What is the role of nurses in the prevention and treatment of alcoholism?
Which goal for treatment of alcohol use disorder should the nurse address first? a. Learn about addiction and recovery. b. Develop alternate coping strategies. c. Develop a peer support system. d. Achieve physiological stability. ANS: D The individual must have completed withdrawal and achieved physiological stability before he or she is able to address any of the …
How to work with a patient who is beginning treatment for alcoholism?
Which goal for treatment of alcoholism should the nurse address first? a. Learn about addiction and recovery. c. Develop a peer support system. b. Develop alternate coping strategies. d. Achieve physiologic stability. 22. A patient with an antisocial personality disorder was treated several times for substance abuse, but each time the patient relapsed. Which treatment approach is …
What does a patient admitted to an alcoholism rehabilitation program tell the nurse?
21. Which goal for treatment of alcoholism should the nurse address first? a. Learn about addiction and recovery. b. Develop alternate coping strategies. c. Develop a peer support system. d. Achieve physiologic stability.
What are the 4 goals of the National Center on addiction?
Oct 09, 2020 · Most rehab facilities in the US start with the assumption that the abstinence should be the final goal of treatment. Critics of this approach argue that this is not a realistic aim in a lot of cases. It is suggested that efforts should be focused on helping those who refuse abstinence to control their alcohol consumption.
What is the first stage of treatment for alcohol dependence?
Stage 1: Treatment Initiation When you reach out for help from a professional alcohol and drug rehab program, you begin the first stage of your recovery, treatment initiation.Feb 17, 2022
What is the primary goal of the medical model of addiction?
The medical model explains why some people become addicts and offers them hope that recovery is possible.Apr 11, 2016
Which medication to maintain abstinence would most likely be prescribed for patients with alcoholism?
Three medications are approved by the U.S. Food and Drug Administration to treat alcohol use disorder: acamprosate, disulfiram, and naltrexone. Acamprosate and naltrexone reduce alcohol consumption and increase abstinence rates, although the effects appear to be modest.Mar 15, 2016
What are the substance of abuse?
Substance abuse, as a recognized medical brain disorder, refers to the abuse of illegal substances, such as marijuana, heroin, cocaine, or methamphetamine. Or it may be the abuse of legal substances, such as alcohol, nicotine, or prescription medicines. Alcohol is the most common legal drug of abuse.
What are the main models of addiction?
Once a theory has more work behind it and can offer fuller, richer explanations for addictive behavior, it grows into a behavioral models of addiction.Moral Model. ... Disease Model. ... Socio-Cultural Model. ... Psycho-Dynamic Model.Apr 12, 2021
How do genetics play a role in alcoholism?
Abundant evidence indicates that alcoholism is a complex genetic disease, with variations in a large number of genes affecting risk. Some of these genes have been identified, including two genes of alcohol metabolism, ADH1B and ALDH2, that have the strongest known affects on risk for alcoholism.
What is the most effective treatment for alcohol dependence?
Naltrexone (Trexan) and acamprosate (Campral) are recommended as FDA-approved options for treatment of alcohol dependence in conjunction with behavior therapy.Nov 1, 2005
Which medication to maintain abstinence would most likely be prescribed for patients with an addiction to either alcohol or Opiods quizlet?
Oral naltrexone and extended-release injectable naltrexone are indicated for the treatment of alcohol dependence in patients who can abstain from alcohol in an outpatient setting before the initiation of treatment.
What is drug maintenance therapy?
Maintenance therapy is the treatment of cancer with medication, typically following an initial round of treatment. Maintenance treatment may include chemotherapy, hormonal therapy, or targeted therapy.
How is substance abuse prevented?
Knowledge drawn from neuroscience reinforces the need to prevent experimentation and escalation to use and dependence, as well as the need to prevent repeated exposure, by limiting availability, reducing opportunities to use substances and making the individual more resistant to substances through psychosocial ...
How can we prevent drug abuse?
Here are the top five ways to prevent substance abuse:Understand how substance abuse develops. ... Avoid Temptation and Peer Pressure. ... Seek help for mental illness. ... Examine the risk factors. ... Keep a well-balanced life.More items...•Jul 7, 2021
How can substance abuse be addressed or reduced?
