Alcohol & Drug Abuse
SimpleNursing
Mental Health "Psychiatric Care"
6 Key Definitions
6KeyDefinitions
ATI
Enabling & Codependence
1. Tolerance: decreased response
to a drug / alcohol
3 NCLEX TIPS
2. Withdrawal: symptoms that
develop after abruptly stopping
drugs / alcohol
“It is my fault that my spouse
drinks so much”
3. Dependance: the body’s physical
addiction to a drug / alcohol
“I will take care of the children
so that my spouse can drink”
4. Relapse: the recurrence of drug/
alcohol use after remission
“I have lied to my spouse’s boss
about why he missed work”
5. Denial & projection
…client who abuses alcohol & illicit drugs...
spouse tells the nurse: “have lied to his
boss, his children, and his friends and I just
don’t think I can do this anymore.” Which of
the following best describes this behavior?
Enabling
HESI
HESI
Patient with chronic pain... A regular dose
of analgesic medication is ineffective in
reducing the patient’s pain?
The patient is showing signs of tolerance
6. Enabling & codependence
Cocaine & Meth. Or Methamphetamines
are both stimulants that act on the brain
LOW
NORMAL
HIGH
Cocaine
Methamphetamines
to increase the heart rate & blood pressure.
toincreasetheheartrate&bloodpressure.
HESI
Symptoms
Q1: ... significant dental problems. The
nurse expects that this patient abuses
which substance?
Meth = dental problems
Methamphetamines
Q2: The nurse finds that a patient who is a
drug addict has nasal damage. Which
substance does the nurse suspect?
Cocaine
Cocaine = nasal damage
Nursing Interventions
HESI
A nurse is learning how to manage patients
with substance abuse disorders. Which step
should the nurse apply as a hrst-lino
first-line
shouldthenurse
intervention in such cases?
-Providingsafe
Providing safety
and sleep
tyandsleet
KAPLAN
The client is agitated and fights against the
nurse ... positive for cocaine... priority
intervention?
Provide a calm atmosphere and monitor
respiratory and cardiac status
1st
Opioidss
Opioid
HESI
Which vital sign would be most concerning
to the nurse?
Respirations 10 breaths/min
*Respirations10breaths/r
tothenurse?
Signs & Symptoms
aaa...
bbb...
ooo...
Slurred incoherent speech
KAPLAN
Decreased respiratory rate
(norm: 12 - 20)
aaa...
bbb...
A client uses heroin several times a day.
Which signs and symptoms does the nurse
expect to observe? Select all that apply.
Constricted pupils
Depressed respirations
Drowsiness or sedation
Slurred incoherent speech
Narrowed “constricted” pupils
Sedation & coma
ooo...
Opioids Withdrawal
OpioidsWithdrawal
ATI
Treatment
Signs & Symptoms
Runny nose
Opioid
Diaphoresis (sweating)
Insomnia
Dilated pupils
STOP
Naltrexone = Prevents relapse
by reducing cravings
Treatment for opioid dependence... which of
the following medications is used for
treatment of opiate withdrawal?
Select all that apply
Clonidine
Methadone
Clonidine = Lowers BP
Methadone = Low dose opioid
(wean off addiction) NCLEX TIP
HESI
HESI
... teaching a patient with a new prescription
...teachingapatientwithanewprescription
for naltrexone?
fornaltrexone.
It helps prevent relapse by reducing your
drug cravings