second day?
What typically occurs in alcohol withdrawal symptoms by the second day?
Signup and view all the answers
Which symptom indicates the highest severity level in tactile disturbances during withdrawal?
Which symptom indicates the highest severity level in tactile disturbances during withdrawal?
Signup and view all the answers
What is the primary purpose of using benzodiazepines during detoxification?
What is the primary purpose of using benzodiazepines during detoxification?
Signup and view all the answers
What is the name of the scale used to assess alcohol withdrawal severity?
What is the name of the scale used to assess alcohol withdrawal severity?
Signup and view all the answers
What is a common outcome for clients who have severe withdrawal symptoms and cannot abstain?
What is a common outcome for clients who have severe withdrawal symptoms and cannot abstain?
Signup and view all the answers
What is a key factor in determining the type of treatment setting selected for a client?
What is a key factor in determining the type of treatment setting selected for a client?
Signup and view all the answers
What is one expected outcome within 24 to 48 hours for a client in an alcohol treatment program?
What is one expected outcome within 24 to 48 hours for a client in an alcohol treatment program?
Signup and view all the answers
During treatment, why should clients not rationalize their drinking issues?
During treatment, why should clients not rationalize their drinking issues?
Signup and view all the answers
Which of the following groups is specifically for children of parents with substance problems?
Which of the following groups is specifically for children of parents with substance problems?
Signup and view all the answers
What is a common misconception that clients may have about their alcohol use?
What is a common misconception that clients may have about their alcohol use?
Signup and view all the answers
For whom is the 'Women for Sobriety' program designed?
For whom is the 'Women for Sobriety' program designed?
Signup and view all the answers
What is the first step in treatment for someone needing medically supervised detoxification?
What is the first step in treatment for someone needing medically supervised detoxification?
Signup and view all the answers
Which statement is true regarding the role of support groups like Al-Anon?
Which statement is true regarding the role of support groups like Al-Anon?
Signup and view all the answers
What behavior is characterized by seeing oneself as different from others in alcohol dependence?
What behavior is characterized by seeing oneself as different from others in alcohol dependence?
Signup and view all the answers
What might indicate a need for inpatient treatment for a client?
What might indicate a need for inpatient treatment for a client?
Signup and view all the answers
Which method is suggested to address a client's misconceptions about their alcohol use?
Which method is suggested to address a client's misconceptions about their alcohol use?
Signup and view all the answers
Why is it important to avoid allowing the client to focus only on external problems?
Why is it important to avoid allowing the client to focus only on external problems?
Signup and view all the answers
What is an important consideration when planning discharge for a client in an alcohol treatment program?
What is an important consideration when planning discharge for a client in an alcohol treatment program?
Signup and view all the answers
What is the primary purpose of pharmacologic treatment in substance abuse?
What is the primary purpose of pharmacologic treatment in substance abuse?
Signup and view all the answers
What is the common first-line medication for managing alcohol withdrawal symptoms?
What is the common first-line medication for managing alcohol withdrawal symptoms?
Signup and view all the answers
Which vitamin is often prescribed to prevent or treat Wernicke–Korsakoff syndrome in clients with alcohol use?
Which vitamin is often prescribed to prevent or treat Wernicke–Korsakoff syndrome in clients with alcohol use?
Signup and view all the answers
What adverse reaction might occur if a client taking disulfiram consumes alcohol?
What adverse reaction might occur if a client taking disulfiram consumes alcohol?
Signup and view all the answers
What factor significantly increases the risk for children of alcoholic parents to develop substance-related disorders?
What factor significantly increases the risk for children of alcoholic parents to develop substance-related disorders?
Signup and view all the answers
Which statement about genetic vulnerability in alcoholism is accurate?
Which statement about genetic vulnerability in alcoholism is accurate?
Signup and view all the answers
What psychological factor can contribute to the development of alcoholism among children of alcoholics?
What psychological factor can contribute to the development of alcoholism among children of alcoholics?
Signup and view all the answers
What is the main goal of positively reinforcing a client during therapy?
What is the main goal of positively reinforcing a client during therapy?
Signup and view all the answers
Peer feedback in substance abuse treatment is valued mainly because:
Peer feedback in substance abuse treatment is valued mainly because:
Signup and view all the answers
What is a common consequence of increased availability of alcohol?
What is a common consequence of increased availability of alcohol?
Signup and view all the answers
What is the consequence of alcohol consumption on muscle tension and nervousness at high doses?
What is the consequence of alcohol consumption on muscle tension and nervousness at high doses?
Signup and view all the answers
Which of these substances is typically used when benzodiazepines are ineffective for alcohol withdrawal?
Which of these substances is typically used when benzodiazepines are ineffective for alcohol withdrawal?
Signup and view all the answers
What role do social factors play in the development of substance-related disorders?
What role do social factors play in the development of substance-related disorders?
Signup and view all the answers
What effect does the ingestion of mood-altering substances have on dopamine pathways?
What effect does the ingestion of mood-altering substances have on dopamine pathways?
Signup and view all the answers
What is the primary purpose of tapering sedatives and anxiolytics?
What is the primary purpose of tapering sedatives and anxiolytics?
Signup and view all the answers
What does the 12-step model of Alcoholics Anonymous emphasize?
What does the 12-step model of Alcoholics Anonymous emphasize?
