IC&RC Exam 2024/2025: Substance Abuse and Addiction Treatment, Exams of Nursing

Download IC&RC Exam 2024/2025: Substance Abuse and Addiction Treatment and more Exams Nursing in PDF only on Docsity! IC&RC EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS How is drug tolerance best described? - Answer ✔✔Decreased sensitivity to a drug over time What is the most common symptom of Wernicke's encephalopathy? - Answer ✔✔Confusion Which 3 conditions does alcohol induce? - Answer ✔✔1. Steatosis 2. Hepatitis 3. Cirrhosis Formication - Answer ✔✔a sensation like insects crawling over the skin. What organ is most damaged by cocaine abuse? - Answer ✔✔The Heart What are 3 basic chemicals of amphetamines? - Answer ✔✔1. Amphetamine Sulphate 2. Dextroamphetamine 3. Methamphetamine What is the most difficult drug to quit? - Answer ✔✔Nicotine: only 7% succeed, 1/5 of all heart disease deaths linked to smoking Convergence Theory - Answer ✔✔Rates of substance abuse among women are converging with those of men Alcohol Abuse ranks _____ in psychiatric disorders in the elderly - Answer ✔✔Third Alcohol Use Disorder 3 Subcategories in the elderly include: - Answer ✔✔1. Late-onset alcoholism 2. Delayed-onset alcoholism 3. Late-onset exacerbation drinking First requirement at an initial meeting with a client - Answer ✔✔Establish rapport What does Motivational Interviewing primarily involve? - Answer ✔✔Supportive persuasion What % of Dual Dx clients received tx for only their mental illness? - Answer ✔✔32.9% What does the acronym GATE stand for? - Answer ✔✔Gather information How many problem domains are addressed in the Addiction Severity Index (ASI)? - Answer ✔✔Six The Addiction Severity Index (ASI) has been formally adopted by which organization? - Answer ✔✔The National Institute on Drug Abuse (NIDA) What does the SOAP progress note acronym stand for? - Answer ✔✔Subjective Objective Assessment Plan What does the DAP progress note acronym stand for? - Answer ✔✔Data Assessment Plan The mnemonic DIG-FAST evaluates which psychological state? - Answer ✔✔Mania How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated? - Answer ✔✔A chronic treatable condition How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions be provided following discharge from a formal inpatient or outpatient program be referred to? - Answer ✔✔Continuing Care What is the BEST distinction b/w substance abuse treatment programs and mutual-help groups? - Answer ✔✔Programs offer treatment, groups offer support What are 3 Core features that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon? - Answer ✔✔1. Biopsychosocial Assessment 2. Individualized Treatment Planning 3. Case Management Naltrexone treats which 2 SUD's? - Answer ✔✔Alcohol and Opioid dependence What are 3 core treatment and recovery skills? - Answer ✔✔1. Stress management 2. Substance refusal training 3. Relaxation training What are the 7 learning styles? - Answer ✔✔1. Aural 2. Visual 3. Verbal 4. Physical 5. Logical 6. Social (interpersonal) 7. Solitary (intrapersonal) What is the influence of family on treatment outcomes? - Answer ✔✔Treatment outcomes can improve OR worsen depending on health of the family How many levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)? - Answer ✔✔Five levels of care How many sequential stages must outpatient clients work through, regardless of the level of care at which they enter treatment? - Answer ✔✔Four stages What are the 4 Stages of treatment according to the American Society of Addiction Medicine (ASAM)? - Answer ✔✔1. Treatment Engagement 2. Early Recovery 3. Maintenance 4. Community Support Individual vs. Group Therapy - Answer ✔✔Equal in Effectiveness What is a key element of effective referrals? - Answer ✔✔Collaboration Case Management - Answer ✔✔1. Gives clients continuity by providing a single contact point 