Current strategies for reducing youth use and adult substance abuse include: Increase community collaboration to reduce substance abuse. Increase and align community substance abuse prevention messaging. Increase access to skill-building opportunities for parents and adults working with youth to reduce youth use.
A patient diagnosed with alcoholism asks, “How will Alcoholics Anonymous (AA) help me?” Select the nurse’s best response. a. “The goal of AA is for members to learn controlled drinking with the support of a higher power.” b. “An individual is supported by peers while working through a 12-step plan.” c. “You must make a commitment to permanently abstain from alcohol and other drugs.” d. “You will be assigned a sponsor who will plan your treatment program.”
ANS: B Using the 12 steps, often referred to as “working the steps,” helps a person refrain from addictive behaviours while fostering individual ch...
A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated. The medical record shows these blood pressure and pulse readings at the times listed: 0200: 118/78 mm Hg and 72 beats/min 0400: 126/80 mm Hg and 76 beats/min 0600: 128/82 mm Hg and 72 beats/min 0800: 132/88 mm Hg and 80 beats/min 1000: 148/94 mm Hg and 96 beats/min What is the nurse’s priority action? a. Force fluids. b. Consult the health care provider. c. Obtain a clean-catch urine sample. d. Place the patient in a vest-type restraint.
ANS: B Elevated pulse and blood pressure may indicate impending alcohol withdrawal and the need for medical intervention. No indication is present...
A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority? a. Cardiovascular b. Respiratory c. Neurologic d. Hepatic
ANS: B Opioid overdose causes respiratory depression. Respiratory depression is the primary cause of death among opioid abusers. The assessment of...
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky, irritable, anxious, and diaphoretic and reports nightmares. The pulse rate is 130 beats/min. The patient shouts, “Bugs are crawling on my bed. I’ve got to get out of here.” Select the most accurate assessment of this situation. a. The patient is attempting to obtain attention by manipulating staff. b. The patient may have sustained a head injury before admission. c. The patient has symptoms of alcohol-withdrawal delirium. d. The patient is having an acute psychosis.
ANS: C Symptoms of agitation, elevated pulse, and perceptual distortions indicate alcohol withdrawal delirium. The findings are inconsistent with m...
A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis? a. Disturbed sensory perception b. Ineffective coping c. Ineffective denial d. Risk for injury
ANS: D The patient’s clouded sensorium, sensory perceptual distortions, and poor judgement predispose a risk for injury. Safety is the nurse’s prio...
A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. The nurse can anticipate the health care provider will prescribe which of the following? a. A narcotic analgesic, such as hydromorphone (Dilaudid) b. A benzodiazepine, such as lorazepam (Ativan) or chlordiazepoxide (Librium) c. An antipsychotic, such as olanzapine (Zyprexa) or thioridazine (Mellaril) d. A monoamine oxidase inhibitor antidepressant, such as phenelzine (Nardil)
ANS: B Sedation allows for safe withdrawal from alcohol. Benzodiazepines are the drugs of choice in most regions because of their high therapeutic...
A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated? a. Check the patient every 15 minutes b. One-on-one supervision c. Keep the room dimly lit d. Force fluids
ANS: B Immediate medical attention, ongoing assessment and supervised treatment is necessary to promote physical safety until sedation reduces the...
A patient diagnosed with an alcohol abuse disorder says, “Drinking helps me cope with being a single parent.” Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively? a. “Sooner or later, alcohol will kill you. Then what will happen to your children?” b. “I hear a lot of defensiveness in your voice. Do you really believe this?” c. “If you were coping so well, why were you hospitalized again?” d. “Tell me what happened the last time you drank.”
ANS: D The correct response will help the patient see alcohol as a cause of the problems, not a solution, and begin to take responsibility. This ap...
A patient asks for information about Alcoholics Anonymous. Select the nurse’s best response. a. “Alcoholics Anonymous is a form of group therapy led by a psychiatrist.” b. “Alcoholics Anonymous is a self-help group for which the goal is sobriety.” c. “Alcoholics Anonymous is a group that learns about drinking from a group leader.” d. “Alcoholics Anonymous is a network that advocates strong punishment for drunk drivers.”
