Substance Related & Addictive Disorders

Question 1

What cultural groups are at a higher risk of alcohol use disorder?

Answer 1

Alaska Natives + Native Americans

Question 2

The Asian Culture has what kind of rate of alcohol use disorder?

Answer 2

A Low Rate

Question 3

The rate of alcohol use disorder is most frequent in what age group?

Answer 3

18-25 Years Old

Question 4

Cocaine use is decreased among adolescents.

True or false?

Answer 4

False

Question 5

About half of the adolescent population reports having access to-

Answer 5

Marijuana

Question 6

Substance use while pregnant can cause an increased risk of-

Answer 6

Premature birth, low birth weight, and neonatal accident syndrome

Question 7

Older adults who use substances are especially prone to -

Answer 7

Falls and other injuries
Memory Loss
Somatic Complaints (Things that bother the body physically like pain, weakness, or SOB)
Sleep pattern changes

Question 8

List some indications of alcohol use in older adults:

Answer 8

Lack of self care
Urinary Incontinence
Manifestations of Dementia

Question 9

Do older adults show symptoms of alcohol use at smaller doses than young adults?

Answer 9

Yes

Question 10

Any medication regimen where there are more than 5 medications involved =

Answer 10

Polypharmacy

Question 11

List the different standardized screening tools for substance use:

Answer 11

The CIWA-Ar
The CAGE Questionnaire
The AUDIT
The SBIRT

Question 12

What does the CIWA-Ar measure?

Answer 12

How many symptoms of alcohol withdrawal that the patient is being affected by.
This can help determine if they are going through mild to severe alcohol withdrawal.

Question 13

1.) For the CIWA-Ar, what score indicates minimal to mild alcohol withdrawal?

2.) What score can indicate moderate withdrawal?

2.) What score can indicate severe withdrawal?

Answer 13

1.) A score of less than 8 to 10.

2.) A score of 8 to 15.

3.) A score of 15 or higher.

Question 14

What is the CAGE Questionnaire used to do?

Answer 14

It’s used to test for alcohol use disorder in adults.
It is not used as a way to diagnose but really just to tell you if an alcohol problem might exist.

Question 15

What score on the CAGE Questionnaire is considered to be clinically significant and is indicative of alcohol problems?

Answer 15

A score of 2 or greater

Question 16

What is the AUDIT Questionnaire used to do?

Answer 16

Determine how at risk that you are for alcohol abuse

Question 17

1.) You have just taken an AUDIT Questionnaire, what score indicates that you are at no risk or low risk for alcohol abuse?

2.) You have just taken an AUDIT Questionnaire, what score indicates that you are at a medium risk for alcohol abuse?

3.) You have just taken an AUDIT Questionnaire, what score indicates that you are at a high risk for alcohol abuse?

4.) You have just taken an AUDIT Questionnaire, what score indicates that you are likely addicted to alcohol?

Answer 17

1.)
For a woman = 0 - 6
For a man = 0 - 7

2.)
For a woman = 7 - 15
For a man = 8 - 15

3.) 16 - 19

4.) 20+

Question 18

What is the SBIRT and what is it used to do?

Answer 18

It is an evidence-based approach to identifying the people who use alcohol and other substances at risky levels

Question 19

What are the 4 phases of the SBIRT in order?

Answer 19

Establish a Rapport & Begin Screening.
Elicit their thoughts. Give feedback and education.
Assess and enhance their motivation.
Negotiate on a plan and summarize.

Question 20

What involves routine wellness screenings, reduces risk for drinking and related harms, promotes safer drinking, increases help for seeking people who need it?

Answer 20

The SBIRT

Question 21

Ecstasy is a-

Answer 21

Designer / Club Drug

Question 22

What are the effects of opioid withdrawal?

Answer 22

A lot of physical complaints, such as:
Abdominal cramping, diarrhea, headaches, elevated BP, vomiting, shaking, goose bumps, sweating

Question 23

A common medication that is on an opiate protocol to combat the high BP =

Answer 23

Clonadine

Question 24

You have a patient who’s came in and they’re suffering from withdrawal from opioids. What must you do first before giving any Clonidine?

