from Review Flashcards

1
Q

How would you treat a patient with chronic pain and substance use disorder

A
  • Treat at the same time
  • We don’t need to cut back on opioids, might need to increase the opioids
  • Empathy and compassion
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2
Q

What would be the formal process of nurses with SUD returning back to work

A
  • Graduated back to work return plan
  • 3-4 hour return, increasing hours gradually back to full time
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3
Q

Why do patients with OUD not respond to pain control medications?

A
  • Tolerance
  • Dose of opioids will need to be much higher
  • Person is addicted to opioids already
  • Need to still control pain
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4
Q

What is TIP and how would you implement it into your clinical work?

A
  • Provide client with choice whenever we can
  • Assume every client coming thru the door has had history of trauma
  • Make sure clinical spaces are safe and nothing is in office area that may trigger client
  • Validation of experiences and history
  • Therapeutic alliance
  • Non-triggering language (pronouns , preferred name etc.)
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5
Q

T or F: Women with SUD are usually introduced to drugs by their partner

A

TRUE

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6
Q

How would you approach an adolescent in residential facility who has relapsed back to drug use?

A
  • Educate without lecturing – MI
  • Discuss what happened, why they relapsed, what their triggers were, how to avoid relapses in the future
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7
Q

What is the current evidence-based treatment for patients with concurrent disorders

A
  • Treat both at the same time
  • Seeing clients on a long-term basis –
  • Continue psychotropic medication – clinicians are careful with benzos & stimulants (because of the addiction – increase dependence) 2nd and 3rd generation anti-psychotics to manage anxiety
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8
Q

What are some triggers for relapse

A
  • Emotional states – depression and anxiety
  • Stress
  • Peers, family who are using
  • Lapse = short-term relapse
  • Focus on CBT & monitor mood states and triggers
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9
Q

What is a supervised consumption site?

A
  • Safe supervised environment where patients can use drugs safely
  • Drug testing provided
  • Clean needles
  • Asked to stay after they’ve used
  • Monitored by nurses, HCW, social workers
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10
Q

How would RPN provide TIP to clients from LGBTQ+ community?

A
  • Educate yourself on the LGBTQ+ community
  • Reduce stigma within self (self-awareness)
  • This community has the highest rate of drug use
    o Usually around the time they have recently come out to cope with anxiety etc
  • Preferred name / pronouns
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11
Q

Why are nurses at a higher risk of substance abuse?

A
  • Accessibility to drugs
  • Knowledge about nurse pharmacology
  • Vicarious trauma
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12
Q

How would RPN work effectively with a pregnant client with active drug use

A
  • Assess varibales (holistic assessment) of the woman
  • What shes using, how shes using the drugs, how long shes been using
  • Providing empathy, compassion, being non-judgmental
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13
Q

What are some of the benefits of group therapy for SUD

A
  • Cheaper
  • Social connections
  • Accountability
  • Someone to relate to / not feeling alone
  • Sense of support system
  • Learning from one another
  • Rules and regulations
  • Some clients do not respond to group therapy
    o Disruptive
    o Anxiety – they wont benefit from being in a group
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14
Q

What is involved in family therapy for SUD

A
  • Looks at the entire family
  • Assess communication patterns between family members
  • Psychoeducation – teach effects of drug use/misuse
  • Provide the family with resources
  • Family counselling – teaching families about mental illness, drugs
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15
Q

What is managed alcohol program? (MAP program)

A
  • Harm reduction approach for clients unable to abstain from alcohol
  • Having one drink a day
  • Prescribed by a physician e.g. 1.5 oz vodka TID
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16
Q

What personality disorder has the highest risk of substance use?

A
  • Antisocial personality disorder
17
Q

What is cultural competency

A
  • Asking the client what makes them feel comfortable
  • Asking clients to teach me about their rituals, beliefs, songs, food
18
Q

What is meant by “rolling with resistance” in context of MI

A
  • Any change process comes with resistance – which is normal
  • Normalizing resistance, let the resistance occur
19
Q

When planning drug prevention programs for youth who should be involved in the process

A

family

20
Q

What teaching is important for a patient with Hep C?

A

What teaching is important for a patient with Hep C?
- Harm reduction
o Safe sexual practices
o Clean needles
- Teaching the signs and symptoms
- Certain substances exacerbate symptoms
o Hep c in liver
o Pts who drink alcohol – avoid/decrease alcohol to prevent liver cancer/liver disease
o Cigarettes and marijuana

21
Q

What is DBT?

A
  • Created for borderline personality disorder
  • Works well for SUD
  • Focuses on mindfulness
  • Preventing triggers/ preventing drug use
22
Q

What would you include in your teaching for a patient on Rx drugs for pain

A
  • Provide education about the abuse potential
  • Have regular consultations with the person prescribing the medications
  • Safe storage -keeping the drugs in a locked cabinet or drawer – to prevent accidental overdose in children
23
Q

What is contingency management

A
  • Good behaviours are rewarded
  • Works well for youth and children with SUD
  • E.g. $5 coupon for tim hortons
  • Doesn’t work too well with adults
24
Q

Why does drug use increase during pregnancy with clients with SUD

A
  • Domestic abuse
  • Stress
  • Physical changes
25
Q

What are some barriers for women in accessing SUD tx?

A
  • Finding child care
  • Trauma
  • Women only tx centers
  • Money
  • Transportation
25
Q

What are some barriers for women in accessing SUD tx?

A
  • Finding child care
  • Trauma
  • Women only tx centers
  • Money
  • Transportation
26
Q

What is the single factor for positive outcome when working with clients with SUD?

A
  • Therapeutic foundation / TR
27
Q

What is CBT? What are the goals of CBT?

A
  • Focusing on positive aspects, gradually move away from negative schema
  • Helps people look at the positives