ANS: B Alcoholics Anonymous (AA) is a peer support group for recovering alcoholics. Neither professional nor peer leaders are appointed.
How to care for a patient after an overdose?
Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.#N#a. Monitor vital signs.#N#b. Observe for depression.#N#c. Awaken the patient every 15 minutes.#N#d. Use warmers to maintain body temperature.
What are the vital signs of a patient in the emergency department?
In the emergency department, a patient’s vital signs are BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow. The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory centre secondary to narcotic intoxication. Select the priority outcome.#N#a. The patient will demonstrate effective coping skills and identify community resources for treatment of substance abuse within 1 week of hospitalization.#N#b. Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/min, and respirations at or above 12 breaths/min.#N#c. The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department.#N#d. Within 6 hours, the patient’s breath sounds will be clear bilaterally and throughout lung fields.
What is the name of the drug that is prescribed for alcohol abuse?
The patient is anxious, agitated, and diaphoretic. The nurse can anticipate the health care provider will prescribe a (n): a. narcotic analgesic, such as hydromorphone (Dilaudid).
What is a non-tolerant drinker?
A non-tolerant drinker would be in coma with a blood alcohol level of 500 mg%. The fact that the patient is moving and talking shows a discrepancy between blood alcohol level and expected behavior and strongly indicates that the patient's body is tolerant.
Why are benzodiazepines the drug of choice?
Benzodiazepines are the drugs of choice in most regions because of their high therapeutic safety index and anticonvulsant properties. 7. A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic.
Can cough syrup cause alcohol disulfiram?
Many liquid medications, such as cough syrups, contain small amounts of alcohol that could trigger an alcohol-disulfiram reaction. Using alcohol-based skin products such as aftershave or cologne, smelling alcohol-laden fumes, and eating foods prepared with wine, brandy, or beer may also trigger reactions.
Does nicotine meet the criteria for substance abuse?
Nicotine meets the criteria for a "substance," the criterion for addiction is present, and withdrawal symptoms are noted with abstinence or reduction of dose. The scenario does not meet criteria for substance abuse, intoxication, or cross-tolerance. 26.
Is nutrition a priority in an overdose?
Patients who have used these substances commonly have bizarre behavior and/or paranoia; therefore, safety is a priority concern. Nutrition is not a priority in an overdose situation.
What is the role of a nurse manager in intervention?
Intervention is the responsibility of the nurse manager and other nursing administrators. However, clear documentation (specific dates, times, events, consequences) by co-workers is crucial. The nurse manager's major concerns are with job performance and patient safety.
What is a nurse caring for?
The nurse is caring for a patient with an addictive disorder who is currently drug-free. The pt is experiencing repeated occurrences of viid, frightening images and thought. Which term would the nurse use to document this finding?
What is AA in the medical field?
Alcoholics Anonymous (AA) is a peer support group for recovering alcoholics. Neither professional nor peer leaders are appointed. Police bring a patient to the emergency department after an automobile accident. The patient demonstrates ataxia (loss of full control of bodily movements) and slurred speech.
What is the priority of care for patients?
2. Safety is always the priority when caring for patients. Ensuring safety includes completing a suicide risk assessment. 3. Wernicke's encephalopathy may develop, but the nurse must first plan care for prevention of self-harm. 4. Korsakoff syndrome is not the priority of care.
What is the importance of safety in nursing?
2. Safety is always the priority when caring for patients. Ensuring safety includes completing a suicide risk assessment.
Why are benzodiazepines used in hospitals?
Benzodiazepines are the drugs of choice in most regions because of their high therapeutic safety index and anticonvulsant properties. A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic.
How long does it take for alcohol withdrawal to peak?
Patients who are exhibiting hyperalertness and jerky movements and who startle easily are most likely in a state of alcohol withdrawal, a condition that peaks in 24 to 48 hours after cessation or reduction of alcohol intake and then rapidly and dramatically disappears unless the withdrawal process progresses to alcohol withdrawal delirium.
What is the ultimate goal of rehab?
