2023 NEW NURS 315 EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS A +
Question Title
1. Addiction: ETOH level and tolerance- The legal definition
of intoxication in most states requires a blood concentration of
80 or 100mg ethanol per deciliter of blood. (0.08-0.10 g/dl)
Tolerance- A need for markedly increased amounts of alcohol
to achieve intoxication or desired effect. A markedly
diminished effect with continued use of the same amount of
alcohol. Pg 419 Tolerance occurs when a person’s physiological
reaction to a drug decreases with repeated administrations of the same
dose. This means that the tolerance levels increase as a person drinks
ETOH.
2. Substance Abuse and Addiction: Antabuse Teaching-Disulfiram
(Antabuse) Uses: Maintenance, relapse prevention, aversion therapy.
Physical effects when alcohol is used; intense nausea and vomiting,
headache, sweating, flushed skin, respiratory difficulties, and confusion
(table 22.6 pg. 425)
3. Substance Abuse and Addiction: CAGE assessment-Questions-
Have you felt you needed to CUT down on your drinking? CONCERN
by the person that there is a problem. Are people ANNOYED by your
drinking? APPARENT to others that there is a problem. Have you felt
GUILTY about your drinking? GRAVE consequences. Have you ever
had to drink in the morning (EYE opener)? EVIDENCE of dependence
or tolerance. (Pg. 422)
4. Substance Abuse and Addiction: Diagnosis of alcohol
dependency. SATA*** A maladaptive pattern of alcohol use, leading
to clinically significant impairment or distress, as manifested by three
,2023 NEW NURS 315 EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS A +
(or more) of the following, occurring at any time in the same 12-
month period:
, 2023 NEW NURS 315 EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS A +
Tolerance, as defined by either of the following:
A need for markedly increased amounts of alcohol to achieve
Intoxication or desired effect
Markedly diminished effect with continued use of the same amount of
alcohol
Withdrawal, as manifested by either of the following:
The characteristic withdrawal syndrome for alcohol (refer to Criteria A
and B of the criteria sets for Withdrawal from alcohol)
• Alcohol (or a closely related drug such as valium) is used to
relieve or avoid withdrawal symptoms
• Alcohol is often used in larger amounts or over a longer period
than was intended
• There is a persistent desire or unsuccessful efforts to cut down or
control alcohol use
• A great deal of time is spent in activities necessary to obtain
alcohol, use alcohol, or recover from its effects
• Important social, occupational, or recreational activities are
given up or reduced because of alcohol use
• Alcohol use is continued despite knowledge of having a
persistent or recurrent physical or psychological problem that is
likely to have been caused or exacerbated by alcohol (e.g.
continued drinking despite recognition that an ulcer was made
worse by alcohol consumption) (pg. 419 DSM-5 box)
5. Substance Abuse and Addiction: Methamphetamine withdrawal-
Depression, hypersomnia or insomnia, fatigue, anxiety, irritability, poor
concentration, psychomotor retardation, increased appetite, paranoia,
drug craving. Depression and suicidal thoughts are the most serious side
effects of stimulant withdrawal.
6. Substance Abuse and Addiction: Nurse Self-Assessment-You should
COMPLETE SOLUTIONS A +
Question Title
1. Addiction: ETOH level and tolerance- The legal definition
of intoxication in most states requires a blood concentration of
80 or 100mg ethanol per deciliter of blood. (0.08-0.10 g/dl)
Tolerance- A need for markedly increased amounts of alcohol
to achieve intoxication or desired effect. A markedly
diminished effect with continued use of the same amount of
alcohol. Pg 419 Tolerance occurs when a person’s physiological
reaction to a drug decreases with repeated administrations of the same
dose. This means that the tolerance levels increase as a person drinks
ETOH.
2. Substance Abuse and Addiction: Antabuse Teaching-Disulfiram
(Antabuse) Uses: Maintenance, relapse prevention, aversion therapy.
Physical effects when alcohol is used; intense nausea and vomiting,
headache, sweating, flushed skin, respiratory difficulties, and confusion
(table 22.6 pg. 425)
3. Substance Abuse and Addiction: CAGE assessment-Questions-
Have you felt you needed to CUT down on your drinking? CONCERN
by the person that there is a problem. Are people ANNOYED by your
drinking? APPARENT to others that there is a problem. Have you felt
GUILTY about your drinking? GRAVE consequences. Have you ever
had to drink in the morning (EYE opener)? EVIDENCE of dependence
or tolerance. (Pg. 422)
4. Substance Abuse and Addiction: Diagnosis of alcohol
dependency. SATA*** A maladaptive pattern of alcohol use, leading
to clinically significant impairment or distress, as manifested by three
,2023 NEW NURS 315 EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS A +
(or more) of the following, occurring at any time in the same 12-
month period:
, 2023 NEW NURS 315 EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS A +
Tolerance, as defined by either of the following:
A need for markedly increased amounts of alcohol to achieve
Intoxication or desired effect
Markedly diminished effect with continued use of the same amount of
alcohol
Withdrawal, as manifested by either of the following:
The characteristic withdrawal syndrome for alcohol (refer to Criteria A
and B of the criteria sets for Withdrawal from alcohol)
• Alcohol (or a closely related drug such as valium) is used to
relieve or avoid withdrawal symptoms
• Alcohol is often used in larger amounts or over a longer period
than was intended
• There is a persistent desire or unsuccessful efforts to cut down or
control alcohol use
• A great deal of time is spent in activities necessary to obtain
alcohol, use alcohol, or recover from its effects
• Important social, occupational, or recreational activities are
given up or reduced because of alcohol use
• Alcohol use is continued despite knowledge of having a
persistent or recurrent physical or psychological problem that is
likely to have been caused or exacerbated by alcohol (e.g.
continued drinking despite recognition that an ulcer was made
worse by alcohol consumption) (pg. 419 DSM-5 box)
5. Substance Abuse and Addiction: Methamphetamine withdrawal-
Depression, hypersomnia or insomnia, fatigue, anxiety, irritability, poor
concentration, psychomotor retardation, increased appetite, paranoia,
drug craving. Depression and suicidal thoughts are the most serious side
effects of stimulant withdrawal.
6. Substance Abuse and Addiction: Nurse Self-Assessment-You should
