Substance Abuse, Anger, Hostility, Aggression

Question 1

What is the top 3 most Abused Substance

Answer 1

1. Alcohol
2. Nicotine
3. Caffeine

Question 2

Substance-specific Syndrome due to recent ingestion of a substance

Answer 2

Intoxication

Question 3

Maladaptive Pattern of substance use leading to clinically significant impairmentl; within 12 months

Answer 3

Abuse

Question 4

Substance-specific Syndrome due to the cessation of or reduction in intake

Answer 4

Withdrawl

Question 5

Maladaptive pattern of substance use as manifested by: Tolerence, Withdrawl, a need for more of the substance.

Answer 5

Dependence

Question 6

Four Phases of Alcoholism

Answer 6

1. Pre-alcoholic Symptomatic
2. Prodromal
3. Crucial
4. Chronic

Question 7

Is Wernicke’s Encephalopathy reversiblle?

Answer 7

True

Question 8

Is Korsakoff’s Psychosis reversible?

Answer 8

False

Question 9

Treatment for Wernicke’s Encephalopathy

Answer 9

Thiamine Replacement Therapy

Question 10

Treatment for Korsakoff’s Psychosis

Answer 10

Thiamine Replacement Therapy (only to prevent worsening)

Question 11

What are the effects of Alcohol in Body

Answer 11

Cirrhisis of liver
Leukopenia
Thrombocytopenia
Sexual Dysfunction

Question 12

What are the Signs and Sx of Cirrhosis of the liver

Answer 12

Portal Hypertension
Ascites
Esophageal Varices
Hepatic Encephalopathy

Question 13

What is the Blood Alcohol level that is considered Dead

Answer 13

400-700 mg/dl

Question 14

When is the onset of Alcohol Withdrawl

Answer 14

4-12hr

Question 15

What is the onset and duration of Delirium Tremens

Answer 15

Onset: 24-72 hr
Duration: 2-3 days

Question 16

What is the Medication given for Delirium Tremens

Answer 16

Depakote

Ativan

Question 17

What are the symptoms of the use of Opiates

Answer 17

Drowsiness, decreased blood pressure, pulse and respiratory (brings down)
Pinpoint pupils
Needle tracks and Scarring

Question 18

What does the client exhibit if he Overdosed on Opiates

Answer 18

Slow, shallow breathing, clammy skin, convulsions, caoma, pulmonary edema, death

Question 19

What is the onset and Duration of Opiate Withdrawl

Answer 19

Onset: 8-12 hr
Duration: 7-10 days

Question 20

What are the symptoms of the use of Cocaine

Answer 20

Euphoria, Grandiosity
INcreased BP, Tachycardia, PAranoia, Anxiety
Disrupts eating and sleeping habits
irritable
decreased concentration

Question 21

What are the Signs and Symptoms of Cocaine Withdrawl

Answer 21

• anhedonia
• craving
• irritability
• Fatigue
• moddy
• Anxiety

Question 22

CAGE assessment

Answer 22

Cut down
Annoyed
Guilty
Eye-opener

Question 23

What medications are given for enhancing abstinence

Answer 23

Antidepressants(depression/Anxiety)

Antipsychotics(Thought Disorder)

Question 24

What are the medication for substance abuse

Answer 24

Disulfiram(antabuse) 250 mg/day *hepatotoxic

Naltrexone(Re via) 50mg/day

Question 25

What are the key elements of 12 steps

Answer 25

``` Acceptance Surrender Processing Grief Higher power Power of the group ```

Question 26

A sudden event in one's life that disturbs homeostasis

Answer 26

Crisis

Question 27

An immature defense mechanism in which the patient deals with emotional conflict by actions

Answer 27

Acting out

Question 28

An emotion expressed by verbal abuse

Answer 28

Hostility

Question 29

DABDA

Answer 29

``` Denial Anger bargaining Depression Acceptance ```

Question 30

When an individual becomes fixed in the stage of anger and becomes depressed

Answer 30

Anger turned Inward

Question 31

Can arise from such feeling states as anger, anxiety, tension, guilt, . etc

Answer 31

Aggression

Question 32

What is De-escelate and Esecelate

Answer 32

It is the Calming down or Bringing up of the Situation

Question 33

This Atypical Antipsychotic drug can stop period and increase blood Glucose levels

Answer 33

Respidone (respirdal)

Question 34

This Atypical Antipsychotic can cause Agranulocytosis

Answer 34

Clozapine(Clozaril)

Question 35

What are side effects of Anticholinergic drugs

Answer 35

``` Orthostatic Hypertension Sedation Decreased Sweating Temperature Dry mouth NAsla Congestion Urinary Hesitation Urinary Retention Blurred Vision Constipation Mydriasis ```