Mental Health Ati Final Exam With 100+ Questions &
Correct Answers
What are symptoms of alcohol withdrawal? - ANSWER-Nausea, vomiting,
tremors, restlessness, insomnia, depressed mood or irritability, tonic-clonic
seizures, illusions.
What is alcohol withdrawal delirum and when can it occur? - ANSWER-Alcohol
withdrawal delirium is a medical emergency and may occur 2-3 days after
cessation and last the same (2-3 days). S/s include severe disorientation,
hallucinations, severe HTN, cardiac dysrhythmias, delirium.
What are symptoms of opioid withdrawal? - ANSWER-Agitation, insomnia,
flulike manifestations, rhinorrhea, yawning, sweating, diarrhea. Suicidal ideation
may occur.
What are symptoms of tobacco (nicotine) withdrawal? - ANSWER-Irritability,
nervousness, restlessness, insomnia, difficulty concentrating
What kind of medications would be expected to be prescribed for a patient who is
detoxing from alcohol? - ANSWER-Chlordiazepoxide (Librium), Diazepam
(Valium), Lorazepam (Ativan), Oxazepam (Serax)
What are the intended effects of the benzodiazepines for detoxification from
alcohol? - ANSWER-Maintenance of patient's v/s, decrease risk of seizures,
decrease intensity of withdrawal s/s.
,What are some of the adjunct medications for detoxification of alcohol? -
ANSWER-Carbamazepine (Tegretol), Clonidine (Catapres), Propanolol (Inderal)
What are each of the adjunct medications indicated for? - ANSWER-Decrease
seizures (Carbamazepine)
Decrease autonomic response (decrease BP, HR)- Clonidine and Propanolol
Decrease craving- Propanolol
What are overall nursing interventions and teaching points for patients who are
experiencing detoxification? - ANSWER-Pad the side rails and include suction
equipment at bedside (seizure precautions). Monitor vital signs and continue
monitoring on ongoing basis.
What kind of medications are indicated for abstinence maintenance of alcohol? -
ANSWER-Disulfiram (Antabuse), Naltrexone (Vivitrol), Acamprosate (Campral)
What is the intended effect of disulfiram (Antabuse)? - ANSWER-After the patient
ingests alcohol, acetaldehyde syndrome will occur and includes perfuse vomiting,
nausea, weakness, sweating, palpitations, and hypotension. Can progress to
respiratory depression, seizures, and death.
What teaching points need to be brought up with a patient who is beginning
disulfiram (Antabuse)? - ANSWER-Wear a med alert bracelet, avoid ALL
products containing alcohol (cough syrups, aftershave lotion). Encourage
participation in a 12 step program. Potential for acetaldehyde syndrome can occur
for up to 2 weeks after disulfuram is discontinued.
Naltrexone (Vivitrol) What is the indicated effect? - ANSWER-Pure opioid
antagonist that supresses craving and pleasure of alcohol.
, What can naltrexone (Vivitrol) also be utilized for? - ANSWER-Opioid
withdrawal.
Teaching points for naltrexone (Vivitrol)? - ANSWER-Take with meals to supress
GI distress. Monthly IM injections should be suggested for patients who have
difficulty to adhering to the medication regimen.
Acamprosate (Campral) indication... - ANSWER-Taken 3x daily to reduce alcohol
craving.
Teaching points for acamprosate (Campral) - ANSWER-Diarrhea may occur while
taking the medication. Increase fluids. Do not take while pregnant.
What medications can be used to support withdrawal/abstinence from opioids? -
ANSWER-Methadone (Dolophine) substition, Clonidine (Catapres),
Buprenorphine (Subutex)
Intended effect of methadone (Dolophine) - ANSWER-Oral opioid agonist that
replaces the opioid to which client addicted. Encourage participation in 12 step
program. Inform that must be administered at an approved treatment center.
Intended effect of clonidine (Catapres) - ANSWER-Assists with withdrawal s/s
related to autonomic hyperactivity (n/v/d) Has anticholinergic effects and CNS
depression.
