NURS 525 Psych Week 12 Exam Questions
With Correct Answers
Define tolerance - answer✔The body requires more substance for the same result
Happens when 2 biological events occur:
1. Pharmacokinetic tolerance (drug not reaching the brain's receptors)
2. Pharmacodynamic tolerance (receptors are damaged or lost)
Define dependence - answer✔Occurs when the body changes to adapt to the constant access
and use of the drug; a defining factor is that withdrawal will occur
Define addiction - answer✔Characterized by the inability to consistently abstain, impairment in
behavioral control, craving; the behavior continues despite resulting in destruction of
relationships, economic conditions, and health; major feature is compulsiveness
Define co-occurring/dual diagnosis - answer✔Refers to a SUD + other psychiatric illness
Define craving - answer✔intense desire/urge for something (i.e., a drug)
Define misuse - answer✔use of a medication in any way not prescribed, including not having
one's own Rx
Define diversion - answer✔-Transfer of any legally prescribed controlled substance from the
individual for whom it was prescribed to another individual for any illicit use
-Puts patients at risk; most common drugs diverted from the healthcare facility setting are
opioids
Define nonmedical use of a drug - answer✔Using Rx drugs not prescribed or for the
feeling/experience
Define pseudo-addiction - answer✔Behaviors may present as addiction, but once pain is
controlled, behaviors resolve
Define withdrawal - answer✔Sx resulting from decrease/absence of the drug
Define cross tolerance - answer✔Tolerance that develops through continued use of another
drug with a similar action (Ex. BZD and alcohol)
Define recovery - answer✔A state of mind, the emotional response of coping with sober living
in the face of triggers
Define Substance Use Disorder (SUD) - answer✔A pathological pattern of behaviors related to
the use of a substance, leading to clinically significant impairment or distress as manifested by
at least 2/11 criteria
Name some criteria for Substance Use Disorders - answer✔-cravings to use the substance
-wanting to cut down or stop but not managing to
-taking the substance in larger amounts or for longer than you're meant to
-using substances even when it puts you in danger
-continuing to use, even when it causes problems in relationships
-neglecting other parts of your life because of substance use
What are the DSM-5 Substance Relates Disorders? - answer✔-Substance (specified) Use
Disorders
-Substance Induced Disorders, including Substance (specified) Intoxication, Substance
(specified) Withdrawal, Substance/medication-induced mental disorders
What are the DSM-5 10 substance classes? - answer✔-alcohol
-caffeine
-cannabis
-hallucinogens
-inhalants
-opioids
-sedatives, hypnotics, anxiolytics
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