Signup and view all the answers
What common misconception might individuals have about the nature of addiction?
What common misconception might individuals have about the nature of addiction?
Signup and view all the answers
What is often a requirement for individuals in Alcoholics Anonymous to ensure effective participation?
What is often a requirement for individuals in Alcoholics Anonymous to ensure effective participation?
Signup and view all the answers
What does the Hazelden model of treatment primarily focus on?
What does the Hazelden model of treatment primarily focus on?
Signup and view all the answers
In which scenario is medically supervised detoxification most likely needed?
In which scenario is medically supervised detoxification most likely needed?
Signup and view all the answers
What common misconception about treatment programs is noted regarding women's participation?
What common misconception about treatment programs is noted regarding women's participation?
Signup and view all the answers
What approach do many treatment programs include alongside the 12-step model?
What approach do many treatment programs include alongside the 12-step model?
Signup and view all the answers
What is a defining characteristic of the addiction treatment field prior to the 1970s?
What is a defining characteristic of the addiction treatment field prior to the 1970s?
Signup and view all the answers
What role does a sponsor play in Alcoholics Anonymous?
What role does a sponsor play in Alcoholics Anonymous?
Signup and view all the answers
What is one of the key slogans used in the 12-step program?
What is one of the key slogans used in the 12-step program?
Signup and view all the answers
What change was implemented in AA due to the pandemic?
What change was implemented in AA due to the pandemic?
Signup and view all the answers
Which group is primarily focused on the family members of alcoholics?
Which group is primarily focused on the family members of alcoholics?
Signup and view all the answers
What is one of the risks associated with abruptly stopping barbiturates?
What is one of the risks associated with abruptly stopping barbiturates?
Signup and view all the answers
What is the significance of cannabis being classified as a Schedule 1 drug at the federal level?
What is the significance of cannabis being classified as a Schedule 1 drug at the federal level?
Signup and view all the answers
Which of the following is a direct effect of alcohol intoxication?
Which of the following is a direct effect of alcohol intoxication?
Signup and view all the answers
What withdrawal symptom typically begins 4 to 12 hours after cessation of alcohol intake?
What withdrawal symptom typically begins 4 to 12 hours after cessation of alcohol intake?
Signup and view all the answers
Which treatment method is contraindicated for an alcohol overdose?
Which treatment method is contraindicated for an alcohol overdose?
Signup and view all the answers
What factor contributes to high rates of substance use in urban areas?
What factor contributes to high rates of substance use in urban areas?
Signup and view all the answers
Which physiological effect is NOT related to long-term alcohol use?
Which physiological effect is NOT related to long-term alcohol use?
Signup and view all the answers
How is alcohol withdrawal typically treated?
How is alcohol withdrawal typically treated?
Signup and view all the answers
What role do cultural attitudes play in substance use?
What role do cultural attitudes play in substance use?
Signup and view all the answers
Which ethnic group commonly experiences flushing in response to alcohol consumption?
Which ethnic group commonly experiences flushing in response to alcohol consumption?
Signup and view all the answers
What is a prevalent cause of death among Native Americans and Alaska Natives related to substance use?
What is a prevalent cause of death among Native Americans and Alaska Natives related to substance use?
Signup and view all the answers
What does detoxification for alcohol withdrawal generally require?
What does detoxification for alcohol withdrawal generally require?
Signup and view all the answers
Alcohol-related deaths are most common in which stage of life?
Alcohol-related deaths are most common in which stage of life?
Signup and view all the answers
What is the common withdrawal symptom that may indicate a severe reaction?
What is the common withdrawal symptom that may indicate a severe reaction?
Signup and view all the answers
What is the function of the Clinical Institute Withdrawal Assessment of Alcohol Scale?
What is the function of the Clinical Institute Withdrawal Assessment of Alcohol Scale?
Signup and view all the answers
Which substance-related behavior is typically observed in individuals with high alcohol consumption?
Which substance-related behavior is typically observed in individuals with high alcohol consumption?
Signup and view all the answers
What medication may cause severe adverse reactions if a client drinks alcohol while taking it?
What medication may cause severe adverse reactions if a client drinks alcohol while taking it?
Signup and view all the answers
What percentage of college students report negative academic consequences due to drinking?
What percentage of college students report negative academic consequences due to drinking?
Signup and view all the answers
Which age group is identified as a significant population for prevention programs related to substance abuse?
Which age group is identified as a significant population for prevention programs related to substance abuse?
Signup and view all the answers
What risk factor for late-onset substance abuse in older adults is mentioned?
What risk factor for late-onset substance abuse in older adults is mentioned?
Signup and view all the answers
What medication is prescribed for clients recovering from alcohol dependence to help maintain abstinence?
What medication is prescribed for clients recovering from alcohol dependence to help maintain abstinence?
Signup and view all the answers
What is a common consequence of alcohol use among college athletes?
What is a common consequence of alcohol use among college athletes?
Signup and view all the answers
What substance abuse treatment setting is most commonly used?
What substance abuse treatment setting is most commonly used?
Signup and view all the answers
What percentage of older adults in treatment programs may have begun drinking abusively after age 60?
What percentage of older adults in treatment programs may have begun drinking abusively after age 60?
Signup and view all the answers
What is a suggested method for primary care settings to help identify older adults with alcoholism?
