Module 2 Chapter 6: Substance abuse assessment Flashcards Preview

Health Assessment > Module 2 Chapter 6: Substance abuse assessment > Flashcards

Flashcards in Module 2 Chapter 6: Substance abuse assessment Deck (17)
Loading flashcards...
1
Q

Alcohol consumption has dose-related effects: the more you drink…

A

the higher the risk

2
Q

__________ increases risk of sepsis, septic shock, and hospital mortality among intensive care unit (ICU) patients

A

Alcohol dependence

3
Q

what are some prescribed opiod pain releavers?

A
  • Oxycodone
  • Hydrocodone
  • Methadone
4
Q

Alcohol problems ___________ both in primary care settings and in hospital

A

underdiagnosed

5
Q

_______ amount of alcohol has been determined

safe for pregnant women

A

NO

6
Q

What characterstcs in older adults cause a higher risk for alcohol use?

A

Liver metabolism and kidney functioning decrease, increasing availability of alcohol in blood for longer periods

– Less tissue mass means increased alcohol concentration in blood

– Older adults may be on multiple medications that can interact adversely with alcohol, including
benzodiazepines, antidepressants, antihypertensives, and aspirin

– Drinking alcohol increases risk of falls,
depression, and gastrointestinal problems

7
Q

Alcohol screening questions

A

“Do you sometimes drink beer, alcohol, or wine?

  • “On average, how many days/week do you have an alcoholic drink?”
  • “On a typical drinking day, how many drinks do you have?”
8
Q

list of alcohol screening tools

A
  • TWEAK
  • AUDIT
  • SMAST-G
  • CAGES
9
Q

TWEAK

A

• Useful for women, pregnancy

10
Q

SMAST-G

A

– Useful for older adults

11
Q

• AUDIT

A

– Alcohol consumption
– Drinking behavior or dependence
– Adverse consequences from alcohol

12
Q

• CAGES

A

– Works well in primary care settings because it takes less than 1 minute to complete

13
Q

moderate drinking pattern for men

A

< 2 drinks/day for men

14
Q

moderate drinking pattern for women and adults

A

– < 1 drink/day for women and adults > 65 years

15
Q

The nurse is assessing a patient who has been abusing opiates for 4 years. The patient says, “I
can quit anytime I want.” The nurse should interpret this statement to be a sign that this individual:

  1. may be in denial of needing help or having a problem with opiates.
  2. is ready to quit and can do so with little i nter venti o n.
  3. is motivated to enter rehabilitation.
  4. should not be trusted because this individual
    is not of sound mind.
A

1

16
Q

Obejective data

A

GGT= liver enzyme
MCV= part of hemoglobin
- Beath alcohol analysis ‘
- BAC

17
Q

The nurse is caring for a patient in the ED who has been a patient many times before in the ED. In fact, this is the patient’s second overdose in one month. The nurse says, “Here we go again. I don’t know why we bother with this guy, because he will be back out there as soon as he is discharged”. The nurse:

  1. is not being professional and cannot give unbiased care.
  2. is obligated to provide care.
  3. is not obligated to provide care.
  4. must find a way to come to terms with the way he
    or she feels about these types of issues and work on ways to deal with them.
A

4