Health and Healing IV Durham College
Exam Questions And Answers
/.Substance use: - Answer-✅Use or misuse of substances despite the associated
negative personal and social consequences
/.Tolerance - Answer-✅A progressive decrease in a person's responsiveness to a drug.
/.Nursing assessment: substance use - Answer-✅*Ask pt regarding the use of
substances
*Determine when the last used was
*Anticipate onset of withdrawal
*Head-to-toe-assessment
*mental health condition increases the risk for substance use
*Serum urine and drug screens to identify the type and amount of substances
/.Nicotine effects: - Answer-✅*High blood pressure
*increased HR
*Increased CO (cardiac output)
*Increased coronary blood flow
*Increased cutaneous vasoconstriction
*Increased alertness
*Arousal effects last 1-2 hrs
/.cutaneous vasoconstriction - Answer-✅Blood vessels narrow
Less blood flow to skin less heat escapes from body
/.Withdrawal effects of Nicotine: - Answer-✅*Craving
*Attention difficulties
*Headache
*Insomnia
*Increased appetite
/.Health complications related to Nicotine: - Answer-✅*Death owing to cancer
*Cataracts
*Chronic lung disease
*Cardiovascular disease/stroke
*Pregnancy complications such as low birth weight, sudden infant death syndrome
(SIDS), still birth
,/.still birth - Answer-✅death of a fetus at or after the 20th week of gestation
/.Interprofessional care for Nicotine use: - Answer-✅*Medications
*Behavioural approaches
*Support
*Nicotine replacement therapy
*Tobacco cessation programs
*Coping skills
*Peer support systems
/.Benefits of Nicotine quitting: - Answer-✅*Back to normal BP, Oxygen, and HR
*Lungs start clearing out mucus by coughing
*Decreased risk for developing a heart attack
*Decreased risk of coronary heart disease
*Breathing becomes easier
*Sense of smell and taste start to return
*Decreased risk for dying of lung cancer after 10 yrs
/.Alcohol effects: - Answer-✅*Affects almost all cells in the human body
*Complex effects on the neurons in the CNS
/.Alcohol withdrawal effects: - Answer-✅*Life-threatening effects when withdrew
suddenly
*Seizures can occur (24-48 hrs after last drink)
*Alcohol withdrawal delirium (delirium tremens) can occurs between 48-96 hrs after last
drink
*Tremulousness
*Anxiety
*Hight HR
*High BP
*Sweating
*Nausea
*Agitation
/.Delirium tremens (DTs) - Answer-✅a disorder involving sudden and severe mental
changes or seizures caused by abruptly stopping the use of alcohol
/.Health complications due to alcohol: - Answer-✅*OTC drug interactions
*Tenderness (abdominal assessment)
*Ascites
*Liver dysfunction (bleeding)
*Wernicke's encephalopathy
*Korsakoff syndrome
, /.Interprofessional care in alcohol withdrawal: - Answer-✅*Withdrawal management as
initial treatment
*Rehabilitation
*Sustained abstinence
/.Wernicke's encephalopathy - Answer-✅*A brain disorder caused by thiamine (vitamin
B1) deficiency and characterized by visual disturbances, ataxia, somnolence, stupor,
and, without thiamine replacement, death.
/.Korsakoff syndrome (KS) - Answer-✅A late, neuropsychiatric manifestation of
Wernicke encephalopathy in which there is a striking disorder of selective anterograde
and retrograde amnesia.
Patients rarely recover and usually require at least some form of supervision and social
support either at home or in a chronic care facility.
/.Vitamine B1 (Thiamine) - Answer-✅*Reverse Wernicke-Korshakoff Syndrome
*Used for pyruvate and carbohydrate metabolism
/.Opioids effects: - Answer-✅*CNS depression
*Analgesia
*Drowsiness
*Slurred speech
*Environment detachment
*Hunger
*Decreased respiratory rate
*Decreased GI peristalsis
*Decreased pupil size
/.Opioids overdose effects: - Answer-✅*Pinpoint pupils (extremely small pupils)
*Clammy skin (cold skin)
*Decreased respiration
*Decreased LOC which can lead to coma or death
*Choking or coughing, gurgling or snoring sounds
*Dizziness and disorientation
*Discoloration of lips and nails
/.Opioids withdrawal symptoms: - Answer-✅*Craving
*Diarrhea
*Nausea
*Vomiting
*Abdominal cramps
/.Health complications due to opioids: - Answer-✅*Bowel obstruction
*Opioid-induced constipation
*Loss of tolerance which can result in death by unintentional overdose
Exam Questions And Answers
/.Substance use: - Answer-✅Use or misuse of substances despite the associated
negative personal and social consequences
/.Tolerance - Answer-✅A progressive decrease in a person's responsiveness to a drug.