What is a suggested method for primary care settings to help identify older adults with alcoholism?
Signup and view all the answers
Which adverse effects may result from ingested alcohol while on disulfiram?
Which adverse effects may result from ingested alcohol while on disulfiram?
Signup and view all the answers
What is a consequence faced by one-tenth of alcohol consumers aged 12 to 20?
What is a consequence faced by one-tenth of alcohol consumers aged 12 to 20?
Signup and view all the answers
Which group often experiences high rates of substance dependence due to the ease of obtaining controlled substances?
Which group often experiences high rates of substance dependence due to the ease of obtaining controlled substances?
Signup and view all the answers
What is a potential outcome for students involved in excessive alcohol consumption?
What is a potential outcome for students involved in excessive alcohol consumption?
Signup and view all the answers
What community strategy may reduce hazardous drinking among older adults?
What community strategy may reduce hazardous drinking among older adults?
Signup and view all the answers
What is W's primary reason for entering alcohol treatment?
What is W's primary reason for entering alcohol treatment?
Signup and view all the answers
What is one of the immediate expected outcomes for a client in an alcohol treatment program?
What is one of the immediate expected outcomes for a client in an alcohol treatment program?
Signup and view all the answers
Which nursing action is emphasized when working with a client like W?
Which nursing action is emphasized when working with a client like W?
Signup and view all the answers
What characterizes the denial seen in W's assessment data?
What characterizes the denial seen in W's assessment data?
Signup and view all the answers
What might be a suggested treatment setting for a client with limited insurance coverage?
What might be a suggested treatment setting for a client with limited insurance coverage?
Signup and view all the answers
What is a potential treatment option for clients wanting to transition back to the community?
What is a potential treatment option for clients wanting to transition back to the community?
Signup and view all the answers
What role does peer feedback have in alcohol treatment programs?
What role does peer feedback have in alcohol treatment programs?
Signup and view all the answers
What is a recommended approach when educating clients about alcoholism?
What is a recommended approach when educating clients about alcoholism?
Signup and view all the answers
What type of medication is often prescribed to prevent Wernicke–Korsakoff syndrome in clients with alcohol problems?
What type of medication is often prescribed to prevent Wernicke–Korsakoff syndrome in clients with alcohol problems?
Signup and view all the answers
Which behavior should a client like W ideally acknowledge in the treatment process?
Which behavior should a client like W ideally acknowledge in the treatment process?
Signup and view all the answers
Which of the following is a key characteristic of W’s initial mindset about alcohol use?
Which of the following is a key characteristic of W’s initial mindset about alcohol use?
Signup and view all the answers
What is a likely emotional state of a client like W when considering treatment?
What is a likely emotional state of a client like W when considering treatment?
Signup and view all the answers
Which is an example of a long-term outcome in an alcohol treatment program?
Which is an example of a long-term outcome in an alcohol treatment program?
Signup and view all the answers
What score indicates severe withdrawal based on the CIWA-AR scale?
What score indicates severe withdrawal based on the CIWA-AR scale?
Signup and view all the answers
Which of the following symptoms is NOT assessed in the CIWA-AR scale?
Which of the following symptoms is NOT assessed in the CIWA-AR scale?
Signup and view all the answers
What is the maximum possible score on the CIWA-AR scale?
What is the maximum possible score on the CIWA-AR scale?
Signup and view all the answers
What is the typical onset time for withdrawal symptoms with lorazepam?
What is the typical onset time for withdrawal symptoms with lorazepam?
Signup and view all the answers
In the context of symptom-triggered dosing, which client would likely receive additional medication based on CIWA-AR scores?
In the context of symptom-triggered dosing, which client would likely receive additional medication based on CIWA-AR scores?
Signup and view all the answers
Which withdrawal symptom is associated with benzodiazepine use?
Which withdrawal symptom is associated with benzodiazepine use?
Signup and view all the answers
What is the primary difference between symptom-triggered dosing and fixed-dose tapers?
What is the primary difference between symptom-triggered dosing and fixed-dose tapers?
Signup and view all the answers
What potential danger exists with barbiturate overdoses?
What potential danger exists with barbiturate overdoses?
Signup and view all the answers
What symptom indicates a higher CIWA-AR score related to anxiety?
What symptom indicates a higher CIWA-AR score related to anxiety?
Signup and view all the answers
Which class of drugs is typically abused and has effects similar to alcohol?
Which class of drugs is typically abused and has effects similar to alcohol?
Signup and view all the answers
What might a score of 3 for tremors indicate?
What might a score of 3 for tremors indicate?
Signup and view all the answers
What treatment may be appropriate for severe benzodiazepine withdrawal symptoms?
What treatment may be appropriate for severe benzodiazepine withdrawal symptoms?
Signup and view all the answers
Which symptom can only occur rarely in severe benzodiazepine withdrawal?
Which symptom can only occur rarely in severe benzodiazepine withdrawal?
Signup and view all the answers
What does a score of 0 in the Nausea and Vomiting category indicate?
What does a score of 0 in the Nausea and Vomiting category indicate?
Signup and view all the answers
What is referred to as polysubstance abuse?
What is referred to as polysubstance abuse?
Signup and view all the answers
Which of the following substances is classified as a stimulant?
Which of the following substances is classified as a stimulant?
Signup and view all the answers
What does the term 'detoxification' refer to in substance use?