Answer 24

You’ve gotta take their apical pulse and their BP.

A pulse rate under 60 = Don’t give Clonidine.

A BP that’s under 90/60 mm Hg = Don’t give Clonidine.

Question 25

Huge pupils can be a symptom of-

Answer 25

Opioid Withdrawal

Question 26

What’s the antidote for Opioids?

Answer 26

Naloxone (Brand Name = Narcan)

Question 27

What is considered illegally intoxicated for adults?

Answer 27

0.08%

Question 28

What level of alcohol intoxication can cause acute toxicity and kill you?

Answer 28

Levels higher than 0.4%

Question 29

What are the symptoms of Fetal Alcohol Syndrome?

Answer 29

Microcephaly (Baby’s head is smaller than expected)
Craniofacial Malformations (Upturned nose, thin upper lip, flat nasal bridge, etc.)
Limb & Heart Defects
Smooth Philtrum (No crease above the lip)
Other Developmental Problems

Question 30

What is Delerium Tremins?

Answer 30

Severe alcohol withdrawal symptoms (shaking, confusion, hallucinations).
Delerium Tremens is very high risk.

Question 31

What’s important to remember about patients that are having Delerium?

Answer 31

It is considered to be a medical emergency, NOT a psychiatric emergency

Question 32

Delirium = not medically clear to be in a psychiatric unit and is also not stable.
True or false?

Answer 32

True

Question 33

If a patient is in the psychiatric unit with Delerium, where should they be sent to?

Answer 33

The ICU

Question 34

Club drugs can be taken via what route?

Answer 34

Orally or Injected

Question 35

Is there an antidote to reduce Barbiturate toxicity?

Answer 35

No

Question 36

Second most prevalent lifetime disorder =

Answer 36

Alcohol Abuse

Question 37

What are Anxiolytics?

Anxiolytics include drugs like-

Answer 37

Anxiolytics are a class of drugs that are used to treat PT’s with General Anxiety, Panic Disorders, etc.

Anxiolytics can include things like:
Sedatives (Hypnotics)
Benzodiazepines (Lorazepam, Diazepam)
Barbiturates (Pentobarbital, Club Drugs)

Question 38

Symptoms & Signs of Alcohol Withdrawal:

Answer 38

Anxiety, Insomnia, Diaphoresis, Hypertension, Possible Psychotic Reactions, Hand Tremors, Nausea & Vomiting, Possible Seizure Activity, Agitation

Question 39

Can you have toxic doses of Cannabinoids?

Answer 39

Yup

Question 40

Withdrawal symptoms of Cannabis:

Answer 40

Irritability, Aggression, Anxiety, etc.

Question 41

You give a patient a drug screening. It comes back as negative. Does this mean that the patient is for sure not using substances?

Answer 41

No, they could be using synthetic drugs that won’t show up on a drug screening or they may have just been without them for a few days

Question 42

Cocaine, Methamphetamine, Inhalants (Tobacco Use, Cigarettes/Cigars, Vaping, etc.), Hallucinogens, Caffeine, and other Stimulants can be called-

Answer 42

CNS Stimulants

Question 43

You can be intoxicated by caffeine.
True or false?

Answer 43

True

Question 44

What are the symptoms of CNS stimulants?

Answer 44

Tachycardia, Arrhythmias, Flushed Face, Muscle Twitches, Restlessness, Diuresis (Kidneys filter too much body fluid), GI Disturbances, Anxiety, Insomnia

Question 45

What are the withdrawal symptoms of CNS stimulants?

Answer 45

Headache, Nausea & Vomiting, Muscle Pain, Irritability, Inability to Focus, Drowsiness

Question 46

What can be used to treat nicotine addiction?

Answer 46

Nicotine Patches, Nicotine Gum

(Too much of these can be bad too)

Question 47

Snuff or chewing tobacco symptoms:

Answer 47

Irritation to oral mucous membranes + Cancer

Question 48

Symptoms of smoking Tobacco products include:

Answer 48

CV Disease, Hypertension, Stroke, & Respiratory Diseases like Lung Cancer & Emphysema (Which causes SOB and has no cure)