T2- Substance-Related Addictive Disorders Pt. 2 Flashcards Preview

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Flashcards in T2- Substance-Related Addictive Disorders Pt. 2 Deck (22):
1

What are 3 assessment tools used for alcoholism?

1. Clinical Institue Withdrawal Assessment of Alcohol Scale (CIWA-Ar)
2. Michigan Alcoholism Screening Test (MAST)
3. CAGE

2

What is the CAGE questionnaire?

C: have you ever felt you should CUT down your drinking

A: Have people ANNOYED you by criticizing your drinking?

G: Have you every felt bad or GUILTY about your drinking?

E: Have you ever had a drink first thing in the morning to steady your nerves (EYE opener)?

3

What is meant by dual diagnoses?

Determined that the client has a co-existing substance disorder and mental illness---may be assigned to a special program that targets BOTH problems

4

Most dual diagnosis programs take a more ____ and less ____ approach

More supportive and less confrontational approach

*therapy works to target BOTH problems

5

What are 5 nursing diagnoses for substance use disorder?

1. Ineffective denial r/t weak underdeveloped ego
2. Ineffective coping r/t inadequate coping skills and weak ego
3. Imbalanced nutrition: less than body requirements/deficient fluid volume r/t drinking or taking drugs instead of eating
4. Risk for infection r/t malnutrition and altered immune condition
5. Chronic low self-esteem r/t weak ego, lack of positive feedback

6

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego.

Build ____. How?

Trust--be honest; keep all promises

7

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego?

What sort of attitude? What should we make sure the client understands?

Attitude of acceptance--make sure they understand "it is not you, but your behavior that is unacceptable"

8

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego?

What info should we provide? and what should we try and identify?

Info to correct misconceptions about substance abuse

Try and identify recent maladaptive behaviors or situations that have occurred in the clients life and discuss how the use of substances may have been a contributing factor

9

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego?

Should we use confrontation?

Use confrontation with caring

10

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego?

If the client tries to use rationalization or projection, should we accept this? Why?

NO! Rationalization and projection PROLONG the stage of DENIAL that problems exist in the clients life because of substance use

11

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego?

Should we encourage group activities for the client? Why or why not?

Yes, we should bc peer feedback is more accepted than feedback fro authority figures

12

What are some nursing interventions for a patient experiencing the diagnosis: ineffective denial r/t weak underdeveloped ego?

Offer immediate ______ of clients expression of insight gained regarding illness and acceptance of responsibility of own behavior. ______ enhances self esteem an encourages repetition of desirable behaviros

Positive recognition
Positive reinforcement

13

What are some clues that might help you recognize a chemically impaired nurse? (there are a lot, just try to name as many as possible)

-Denial!
-High absenteeism (if source is outside work)
-Rarely miss work (if source is from work(
-Increase in "wasting" of drugs
-Higher incidence of incorrect narcotic counts and higher record of signing out of drugs
-Poor concentration, not meeting deadlins, inappropriate responses, poor memory
-Bad relationships
-Mood swings
-Unprofessional appearance, bad motor coordination, slurred, speech, flushed face
-Inconsistent job performance
-Frequent use of restroom
-Discrepancies in documentation

14

What is the most widely abused drugs?

Alcohol, followed by narcotics

15

What are some programs to help chemically impaired nurses?

-State nursing associations have developed programs
-Peer assistance programs
-Hotline numbers

16

Strive to intervene early, reduce hazards to clients, and increase prospects for the nurses's recovery---serve to assist impaired nurses to recognize their impairment, to obtain the necessary treatment, and to regain accountability within their progression

Peer assistance programs

17

Dysfunctional behaviors that are evident among members of the family of a chemically dependent person or among family members who harbor secrets of physical or emotional abuse, other cruelties, or pathological conditions

Codependency

18

Codependent people sacrifice their own needs for the ____ of others to achieve a sense of control

Fulfillment

19

Codependent people:
-Derive ___ from others
-Feel responsible for the ____ of others
-Commonly ___ problems exist
-May have experience abuse or emotional neglect as a ____

Self-worth
Happiness
Deny
Child

20

Codependent people: Does the person keep feelings in control? How is anxiety released?

Yes, keeps feelings in control

Anxiety is released in the form of stress-related illnesses or compulsive behaviors (eating, spending, working, or use of substance)

21

T/F: Codependent people are outwardly focused on others and know very little about how to direct their lives from their own sense of self

TRUE

22

Codependency: The person is a family member??

No, can be but doesnt have to be --the person can be a friend or coworker