What does the term 'detoxification' refer to in substance use?
Signup and view all the answers
What role did the Department of Health and Human Services play in addressing the opioid crisis?
What role did the Department of Health and Human Services play in addressing the opioid crisis?
Signup and view all the answers
What is the primary concern regarding designer drugs?
What is the primary concern regarding designer drugs?
Signup and view all the answers
Which statement best describes the relationship between substance abuse and dependence?
Which statement best describes the relationship between substance abuse and dependence?
Signup and view all the answers
What effect does increased opioid overdose have on the United States daily?
What effect does increased opioid overdose have on the United States daily?
Signup and view all the answers
Which substance is noted for frequently being adulterated with illicit fentanyl?
Which substance is noted for frequently being adulterated with illicit fentanyl?
Signup and view all the answers
What was a significant issue identified by the American Medical Association in 2021?
What was a significant issue identified by the American Medical Association in 2021?
Signup and view all the answers
During what age range is the first evidence of alcohol-related problems typically observed?
During what age range is the first evidence of alcohol-related problems typically observed?
Signup and view all the answers
Why is the distinction between substance abuse and dependence sometimes considered unnecessary?
Why is the distinction between substance abuse and dependence sometimes considered unnecessary?
Signup and view all the answers
What is the average age of initial alcohol intoxication in the United States?
What is the average age of initial alcohol intoxication in the United States?
Signup and view all the answers
What is the definition of intoxication in relation to substance use?
What is the definition of intoxication in relation to substance use?
Signup and view all the answers
Which of the following is not classified as a hallucinogen?
Which of the following is not classified as a hallucinogen?
Signup and view all the answers
What is a potential consequence of high doses of alcohol?
What is a potential consequence of high doses of alcohol?
Signup and view all the answers
Which of the following is NOT a physiological effect of long-term alcohol use?
Which of the following is NOT a physiological effect of long-term alcohol use?
Signup and view all the answers
What is the primary reason for the increased alcohol consumption in areas with higher availability?
What is the primary reason for the increased alcohol consumption in areas with higher availability?
Signup and view all the answers
Which of the following is NOT a typical symptom of alcohol withdrawal?
Which of the following is NOT a typical symptom of alcohol withdrawal?
Signup and view all the answers
Why is the administration of central nervous system stimulants contraindicated in treating an alcohol overdose?
Why is the administration of central nervous system stimulants contraindicated in treating an alcohol overdose?
Signup and view all the answers
Which of the following is the most common cause of death among Native Americans and Alaska Natives?
Which of the following is the most common cause of death among Native Americans and Alaska Natives?
Signup and view all the answers
Which of the following is NOT a reason why children of alcoholics are more likely to develop alcoholism?
Which of the following is NOT a reason why children of alcoholics are more likely to develop alcoholism?
Signup and view all the answers
Which age group typically uses substances with less social disapproval?
Which age group typically uses substances with less social disapproval?
Signup and view all the answers
What is the flushing reaction associated with alcohol consumption linked to?
What is the flushing reaction associated with alcohol consumption linked to?
Signup and view all the answers
Which of the following is a cultural factor that influences substance use?
Which of the following is a cultural factor that influences substance use?
Signup and view all the answers
Which of the following substances is used in religious ceremonies by some Native American tribes?
Which of the following substances is used in religious ceremonies by some Native American tribes?
Signup and view all the answers
Which of the following is NOT a reason why environmental factors contribute to substance use?
Which of the following is NOT a reason why environmental factors contribute to substance use?
Signup and view all the answers
What is the most common sign of alcohol intoxication?
What is the most common sign of alcohol intoxication?
Signup and view all the answers
Why is aspirin contraindicated during an alcohol overdose?
Why is aspirin contraindicated during an alcohol overdose?
Signup and view all the answers
Which of the following is a potential long-term effect of alcohol use?
Which of the following is a potential long-term effect of alcohol use?
Signup and view all the answers
Flashcards
Opioid Crisis
Opioid Crisis
A public health issue in the U.S. due to opioid overdoses.
Overdose Death Rate
Overdose Death Rate
Estimated 130 daily deaths in the U.S. from opioid overdoses.
