Mental health study guide test#1

Question 1

intoxication

Answer 1

physical and mental state of exhilaration and emotional frenzy, lethargy or stupor.

Question 2

withdrawal

Answer 2

physiological and mental readjustment that accompanies discontinuation of an addictive substance.

Question 3

Question to ask pt, with dependence, alcohol abuse?

Answer 3

when was the last time did u abuse alcohol or substance?

Question 4

Substance abuse

Answer 4

In a 12 month of period: on or more of this should happen. Either recurrent use resulting role failure in home or school.2)it’s creating physically hazardous continued due to impairment and their following of continue of legal problems

Question 5

substance abuse hallmark sign

Answer 5

loss of control( main one). pt builds more tolerance to get the same effect which leads to getting more substance abuse.

Question 6

cross tolerance

Answer 6

building tolerance to one chemical similar family. For ex-benzo, alcohol, barbi are located in close proximity on the GABA receptor.

Question 7

Cross-dependence

Answer 7

one drug can prevent withdrawal symptoms associated with physical dependence on a different drug.
Example-Heroin addicts us Methadone to detox.

Question 8

Biopsychosocial Theories

Answer 8

Biochemical- alcohol may produce morphine like substance in the brain.
Genetic vulnerability- children are prone to alcohol 3 to 4 times more.

Question 9

Biopsychosocial theories#2

Answer 9

personality defects-intense sensory input,passive, can’ learn from aversive conditions .

Question 10

Conditioning

Answer 10

feeling pleasure becomes reinforced.

Question 11

Pleasure reward system

Answer 11

dopamine-where the addictive behaviors become reinforced.

Question 12

psychoanalytical theory

Answer 12

regressed and fixated, in oral stage -Erik Erickson theory

Question 13

soci-cultural theory

Answer 13

social forces, role models, respond to stress in our environment and ethnic group

Question 14

Family systems theory

Answer 14

codependent- people pleasures, competent outside and helplessness from inside.

Question 15

Alcohol/Alcoholism blood level

Answer 15

100-200 mg/dL is=intoxication, Death can occur with level of 400-700 mg/dL

Question 16

alcohol effects

Answer 16

depression, malnourished and loss of self respect.

Question 17

Alcohol minor withdrawal

Answer 17

(4-12hrs) anxiety, agitation, irritability, nausea and vomiting.

Question 18

alcohol major withdrawal

Answer 18

life threatening, hypertension, tachycardia, confusion tremors, hallucinations and seizures.Alcohol withdrawal delirium( 2-3 days). Drinking before going to sleep decreases REM sleep.

Question 19

Assessment

Answer 19

CAGE, Cut down, annoyed, guilt and eye opener.

objective-VS, Appearance, Neuro checks and toxicology screen

Question 20

Disease of alcoholism

Answer 20

Biological- inherited , progressive- continues downward spiral whether the alcoholic stop drinking or not.

Question 21

Medical/psycho social

Answer 21

GI-esophageal bleeding, gastritis and pancreatitis
cirrhosis( low blood flow)=portal hypotension
hepatic encephalopathy- Liver can’t convert ammonia to urea which equal impaired mental functioning
Nutritional deficiency- vitamin B thiamine
infectious disease-pneumonia and TB

Question 22

Medical/psych social#2

Answer 22

cardio- hypertension, cardiomyopathy
leukopenia- production, function and movement of wbc is impaired.
thrombocytopenia -production and survival of platelets is impaired .

Question 23

Medical treatment for alcoholism

Answer 23

First thing monitor VS frequently
check pt fluids status if its over or more
Give magnesium sulfate to prevent seizures and you can Dilantin if pt has history of Seziures before too.
give pt thiamine and multivtiamins.

Question 24

Detox pt primarily on first

Answer 24

Librium and diazepam for short term

Question 25

med for long term

Answer 25

Buspar

Question 26

Treatment for withdrawal

Answer 26

safety#1, sitter, If pt has hallucinations then nurse should orient them because it's part of the withdrawal No Restrain

Question 27

Bupar bus

Answer 27

Teach pt, its take's long time like 3 to 4 weeks to work. take with food. its interacts with serotonin and DA in the bus pt can became dizzy and drowsy.

Question 28

Amphetamine intoxication

Answer 28

RADICAL PEA PATA Restlessness,Agitation, dilated pupils, increase respiration's,confusion and lost of appetite. PEA -Paranoid, elevated BP, Agitation PATA- psychosis assaultive behavior, Tremors, arrhythmia's OD-cardiac symptoms

Question 29

Amphetamine withdrawal

Answer 29

``` DC,DC,SF,PR DC=Depression, craving for substance DC=disturbed sleep/dreams SF=suicidal or paranoid PR=psycho motor agitation ```

Question 30

Barbi intoxication

Answer 30

GILL SHIT FED GILL-gait problem,impaired memory or attention, labilty and irritability SHIT- slurred speech, hallucinations,impaired memory , talkative FED-fever, euphoric, delirium and dealth

Question 31

barbi withdrawal

Answer 31

CIAO, SD,NM,LaTer CIAO-coma, insominia, anxiety or tachycardia and orthostatuc drops SD-seizures, decrease respiration NM-Nausea and vomiting, muscle contractions LaTer- Life threatening and tremor

Question 32

Barbi meds

Answer 32

NSA- PBT NSA- nemibutual, seconal, amytal PBT-Phenobarbital, butabarbital and tunial

Question 33

Sedative, hypnotic or anxiolytic INtoxication

Answer 33

INIIS LISA, SIN LISA= Labile, inappropriate sexual, slurred speech, Aggressive SIN- Stupor, Impaired memory and attention, Ngstagmus

Question 34

Sedative, hypnotic or anxioytic withdrawal

Answer 34

NADIA, PG,TVH NADIA-Nausea, anxiety, diaporesis, insomnia and autonomic hyperactivity. PG- psycho motor agitation and grand mal seizures TVH- Tachycardia, vomiting and hand tremor

Question 35

narcotic intoxication

Answer 35

ROME ICU SAD ROME-respiratory depression, out of touch, Impaired memory, euphoric ICU-impaired memory, clammy skin, unconsciousness to come, SAD-slurred speech, Analgesic qualties and drowsy

Question 36

Narcotic withdrawal

Answer 36

DR WANDA Y FIDM DR- diaphoresis rhinorrhea WANDA-watery eyes, abdominal cramps,nausea vomiting , dysphoric, anxiety Y- yawning FIDM-flu like symptoms , Insomnia, Dilated pupils, Muscle/joint pain

Question 37

cocaine intoxication

Answer 37

``` APNA HDTV GAP A-agugtation P-paranpia N-auses A-arrthymia H-hyperension/tachycardia D-dilated pupils T-talktivness V-vominting G-grandiosty A-act directly blocks dopamine P-perspiration ```

Question 38

Cocaine

Answer 38

``` SPA HF Severe craving Psychomotor agitation Anxiety Fatigue depression ```

Question 39

Inhalant intoxication

Answer 39

Later

Question 40

Inhalants on CNs

Answer 40

Cerebral atrophy cerebellar degeneration, white matter lesions causing cranial nerve damage or pyramidal signs

Question 41

Respirattoty

Answer 41

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