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Ch 17, 19
Mental Health Nursing
| Question | Answer |
|---|---|
| Addiction | a chronic brain disease characterized by compulsive and maladaptive use of a substance or behavior |
| Alcohol Abuse | compulsive use of alcohol usually lasting 1 month or longer |
| Alcohol Dependence | Improper use of alcohol with impairment of social or occupational functioning, which leads to sings of tolerance or withdrawal |
| Alcohol Use Disorder | term used by DSM-5 to identify alcohol use that is severe enough to meet criteria for this diagnosis including withdrawal symptoms |
| Alcoholism | complex, progressive disease characterized by significant physical, social, and/or mental impairment directly related to alcohol dependence and addiction |
| Binge Drinking | episodic, excessive drinking, four our more alcoholic drinks for women, or five or more alcoholic drinks for men on the same occasions on at least 1 day |
| Codependency | maladaptive coping behaviors that reinforce another person's addictive behavior by allowing that person to avoid consequences of his/her actions (enabling) |
| Co-occuring Disorder | existence of both a substance abuse disorder and a serious mental illness (dual diagnosis) |
| Detoxification | the process of withdrawal of the substance through supervised medical interventions to prevent complications |
| Dysfunctional | having abnormal or ineffective function in mental health pertaining to coping and relationships |
| Psychoactive Drugs | any drug that alters mood, perception, mental functioning, and/or behavior |
| Substance Abuse | the maladaptive and consistent use of a substance accompanied by recurrent and significant negative consequences such as interpersonal, social, occupational, and legal problems |
| Substance Dependence | a cluster of cognitive, behavioral, and physiological symptoms that indicate that the individual continues use of the substance despite significant substance-related problems |
| Substance Use Disorder | DSM-5 diagnostic term for substance abuse and substance dependence |
| Tolerance | the need for increasingly larger or more frequent doses of a substance to obtain the desired effects |
| Withdrawal | negative physiological and psychological reactions that occur when a substance is reduced or no longer taken |
| Attention-deficit/Hyperactivity Disorder (ADHD) | the display of a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than is typically observed in individuals at a comparable level of development |
| Autism Spectrum Disorder (ASD) | a group of disorders that are characterized by impairment in several areas of development, including social interaction, skills, and interpersonal communication |
| Bipolar Disorder | a disorder characterized by mood swings from profound depression to extreme euphoria with intervening periods of normalcy |
| Bullying | a form of aggressive behavior manifested by the use of force or coercion to affect others, particularly when the behavior is habitual and involves and imbalance of power |
| Conduct Disorder | a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated |
| Cyberbullying | the use of the internet and social media to harm other people in a deliberate, repeated, and hostile manner |
| Hyperactivity | excessive psychomotor activity that may be purposeful or aimless |
| Impulsivity | the trait of acting without reflection and thought to the consequences |
| People with psychiatric disorders commonly abuse drugs/alcohol to self-medicate to reduce? | -anxiety, -insomnia, -depression, -loneliness, -rapid thoughts, -frightening hallucinations, -distressing symptoms |
| Generally, substance abuse becomes a problem when: | 1. interferes with normal functioning 2. continues despite negative consequences 3. hurts others |
| What are some early signs of serious problems with alcohol use in men/women? | -drinking in secret -drinking first thing after waking up -gulping the first drink -preoccupation with alcohol -onset of blackouts |
| What are the signs of alcohol withdrawal? | -autonomic hyperactivity (high bp, tachycardia, fever) -hand tremors, -anxiety -insomnia, -nausea/vomiting -transiet visual, tactile, or auditory hallucinations/illusions -early signs of delirium -grand mal seizures |
| Medications that treat alcoholism: | -Disulfiram -Naltrexone -Acamprosate -Topiramate |
| What are signs of substance abuse in children/teens? | -change in functioning at school -loss of interest in sports -change in sleep patterns -increased isolation -irritability, mood swings |
| What are the common coping styles of substance abusers? | -denial, -projection, -rationalization, -minimizing, -manipulation, -grandiosity |
| Coping style: Denial | person minimizes or does not acknowledge the problem or the results of the problem even when strong evidence is presented |
| Coping style: Projection | blames others for his or her drinking and substance abuse |
| Coping style: Rationalization | justifies intolerable behavior by giving plausible excuses |
| Coping style: Minimizing | avoids conflict by reducing the impact of the behavior |
| Coping style: Manipulation | plays one person against another in order to get one's way to cover up or avoid a problem |
| Coping style: Grandiosity | maintains a sense of superiority and irresponsibility particularly evident when intoxicated |
| The defense mechanism most frequently demonstrated by the chemically dependent person is? | -denial |
| Nurses know that alcohol functions as a? | -CNS depressant |
| The patient who is experiencing delirium tremens is most likely to exhibit which of the following symptoms? | -tremors -auditory hallucinations -confusion |
| Your patient admits to using an illegal substance daily, thinking about it when not actually using it, and spending a lot of time figuring out where to get it. This patient could have: | -an addiction |
| One of the major skills a person or family can learn during substance abuse treatment is? | -honest communication |
| Your spouse, an alcoholic for many years, had been sober for the last 2 years but has recently begun drinking again. To keep your spouse from driving drunk, you begin acting as his/her chauffeur. You are displaying what kind of behavior? | -codependent |
| Which of the following medications is most likely to be ordered for a patient experiencing alcohol withdrawal? | -chlordiazepoxide |
| Your patient just attended her first AA meeting. Which statement reflects that she understands the purpose of AA? | -"AA can help me stay sober" |
| A patient is suspected of methamphetamine abuse. What symptom would you be most likely to see? | -weight loss |
| What are some behaviors associated with childhood mania? | -hyperactivity, -grandiose delusions, -irritability, -rapid speech/racing thoughts, -reduced need and desire for sleep, -rapid mood swings |
| What are some signs of suicide risk in children/teens? | -talking/asking questions about death, -giving away possessions, -artwork/play with death themes, -losing interest in friends/sports, -evidence of substance abuse, -poor sleep habits, -hopelessness or self-hate, -previously attempting suicide |
| What are some possible causes of ADHD? | -genetics, -altered secretion of neurotransmitters like dopamine, -altered brain anatomy, -prenatal exposure to alcohol, -exposure to lead, -reactions to food dyes, additives, sugar, -chaotic family life |
| The child with autism has difficulty with trust. With this in mind, which of the following nursing actions would be the most appropriate? | -encourage the same staff person to care for the child each day |
| Your 5 year old patient is not talking to you or the social workers. You suggest giving her some toys and drawing materials. Your rationale for doing this is: | -children often communicate feelings through their play |
| Which of the following activities is most helpful for a child with ADHD? | -volleyball |
| Which of the following groups of medications are most commonly used with ADHD? | -CNS stimulants |
| The single most common symptom of autism is: | -impaired social functioning |
| The parents of 6 year old Anna say, "Nurse, why us? the doctors tell us Anna has the most difficult of all childhood developmental disorders to cure. What did we do wrong? What can we do for her?" Your best response might be: | -"we have specialists here who can answer your questions. I will call someone" |
| Which of the following parental traits would be most likely to predispose to conduct disorder in the child? | -chaotic home life with both parents being heavy drinkers |
| What is the major concern in administering antidepressants to depressed children? | -the child is at higher risk for suicide |