Five-Point Program
Five-Point Program
2019 HHS initiative to combat the opioid crisis.
Polysubstance Abuse
Polysubstance Abuse
Signup and view all the flashcards
Designer Drugs
Designer Drugs
Signup and view all the flashcards
Intoxication
Intoxication
Signup and view all the flashcards
Withdrawal Syndrome
Withdrawal Syndrome
Signup and view all the flashcards
Detoxification
Detoxification
Signup and view all the flashcards
Substance Abuse
Substance Abuse
Signup and view all the flashcards
Substance Dependence
Substance Dependence
Signup and view all the flashcards
Fentanyl
Fentanyl
Signup and view all the flashcards
Alcohol Use Patterns
Alcohol Use Patterns
Signup and view all the flashcards
Tolerance Break
Tolerance Break
Signup and view all the flashcards
Blackout
Blackout
Signup and view all the flashcards
Clinical Course of Alcoholism
Clinical Course of Alcoholism
Signup and view all the flashcards
12-step program
12-step program
Signup and view all the flashcards
codependence
codependence
Signup and view all the flashcards
controlled substances
controlled substances
Signup and view all the flashcards
denial
denial
Signup and view all the flashcards
dual diagnosis
dual diagnosis
Signup and view all the flashcards
enabling
enabling
Signup and view all the flashcards
hallucinogens
hallucinogens
Signup and view all the flashcards
tolerance
tolerance
Signup and view all the flashcards
spontaneous remission
spontaneous remission
Signup and view all the flashcards
Gastric Lavage
Gastric Lavage
Signup and view all the flashcards
Activated Charcoal
Activated Charcoal
Signup and view all the flashcards
Saline Cathartic
Saline Cathartic
Signup and view all the flashcards
Dialysis
Dialysis
Signup and view all the flashcards
Withdrawal Symptoms
Withdrawal Symptoms
Signup and view all the flashcards
Half-life
Half-life
Signup and view all the flashcards
Benzodiazepine Tapering
Benzodiazepine Tapering
Signup and view all the flashcards
Autonomic Hyperactivity
Autonomic Hyperactivity
Signup and view all the flashcards
Alcoholics Anonymous (AA)
Alcoholics Anonymous (AA)
Signup and view all the flashcards
Sponsor in AA
Sponsor in AA
Signup and view all the flashcards
Educational Meetings
Educational Meetings
Signup and view all the flashcards
Closed vs Open Meetings
Closed vs Open Meetings
Signup and view all the flashcards
Hazelden Treatment Model
Hazelden Treatment Model
Signup and view all the flashcards
Cognitive Techniques
Cognitive Techniques
Signup and view all the flashcards
Abstinence in Alcoholism
Abstinence in Alcoholism
Signup and view all the flashcards
Temporarily Controlled Drinking
Temporarily Controlled Drinking
Signup and view all the flashcards
Relapse Rate
Relapse Rate
Signup and view all the flashcards
Risk Factors for Poor Outcomes
Risk Factors for Poor Outcomes
Signup and view all the flashcards
Substance-induced Anxiety
Substance-induced Anxiety
Signup and view all the flashcards
Substance-induced Psychosis
Substance-induced Psychosis
Signup and view all the flashcards
Genetic Vulnerability in Alcoholism
Genetic Vulnerability in Alcoholism
Signup and view all the flashcards
Dopamine and Substance Use
Dopamine and Substance Use
Signup and view all the flashcards
Twin Studies and Alcoholism
Twin Studies and Alcoholism
Signup and view all the flashcards
Environmental Factors in Addiction
Environmental Factors in Addiction
Signup and view all the flashcards
Mental Health Disorders and Addiction
Mental Health Disorders and Addiction
Signup and view all the flashcards
Crisis Response in Recovery
Crisis Response in Recovery
Signup and view all the flashcards
Addiction and the Internet
Addiction and the Internet
Signup and view all the flashcards
IV Drug Use Risks
IV Drug Use Risks
Signup and view all the flashcards
Women for Sobriety
Women for Sobriety
Signup and view all the flashcards
Rainbow Recovery
Rainbow Recovery
Signup and view all the flashcards
AA groups
AA groups
Signup and view all the flashcards
Virtual meetings
Virtual meetings
Signup and view all the flashcards
Narcotics Anonymous
Narcotics Anonymous
Signup and view all the flashcards
Al-Anon
Al-Anon
Signup and view all the flashcards
AlaTeen
AlaTeen
Signup and view all the flashcards
Medically supervised detoxification
Medically supervised detoxification
Signup and view all the flashcards
Outpatient treatment setting
Outpatient treatment setting
Signup and view all the flashcards
Inpatient treatment
Inpatient treatment
Signup and view all the flashcards
Halfway houses
Halfway houses
Signup and view all the flashcards
Denial in alcoholism
Denial in alcoholism
Signup and view all the flashcards
Acceptance of alcoholism as illness
Acceptance of alcoholism as illness
Signup and view all the flashcards
Responsibility for behavior
Responsibility for behavior
Signup and view all the flashcards
Rationalization
Rationalization
Signup and view all the flashcards
Genetic Links to Alcoholism
Genetic Links to Alcoholism
Signup and view all the flashcards
Children of Alcoholics
Children of Alcoholics
Signup and view all the flashcards
Maladaptive Coping
Maladaptive Coping
Signup and view all the flashcards
Coping Mechanisms
Coping Mechanisms
Signup and view all the flashcards
Peer Influence
Peer Influence
Signup and view all the flashcards
Cultural Attitudes
Cultural Attitudes
Signup and view all the flashcards
Alcohol as a CNS Depressant
Alcohol as a CNS Depressant
Signup and view all the flashcards
Intoxication Symptoms
Intoxication Symptoms
Signup and view all the flashcards
Alcohol Overdose
Alcohol Overdose
Signup and view all the flashcards
