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NR 547 Differential Diagnosis Psychiatric-Mental Health Week 8 (2026/2027) PDF | Nursing | Chamberlain

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INSTANT PDF DOWNLOAD. Complete NR 547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum Week 8 coverage. Essential resource for Chamberlain PMHNP students studying differential diagnosis concepts and clinical applications.

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NR 547 Differential Diagnosis in Psychiatric-Mental
Health across the Lifespan Practicum - Chamberlain






, NR 547 Week 8

1. Substance use disorder occurs when:: the recurrent use of a substance,

such

as alcohol or drugs, causes clinically significant impairment

-including health problems, disability, or failure to meet responsibilities at

home, work, or school




2. Tolerance: With repeated ingestion of a drug, the drug shows decreased

effect. Increasing doses are required to achieve the effects noted with the

original admin- istration




3. Dependence: State of adaptation produced with repeated administration

of cer- tain drugs so that physical symptoms occur when the drug is

discontinued abruptly.




4. Addiction: A change in behavior caused by biochemical changes in the


,brain after continued substance use characterized by preoccupation with

and repeated use of a substance despite of negative outcomes.




5. Withdrawal: Physiological and psychological reactions that occur when

the use of a substance is stopped abruptly.




6. Intoxication: Condition following the ingestion of a substance resulting

in changes in level of consciousness, cognition, perception, judgment, and

behavior.




7. Bernita is a 64-year-old who has been using heroin for 6 years. She is

currently unemployed and lives with her daughter in the city center. She

does not have health insurance.




prescribe the proper medication:

Methadone



, Buprenorphine

Buprenorphine plus naloxone

(Suboxone) Naltrexone: Methadone




Methadone is a full ¼
re-ceptor agonist with a long half-life, which can

prevent with- drawal symptoms for 24 hours and provide steady control of

cravings throughout the day. It is only administered in methadone

federally regulated opioid treatment programs (OTP). Methadone clinics

incorporate psychosocial interventions and require daily attendance for

the first several months, so this is a good option for a client that has the

flexibility to attend daily meetings. Use of methadone in MAT

for opioid use disorder helps extend client survival. When patients stop

methadone, they have a high likelihood of relapsing, even 10 years after

starting treatment.




8. Antoine is a 34-year-old who has been abusing prescription

oxycodone. He is employed but is on probation at work for increased

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