/.Nursing assessment: substance use - Answer-✅*Ask pt regarding the use of
substances
*Determine when the last used was
*Anticipate onset of withdrawal
*Head-to-toe-assessment
*mental health condition increases the risk for substance use
*Serum urine and drug screens to identify the type and amount of substances
/.Nicotine effects: - Answer-✅*High blood pressure
*increased HR
*Increased CO (cardiac output)
*Increased coronary blood flow
*Increased cutaneous vasoconstriction
*Increased alertness
*Arousal effects last 1-2 hrs
/.cutaneous vasoconstriction - Answer-✅Blood vessels narrow
Less blood flow to skin less heat escapes from body
/.Withdrawal effects of Nicotine: - Answer-✅*Craving
*Attention difficulties
*Headache
*Insomnia
*Increased appetite
/.Health complications related to Nicotine: - Answer-✅*Death owing to cancer
*Cataracts
*Chronic lung disease
*Cardiovascular disease/stroke
*Pregnancy complications such as low birth weight, sudden infant death syndrome
(SIDS), still birth
,/.still birth - Answer-✅death of a fetus at or after the 20th week of gestation
/.Interprofessional care for Nicotine use: - Answer-✅*Medications
*Behavioural approaches
*Support
*Nicotine replacement therapy
*Tobacco cessation programs
*Coping skills
*Peer support systems
/.Benefits of Nicotine quitting: - Answer-✅*Back to normal BP, Oxygen, and HR
*Lungs start clearing out mucus by coughing
*Decreased risk for developing a heart attack
*Decreased risk of coronary heart disease
*Breathing becomes easier
*Sense of smell and taste start to return
*Decreased risk for dying of lung cancer after 10 yrs
/.Alcohol effects: - Answer-✅*Affects almost all cells in the human body
*Complex effects on the neurons in the CNS
/.Alcohol withdrawal effects: - Answer-✅*Life-threatening effects when withdrew
suddenly
*Seizures can occur (24-48 hrs after last drink)
*Alcohol withdrawal delirium (delirium tremens) can occurs between 48-96 hrs after last
drink
*Tremulousness
*Anxiety
*Hight HR
*High BP
*Sweating
*Nausea
*Agitation
/.Delirium tremens (DTs) - Answer-✅a disorder involving sudden and severe mental
changes or seizures caused by abruptly stopping the use of alcohol
/.Health complications due to alcohol: - Answer-✅*OTC drug interactions
*Tenderness (abdominal assessment)
*Ascites
*Liver dysfunction (bleeding)
*Wernicke's encephalopathy
*Korsakoff syndrome
, /.Interprofessional care in alcohol withdrawal: - Answer-✅*Withdrawal management as
initial treatment
*Rehabilitation
*Sustained abstinence
/.Wernicke's encephalopathy - Answer-✅*A brain disorder caused by thiamine (vitamin
B1) deficiency and characterized by visual disturbances, ataxia, somnolence, stupor,
and, without thiamine replacement, death.
/.Korsakoff syndrome (KS) - Answer-✅A late, neuropsychiatric manifestation of
Wernicke encephalopathy in which there is a striking disorder of selective anterograde
and retrograde amnesia.
Patients rarely recover and usually require at least some form of supervision and social
support either at home or in a chronic care facility.
/.Vitamine B1 (Thiamine) - Answer-✅*Reverse Wernicke-Korshakoff Syndrome
*Used for pyruvate and carbohydrate metabolism
/.Opioids effects: - Answer-✅*CNS depression
*Analgesia
*Drowsiness
*Slurred speech
*Environment detachment
*Hunger
*Decreased respiratory rate
*Decreased GI peristalsis
*Decreased pupil size
/.Opioids overdose effects: - Answer-✅*Pinpoint pupils (extremely small pupils)
*Clammy skin (cold skin)
*Decreased respiration
*Decreased LOC which can lead to coma or death
*Choking or coughing, gurgling or snoring sounds
*Dizziness and disorientation
*Discoloration of lips and nails
/.Opioids withdrawal symptoms: - Answer-✅*Craving
*Diarrhea
*Nausea
*Vomiting
*Abdominal cramps
/.Health complications due to opioids: - Answer-✅*Bowel obstruction
*Opioid-induced constipation
*Loss of tolerance which can result in death by unintentional overdose