Flushing Response
Flushing Response
Signup and view all the flashcards
Sociocultural Factors
Sociocultural Factors
Signup and view all the flashcards
Urban Substance Use
Urban Substance Use
Signup and view all the flashcards
Long-term Effects of Alcohol
Long-term Effects of Alcohol
Signup and view all the flashcards
Treatment Approaches
Treatment Approaches
Signup and view all the flashcards
Withdrawal Severity Scores
Withdrawal Severity Scores
Signup and view all the flashcards
Symptom-triggered Dosing
Symptom-triggered Dosing
Signup and view all the flashcards
Fixed-dose Tapers
Fixed-dose Tapers
Signup and view all the flashcards
CIWA-AR
CIWA-AR
Signup and view all the flashcards
Nausea Assessment
Nausea Assessment
Signup and view all the flashcards
Tremor Assessment
Tremor Assessment
Signup and view all the flashcards
Paroxysmal Sweats
Paroxysmal Sweats
Signup and view all the flashcards
Anxiety Assessment
Anxiety Assessment
Signup and view all the flashcards
Agitation Levels
Agitation Levels
Signup and view all the flashcards
Tactile Disturbances
Tactile Disturbances
Signup and view all the flashcards
Auditory Disturbances
Auditory Disturbances
Signup and view all the flashcards
Visual Disturbances
Visual Disturbances
Signup and view all the flashcards
Headache Assessment
Headache Assessment
Signup and view all the flashcards
Orientation and Clouding
Orientation and Clouding
Signup and view all the flashcards
Social Use of Cannabis
Social Use of Cannabis
Signup and view all the flashcards
Schedule 1 Drug
Schedule 1 Drug
Signup and view all the flashcards
Decriminalization
Decriminalization
Signup and view all the flashcards
Cultural Considerations
Cultural Considerations
Signup and view all the flashcards
Genetic Predisposition
Genetic Predisposition
Signup and view all the flashcards
Flushing Reaction
Flushing Reaction
Signup and view all the flashcards
Alcohol Use Disorder
Alcohol Use Disorder
Signup and view all the flashcards
Delirium Tremens
Delirium Tremens
Signup and view all the flashcards
Benzodiazepines
Benzodiazepines
Signup and view all the flashcards
Tapering
Tapering
Signup and view all the flashcards
Clinical Institute Withdrawal Assessment Scale
Clinical Institute Withdrawal Assessment Scale
Signup and view all the flashcards
Alcohol Withdrawal Duration
Alcohol Withdrawal Duration
Signup and view all the flashcards
Medical Supervision for Detox
Medical Supervision for Detox
Signup and view all the flashcards
CIWA-AR Scale
CIWA-AR Scale
Signup and view all the flashcards
Mild Withdrawal Score
Mild Withdrawal Score
Signup and view all the flashcards
Moderate Withdrawal Score
Moderate Withdrawal Score
Signup and view all the flashcards
Severe Withdrawal Score
Severe Withdrawal Score
Signup and view all the flashcards
Central Nervous System Depressants
Central Nervous System Depressants
Signup and view all the flashcards
Overdose Risks
Overdose Risks
Signup and view all the flashcards
Barbiturates
Barbiturates
Signup and view all the flashcards
Valium
Valium
Signup and view all the flashcards
Alcoholism
Alcoholism
Signup and view all the flashcards
Coping Techniques
Coping Techniques
Signup and view all the flashcards
Sponsorship in Recovery
Sponsorship in Recovery
Signup and view all the flashcards
Closed Meetings
Closed Meetings
Signup and view all the flashcards
Open Meetings
Open Meetings
Signup and view all the flashcards
Clinical Management of Withdrawal
Clinical Management of Withdrawal
Signup and view all the flashcards
Substance Abuse Reporting
Substance Abuse Reporting
Signup and view all the flashcards
General Warning Signs of Abuse
General Warning Signs of Abuse
Signup and view all the flashcards
Specific Behaviors Indicating Abuse
Specific Behaviors Indicating Abuse
Signup and view all the flashcards
Nurses' Ethical Responsibility
Nurses' Ethical Responsibility
Signup and view all the flashcards
Client Responsibility
Client Responsibility
Signup and view all the flashcards
Self-Awareness in Nursing
Self-Awareness in Nursing
Signup and view all the flashcards
Positive Reinforcement
Positive Reinforcement
Signup and view all the flashcards
Chronic Nature of Addiction
Chronic Nature of Addiction
Signup and view all the flashcards
Peer Feedback
Peer Feedback
Signup and view all the flashcards
Role of Family History
Role of Family History
Signup and view all the flashcards
Client Treatment Experiences
Client Treatment Experiences
Signup and view all the flashcards
Pharmacologic Treatment
Pharmacologic Treatment
Signup and view all the flashcards
Substance Use Disorders
Substance Use Disorders
Signup and view all the flashcards
Vitamin B1 (Thiamine)
Vitamin B1 (Thiamine)
Signup and view all the flashcards
Relapse in Substance Use
Relapse in Substance Use
Signup and view all the flashcards
Disulfiram (Antabuse)
Disulfiram (Antabuse)
Signup and view all the flashcards
Signs of Withdrawal Syndrome
Signs of Withdrawal Syndrome
Signup and view all the flashcards
Empathy in Substance Abuse Care
Empathy in Substance Abuse Care
Signup and view all the flashcards
Genetic Vulnerability
Genetic Vulnerability
Signup and view all the flashcards
Pharmacological Treatments for Addiction
Pharmacological Treatments for Addiction
Signup and view all the flashcards
Neurochemical Influence
Neurochemical Influence
Signup and view all the flashcards
Psychological Factors
Psychological Factors
Signup and view all the flashcards
Best Practice for Reporting
Best Practice for Reporting
Signup and view all the flashcards
Cynicism towards Clients
Cynicism towards Clients
Signup and view all the flashcards
