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Adult Health II - Unit IV questions and answers 2024.
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Adult Health II - Unit IV questions and answers 2024.
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Adult Health II - UnitIV exam questions and
answers 2025
successful recovery is associated with this trait...
resilience
triad of psychotherapeutic management
-"me"
-"milieu"
-"meds"
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milieu
environment:
-controlled/limited environments ("day room") to help them learn to
,appropriately interact
-creates boundaries and safety
duty to warn (Tarasoff)
mental health professional's responsibility to break confidentiality
and report potential threats to appropriate authority
DSM 5 definition for substance use disorder
a problematic pattern of substance use leading to clinically
significant impairment or distress, as manifested by at least two of
the DSM criteria, occurring within a 12-month period
tolerance
-a need for markedly increased amounts of the substance to achieve
intoxication or desired effect
-markedly diminished effect with continued use of the same amount
of the substance
withdrawal
-the characteristic withdrawal syndrome for the substance
-substance (or a closely related substance) is taken to relieve or
avoid withdrawal symptoms
specify severity of SUD as defined by DSM 5
-mild: presence of 2-3 symptoms
-moderate: presence of 4-5 symptoms
-severe: presence of 6-11 symptoms
terminology for unhealthy use
-harmful, hazardous
-non-prescribed use
-avoid: misuse
terminology for binge
-heavy episode
-multiple days
terminology for intoxication
-using a substance to excess
-said to be under the influence, intoxicated, or high
,terminology for dependence
-physical
-addiction
terminology for toxicology screens
-positive/negative
-avoid: clean/dirty
terminology for return to use
-recurrence
-remission
-avoid: relapse
terminology for medication
-agonist
-avoid: substitution, assisted, replacement
terminology for neonatal withdrawal
-abstinence syndrome
-avoid: addicted
substance use disorder
-chronic disease that is related to reward, memory, motivation, and
circuitry
-characterized by an individual's compulsive seeking of drugs and
use despite amazingly harmful consequences
-most affected areas affected by drug use are brain stem, limbic
system, and frontal cortex.
brain stem
vital functions/keeps us alive
frontal cortex
decision making/judgement/impulse control
limbic system
emotion:
-amygdala (fear, anger)
, -hippocampus (new memories)
-hypothalamus (hormones)
risk factors for SUD
-chronic stressors
-poverty
-trauma
-PTSD
-anxiety
-depression
-suicidality
SBIRT method of assessment
-screening
-brief intervention
-referral to treatment
nurses attitude when assessing SUD
-nonjudgmental
-matter of fact
-expressing genuine concern
SUD assessment components
-amount and type of AOD, including prescription medication
-medical problems associated with AOD in patient and family
members
-blood and urine drug screens (prevents AOD minimization)
-look for suspicious signs/symptoms
-use screening tests
screening tools for alcohol use disorder
-AUDIT (identifies alcohol use disorder)
-CAGE (indicator for candidacy of alcohol use disorder)
-Transtheoretical model (identifies readiness for change)
CAGE questionnaire
-Have you ever felt the need to CUT down on your drinking or drug
use?
-Have people ANNOYED you by criticizing your drinking or drug use?
-Have you ever felt GUILTY about drinking or drug use?
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