2. Is community based in all approaches, but the extent varies by agency For Case Management to be Culturally Sensitive - Answer ✔✔The case manager must do cultural self-assessment to be culturally competent Stages of Change - Answer ✔✔1. Precontemplation 2. Contemplation 3. Preparation 4. Action (6 months) 5. Maintenance (7+ months) Research has found what to be true about ethnic minority client in SA/MH settings? - Answer ✔✔Studies found fewer community resources and access to specialty treatment for ethnic minorities How to SA clients file complaints when they've experienced discrimination? - Answer ✔✔Cases may be filed in state or federal court, or a suit filed by the U.S. Attorney General The CNS is made up of what? - Answer ✔✔brain and spinal cord Peripheral Nervous System (PNS) - Answer ✔✔the sensory and motor neurons that connect the CNS to the rest of the body 1. Somatic System 2. Autonomic System Somatic System (PNS) - Answer ✔✔Connects CNS to the skeletal muscles and skin Autonomic Nervous System (ANS) - Answer ✔✔the part of the peripheral nervous system that connects CNS nerves to organs 1. Sympathetic Division 2. Parasympathetic Division Sympathetic Divison - Answer ✔✔Part of ANS within PNS: fight or flight Parasympathetic Division - Answer ✔✔Part of ANS within PNS: rest and digest Neuron - Answer ✔✔Cell body, axons, and dendrites Acetylcholine - Answer ✔✔Excitatory Neurotransmitter Muscle movement Norepinephrine - Answer ✔✔Excitatory Neurotransmitter Arousal, moods, memory formation Serotonin - Answer ✔✔Excitatory Neurotransmitter Emotion, mood, sleep, temperature regulation Dopamine - Answer ✔✔Excitatory & Inhibitory Neurotransmitter Body movement, pleasure, reward GABA - Answer ✔✔Inhibitory Neurotransmitter Motor behavior (not enough = convulsions) Glycine - Answer ✔✔Inhibitory Neurotransmitter Spinal reflexes, motor behavior Enkephalins & Endorphins - Answer ✔✔Inhibitory Neurotransmitters inhibit spinal neurons from transmitting pain signals to the brain, pleasure Medulla Oblongata - Answer ✔✔Lowest part of the brain/brainstem that controls vital life-sustaining involuntary functions such as heartbeat, breathing, blood pressure, and digestion. 3. Dependency/Addiction (incurable at this stage) 5 Stages of SUD - Answer ✔✔1. Experimentation 2. Regular Use 3. Problem Use 4. Dependence 5. Addiction 7 Stages of Alcohol Intoxication - Answer ✔✔1. Subclinical 2. Euphoria 3. Excitement 4. Confusion 5. Stupor 6. Coma 7. Death 3 Stages of Alcohol Withdrawal - Answer ✔✔1. Beginning Withdrawal 2. Withdrawal 3. Severe Withdrawal Blood Alcohol Content (BAC) - Answer ✔✔a measure of the percentage of alcohol found in a person's blood Legal limit = 0.08% Substance Use vs. Abuse vs. Disorder - Answer ✔✔1. Occasional Drug Use = some behavioral changes, some physical symptoms 2. Drug Abuse = behavioral signs 3. SUD = physical, health, and behavioral symptoms Alcohol Use vs. Abuse - Answer ✔✔1. Tolerance 2. Loss of Control Metabolization of Alcohol - Answer ✔✔takes about 2 hours to metabolize a single 1/2 oz of 200 proof alc, 1.5 oz of 80 proof, 12 oz of beer, 6 oz of wine Detoxification only in liver Broken down into acetaldehyde then acetic acid CNS Depressants - Answer ✔✔*Sedative/hypnotics *Barbiturates *Minor tranquilizers *Opiates - Naturally Occurring *Opiates - Semi-synthetic *Opiates - Synthetic Narcotics *Narcotic Analogs - Designer Drugs *Inhalants *Marijuana Psychedelics (can both excite and depress CNS) - Answer ✔✔*Marijuana *Hallucinogenic mushrooms *LSD *Morning Glory Seeds *DMT *Nightshade Family *Nutmeg and Mace *PCP *Designer Drugs - Hallucinogenic analogs *Peyote & Mescaline CNS Stimulants - Answer ✔✔*Amphetamines *Caffeine *Nicotine *Ephedra & Khat *Betel Nuts & Yohime *Cocaine *Crack Cocaine Big 5 Personality Traits - Answer ✔✔(OCEAN) Openness to Experience 3 Levels: No risk, Low risk, High risk Ask MI questions to gather more info TAPS Assessment Instruments - Answer ✔✔Tobacco, Alcohol, Prescription Medication & Other Substance Use (TAPS) TAPS-1: frequency of use in last 12 months (if yes - administer TAPS- 2) TAPS-2: frequency of use in last 3 months CRAFFT Assessment Instrument - Answer ✔✔Children & Adolescents under 21 Acronym for screening questions Car Relax Alone Forget Family/friends Trouble Process Evaluation - Answer ✔✔Assesses if tx was appropriate, whether screening/assessment led to suitable tx Whether client took advantage of recommended services available Outcome Evaluation - Answer ✔✔Whether client accurately assessed and benefited from tx plan Provides evidence of needs in drug tx (gaps) Substance Use Disorders (SUDs) - Answer ✔✔Caused by: Drug abuse, Medication side effects, or exposure to a toxin Intoxication & Withdrawal = behavioral, psychological & physiological sxs due to use or restriction of a substance Substance classes: caffeine, hallucinogens, alcohol, cannabis, stimulants, tobacco, inhalants, opioids, sedatives, hypnotics & anxiolytics, and other 11 Symptoms Used to Dx SUD - Answer ✔✔2+ must have occurred in past 12 months for dx 1. Tolerance 2. Withdrawal 3. Increased Amount 4. Inability to Control Use 5. Time & Effort to Obtain 6. Giving up Important Activities 7. Continued use despite ill effects 8. Craving 9. Inability to fulfill major roles 10. Physically harmful (use) 11. Use despite social problems Level of Care: Quadrant 1 - Answer ✔✔Quadrant 1 = Low-Level SUD and minor mental health problems Outpatient Level of Care: Quadrant 2 - Answer ✔✔Quadrant 2 = Severe mental health, low-level SUD treated in MH system Level of Care: Quadrant 3 - Answer ✔✔Quadrant 3 = Severe SUD, MH low-moderate severity SUD tx programs Level of Care: Quadrant 4 - Answer ✔✔Quadrant 4 = Intensive usually residential 3. Moderate Management (MM) - cut back drinking so no longer a problem 4. Women for Sobriety - female alcoholics 5. Secular Organization for Sobriety (SOS) - save our selves, get/stay sober from any substance 6. SMART Recovery - self-management & recovery training; addiction = maladaptive behavior 7. 12-Steps (AA, Minnesota Model) 60-day residential tx -- Hazelden 21-day -- 28-day version SOAP Docmuentation - Answer ✔✔S: Subjective (clt's statement of problem) O: Objective (observations) A: Assessment (determination of possible causes) P: Plan (short & long-term goals, immediate plan) PIE Documentation - Answer ✔✔Problem Intervention Evaluation DAR Documentation - Answer ✔✔Data: about condition Action: taken by counselor Response: by client Client Status Reports - Answer ✔✔Observable & Measurable Duration, time, frequency, progress, direct observation 6 Stages of Counseling - Answer ✔✔1. Information Gathering 2. Evaluation 3. Feedback 4. Counseling Agreement 5. Changing Behavior 6. Termination Attending Skills - Answer ✔✔1. Physical attending 2. Psychological attending 3. Self-attending 4. Responding 2 components = (1) listening and observing (2) ensuring client knows she's being heard 3 Components of Interpreting - Answer ✔✔1. Ascertaining client's ideals & stating them (use attending, paraphrasing, reflection of feeling, and summarizing) 2. Adding counselor's ideas to client's ideas (helps to see other views) 3. Go over these ideas w/the client Promoting Client Action - Answer ✔✔Role-playing Values clarification Goal setting Problem-solving Homework Advice Giving (several suggested paths w/out directing) Transference - Answer ✔✔Client exhibits feelings towards counselor originally felt towards significant others (positive or negative) Countertransference - Answer ✔✔Counselor exhibits feelings towards client based on unconscious reaction or response related to previous relationships or situations *self-awareness important!