Social Attitudes
Social Attitudes
Signup and view all the flashcards
Availability Influence
Availability Influence
Signup and view all the flashcards
Environmental Factors
Environmental Factors
Signup and view all the flashcards
Withdrawal Management
Withdrawal Management
Signup and view all the flashcards
Outpatient Treatment
Outpatient Treatment
Signup and view all the flashcards
Wernicke-Korsakoff Syndrome
Wernicke-Korsakoff Syndrome
Signup and view all the flashcards
Denial in Addiction
Denial in Addiction
Signup and view all the flashcards
Responsibility Acceptance
Responsibility Acceptance
Signup and view all the flashcards
Community Resources
Community Resources
Signup and view all the flashcards
Treatment Goals
Treatment Goals
Signup and view all the flashcards
Relapse Prevention
Relapse Prevention
Signup and view all the flashcards
Assessment Data in Treatment
Assessment Data in Treatment
Signup and view all the flashcards
Risk Factors for Alcoholism
Risk Factors for Alcoholism
Signup and view all the flashcards
Detoxification Risks
Detoxification Risks
Signup and view all the flashcards
12-Step Philosophy
12-Step Philosophy
Signup and view all the flashcards
Family Illness Concept
Family Illness Concept
Signup and view all the flashcards
Substance Abuse Education
Substance Abuse Education
Signup and view all the flashcards
Health Care Professionals' Substance Use
Health Care Professionals' Substance Use
Signup and view all the flashcards
Support Groups for Families
Support Groups for Families
Signup and view all the flashcards
Denial in Substance Abuse
Denial in Substance Abuse
Signup and view all the flashcards
Symptoms of Alcohol Withdrawal
Symptoms of Alcohol Withdrawal
Signup and view all the flashcards
Adverse Reaction of Disulfiram
Adverse Reaction of Disulfiram
Signup and view all the flashcards
Acamprosate (Campral)
Acamprosate (Campral)
Signup and view all the flashcards
Benzodiazepine withdrawal treatment
Benzodiazepine withdrawal treatment
Signup and view all the flashcards
Underage Drinking Statistics
Underage Drinking Statistics
Signup and view all the flashcards
College Drinking Consequences
College Drinking Consequences
Signup and view all the flashcards
Binge Drinking in College Athletes
Binge Drinking in College Athletes
Signup and view all the flashcards
Late-Onset Alcoholism Risk Factors
Late-Onset Alcoholism Risk Factors
Signup and view all the flashcards
Community-Based Substance Abuse Treatment
Community-Based Substance Abuse Treatment
Signup and view all the flashcards
Health Promotion for Responsible Drinking
Health Promotion for Responsible Drinking
Signup and view all the flashcards
Alcohol-Related Injuries in College
Alcohol-Related Injuries in College
Signup and view all the flashcards
Prevention Programs for College Students
Prevention Programs for College Students
Signup and view all the flashcards
Importance of Labels for Disulfiram Users
Importance of Labels for Disulfiram Users
Signup and view all the flashcards
Older Adults and Alcohol Abuse
Older Adults and Alcohol Abuse
Signup and view all the flashcards
Study Notes
Addiction Key Terms
- 12-step program: A recovery philosophy emphasizing total abstinence and peer support.
- Blackout: A period of impaired consciousness during substance use, with no memory of actions. Usually associated with alcohol.
- Codependency: A maladaptive pattern in relationships with substance users, often perpetuating the addiction.
- Controlled substances: Drugs regulated under the Controlled Substances Act, including opioids, stimulants, benzodiazepines, and more.
- Denial: A defense mechanism where individuals deny or minimize substance use problems.
- Designer drugs (club drugs): Synthetic substances made by altering existing drugs, often with amphetamine-like and/or hallucinogenic effects.
- Detoxification: The process of safely withdrawing from a substance under medical supervision.
- Dual diagnosis: Co-occurrence of a substance use disorder and another psychiatric illness.
- Enabling: Behaviors that unintentionally support substance use, hindering recovery.
- Flushing: A reddening of the face and neck due to increased blood flow, sometimes associated with alcohol use in certain ethnicities.
- Hallucinogens: Substances distorting reality, causing hallucinations and depersonalization.
- Inhalants: A diverse group of inhaled substances, including anesthetics, nitrates, and solvents, misused for their effects.
- Intoxication: Maladaptive behavior resulting from substance use.
- Opioids: Controlled substances often abused for euphoria and pain relief. Some are prescribed, others are illegal.
- Polysubstance abuse: Using multiple substances.
- Spontaneous remission: Natural recovery from a substance use disorder without formal treatment.
- Stimulants: Substances increasing activity and alertness.
- Tapering: Gradually decreasing medication doses to discontinue use safely.
- Tolerance: Needing increasing amounts of a substance to achieve the same effect.
- Tolerance break: A state where very small amounts of a substance cause intoxication.
- Withdrawal syndrome: Negative physical and psychological reactions when substance use stops.
Substance Abuse Trends
- Alcohol use disorder: Affects millions of American adults and adolescents, contributing to deaths, accidents, absenteeism, and healthcare costs. Global alcohol use is a significant health burden.
- Opioid crisis: A significant problem in the US, driven by overprescription, heroin use, and illicit synthetic opioids like fentanyl. The COVID-19 pandemic exacerbated the crisis.