The ultimate goal of rehab is usually complete abstinence from substance abuse in the future.
What is the National Institute for Drug Abuse?
The National Institute for Drug Abuse advises that each person is unique and so the goals of treatment need to be suited to the individual. It is also often the case that goals need to be altered in relation to the changing needs of the client.
Why is setting goals important?
The benefits of goal setting include: * The act of setting goals makes people more accountable for their success. It involves taking responsibility for achieving a certain task. * Formally stating a goal makes it easier to develop a plan of action. * Having a goal can be motivating because humans naturally want to succeed and avoid failure.
Why is it important to set goals?
Goal setting is important for anyone who is trying to achieve something. It is always easier for people to get somewhere if they know where it is they are trying to go. People can move aimlessly through life if they don’t have any destinations to aim towards.
Can you return to controlled drinking?
Experts tend to agree that a return to controlled drinking can only be a feasible solution for those with less serious alcohol problems. There is a worry that by offering this type of treatment it will prevent the individual from getting the real help they need.
Is goal setting a purely academic exercise?
Some people can view the process of formal ly setting goals as a purely academic exercise. It is a lot more than this though. There is a lot of evidence to suggest that it is highly effective and means that the individual is more likely to be successful in their endeavors. The benefits of goal setting include: ...
How to help someone with alcoholism?
It is important that as you try to help your loved one, you find a way to take care of yourself as well. It may help to seek support from others, including friends, family, community, and support groups. If you are developing your own symptoms of depression or anxiety, think about seeking professional help for yourself. Remember that your loved one is ultimately responsible for managing his or her illness.
Why is matching the right therapy to the individual important?
Matching the right therapy to the individual is important to its success . No single treatment will benefit everyone. It may also be helpful to determine whether treatment will be adapted to meet changing needs as they arise.
What is behavioral therapy?
Also known as alcohol counseling, behavioral treatments involve working with a health professional to identify and help change the behaviors that lead to heavy drinking. Behavioral treatments share certain features, which can include:
What is AA peer support?
Alcoholics Anonymous (AA) and other 12-step programs provide peer support for people quitting or cutting back on their drinking. Combined with treatment led by health professionals, mutual-support groups can offer a valuable added layer of support.
What is the NIAAA working on?
By studying the underlying causes of alcoholism in the brain and body, NIAAA is working to identify key cellular or molecular structures — called “targets” — that could lead to the development of new medications.
Does drinking cause anxiety?
Depression and anxiety often go hand in hand with heavy drinking. Studies show that people who are alcohol dependent are two to three times as likely to suffer from major depression or anxiety over their lifetime. When addressing drinking problems, it’s important to also seek treatment for any accompanying medical and mental health issues.
Why is it important to have a treatment plan for substance abuse?
The ultimate goal of an addiction recovery program is to support you as you embark on a healthier way of life. No-one controls the indefinite future. You can only control your personal actions in any given moment.
What is intervention in addiction?
Interventions may be a key component in helping a client advance in their treatment plan. They provide accountability, challenges, and direction during treatment. Addiction recovery programs aim to help you craft goals that are relevant and meaningful to you.
What is addiction recovery?
Addiction recovery programs aim to help you craft goals that are relevant and meaningful to you. To do this, you’ll be encouraged to consider your personal expectations against the expectations of those around you and create a plan on how you can achieve a healthier way of life.
What are the components of a treatment plan?
Your treatment plan will include three major components: goals, objectives, and interventions.
How many people die from alcoholism each year?
The effects of alcohol are widely known, and the National Institute on Alcohol Abuse and Alcoholism estimates that each year, 88,000 people in the die from alcohol-related causes.
What is the adage for taking one step at a time?
Small steps versus large steps make these objectives more easily attainable. The adage “one foot in front of the other” applies here. Take one step at a time, one day at a time, and soon, these goals will be reachable. At the same time, setting higher goals and meeting them will feel terrific. Allow that!
What is the third element of a treatment plan?
Finally, the third element of a treatment plan is the intervention . An intervention is something that a therapist, counselor, or medical professional does to help a client process or work through their objectives. Interventions may be a key component in helping a client advance in their treatment plan.