Substance Abuse Types & Legal Issues
- Drug Categories: Alcohol, sedatives/hypnotics/anxiolytics, stimulants, cannabis, opioids, hallucinogens, inhalants.
- Polysubstance abuse: Using multiple substances concurrently.
- Legal consequences: Substance abuse can lead to legal problems.
Substance Abuse Onset and Course
- Average age of initial alcohol intoxication: Adolescence in the US
- Early onset: Often begins before age 15, with increasing difficulties later.
- Blackouts: Occur with continued heavy drinking.
- Tolerance and tolerance breaks: A common course of substance use.
- Cycles of relapse and remission: Typical nature of chronic substance use.
- Factors influencing poor outcomes: Earlier age at onset, prolonged use, co-occurring psychiatric disorders.
- Increased risks with long-term use: Mental/physical deterioration and infectious disease possibility (especially for intravenous drug users).
- Increased suicide risk: Observed in alcohol-dependent individuals.
- Spontaneous remission: Natural recovery without treatment; often following a crisis or promise to a loved one.
Related Disorders
- Gambling disorder: A non-substance-related disorder with similar characteristics to substance abuse.
- Caffeine and nicotine addiction: Diagnosed under the DSM-5 but not commonly considered mental disorders.
- Internet addiction: A topic of discussion but requiring further study.
- Substance-induced mental illnesses: Anxiety, psychosis, or mood disorders triggered by substance use.
Etiology of Substance Use Disorders
- Biological factors: Genetic vulnerability; studies involving twins and adoption support this factor.
- Neurochemical influences: Substances stimulate dopamine, reinforcing further use.
- Psychological factors: Inconsistent parenting, lack of nurturing, and lack of adaptive coping skills can be linked to addiction.
- Social and environmental factors: Cultural attitudes, peer pressure, cost, availability, and laws affect substance use.
- Increased risk for children of alcoholics: Associated with familial environmental features and genetic factors
Cultural Considerations
- Cultural variations: Varying attitudes, usage patterns, and bodily responses to substances exist.
- Harmful effects: Alcohol use and accidents (MVAs) are significant issues in some cultures.
Types of Substances and Treatment Overview
- Alcohol: Central nervous system depressant, rapid absorption; intoxication symptoms (slurred speech, impaired coordination), overdose can cause respiratory failure, withdrawal can include delirium tremens. Treatment may involve medically supervised detoxification and tapering or symptom-triggered administrations of benzodiazepines.
- Sedatives/Hypnotics/Anxiolytics: Similar effects to that of alcohol; withdrawal may also be life-threatening, and detoxification needs strict medical supervision and tapering of dosage.
Treatment and Prognosis
- Medical illness: Addiction as a chronic medical illness; relapse is common.
- 12-step programs: AA, Narcotics Anonymous; emphasize abstinence and peer support; widely used in treatment.
- Other support groups: Al-Anon, AlaTeen, recovery groups for other addictions.
- Treatment settings: Emergency departments, outpatient clinics, hospitals, specialized units, clinics, rehab centers, residential programs
Nursing Actions in Substance Abuse Situations
- Providing information on substance use: Dispel myths, and promote accurate knowledge for individual and family understanding.
- Addressing denial and self-blame: Facilitate responsibility acknowledgment in relation to the substance use problem.
- Supporting coping mechanisms: Develop positive alternatives in relation to life stressors that don't involve substance use.
- Encouraging support from others: Encourage mutual support among individuals involved.
Age-Related Considerations
- Teen alcohol use: Widespread underage drinking; early onset drinking is common as a child.
- College students Report high rates of binge drinking and associated negative consequences; prevention programs exist at colleges to target students.
- Late-onset substance use: Observed among older adults due to circumstances including chronic illnesses, medication, stress and grief; screening tools can promote early identification and brief interventions.
Community-Based Care
- Outpatient treatment: Wide range of settings.
- Support groups (such as AA): Crucial for maintenance of abstinence; support from peers, and shared experiences are useful in recovery.
- Aftercare programs: Designed to maintain abstinence; continuation of education and support.
- Nursing involvement in community settings: Encounters and collaboration with recovering clients in clinics or health providers' offices.
Health Promotion
- Public awareness and education Not significantly impacting substance abuse rates.
- Prevention programs: For older adults and college-aged students, incorporating screening tools and brief interventions helps early identification and treatment of substance abuse problems.
Substance Use by Health Professionals
- Increased risk: Compared to other occupations, health professionals have higher rates of addiction, especially for controlled substances.
- Reporting colleagues A crucial ethical (and potentially legal) duty of healthcare professionals to report suspicious use and poor performance in peers (for nursing, this might involve the nurse practice act).
Self-Awareness
- Nursing attitudes: Acknowledge personal biases and histories of substance use that could influence care.
- Empathy for patients: Avoid judgment, maintain empathy and objectiveness when caring for substance use patients.
Critical Thinking Questions and Examples
- Scenario: Nurse confronting another: Prioritize intervening with the substance abuser to ensure safety for the client and the nurse.
- Scenario: England's substance use methods: The example of England's drug use treatment program raises ethical and practical questions for application in the US.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on substance use treatment, including the symptoms of benzodiazepine withdrawal and key concepts related to the 12-step program. This quiz covers important elements of addiction recovery and the approaches utilized in treatment programs. Perfect for those studying psychology or addiction medicine.