Does clonidine (Catapres) reduce the craving for opioids? - ANSWER-NO
Buprenorphine (Subutex) intended effect? - ANSWER-Agonist-antagonist opioid
use for detox and maintenance. Decreases feeling of craving.
Correct Answers
What are symptoms of alcohol withdrawal? - ANSWER-Nausea, vomiting,
tremors, restlessness, insomnia, depressed mood or irritability, tonic-clonic
seizures, illusions.
What is alcohol withdrawal delirum and when can it occur? - ANSWER-Alcohol
withdrawal delirium is a medical emergency and may occur 2-3 days after
cessation and last the same (2-3 days). S/s include severe disorientation,
hallucinations, severe HTN, cardiac dysrhythmias, delirium.
What are symptoms of opioid withdrawal? - ANSWER-Agitation, insomnia,
flulike manifestations, rhinorrhea, yawning, sweating, diarrhea. Suicidal ideation
may occur.
What are symptoms of tobacco (nicotine) withdrawal? - ANSWER-Irritability,
nervousness, restlessness, insomnia, difficulty concentrating
What kind of medications would be expected to be prescribed for a patient who is
detoxing from alcohol? - ANSWER-Chlordiazepoxide (Librium), Diazepam
(Valium), Lorazepam (Ativan), Oxazepam (Serax)
What are the intended effects of the benzodiazepines for detoxification from
alcohol? - ANSWER-Maintenance of patient's v/s, decrease risk of seizures,
decrease intensity of withdrawal s/s.
,What are some of the adjunct medications for detoxification of alcohol? -
ANSWER-Carbamazepine (Tegretol), Clonidine (Catapres), Propanolol (Inderal)
What are each of the adjunct medications indicated for? - ANSWER-Decrease
seizures (Carbamazepine)
Decrease autonomic response (decrease BP, HR)- Clonidine and Propanolol
Decrease craving- Propanolol
What are overall nursing interventions and teaching points for patients who are
experiencing detoxification? - ANSWER-Pad the side rails and include suction
equipment at bedside (seizure precautions). Monitor vital signs and continue
monitoring on ongoing basis.
What kind of medications are indicated for abstinence maintenance of alcohol? -
ANSWER-Disulfiram (Antabuse), Naltrexone (Vivitrol), Acamprosate (Campral)
What is the intended effect of disulfiram (Antabuse)? - ANSWER-After the patient
ingests alcohol, acetaldehyde syndrome will occur and includes perfuse vomiting,
nausea, weakness, sweating, palpitations, and hypotension. Can progress to
respiratory depression, seizures, and death.
What teaching points need to be brought up with a patient who is beginning
disulfiram (Antabuse)? - ANSWER-Wear a med alert bracelet, avoid ALL
products containing alcohol (cough syrups, aftershave lotion). Encourage
participation in a 12 step program. Potential for acetaldehyde syndrome can occur
for up to 2 weeks after disulfuram is discontinued.
Naltrexone (Vivitrol) What is the indicated effect? - ANSWER-Pure opioid
antagonist that supresses craving and pleasure of alcohol.
, What can naltrexone (Vivitrol) also be utilized for? - ANSWER-Opioid
withdrawal.
Teaching points for naltrexone (Vivitrol)? - ANSWER-Take with meals to supress
GI distress. Monthly IM injections should be suggested for patients who have
difficulty to adhering to the medication regimen.
Acamprosate (Campral) indication... - ANSWER-Taken 3x daily to reduce alcohol
craving.
Teaching points for acamprosate (Campral) - ANSWER-Diarrhea may occur while
taking the medication. Increase fluids. Do not take while pregnant.
What medications can be used to support withdrawal/abstinence from opioids? -
ANSWER-Methadone (Dolophine) substition, Clonidine (Catapres),
Buprenorphine (Subutex)
Intended effect of methadone (Dolophine) - ANSWER-Oral opioid agonist that
replaces the opioid to which client addicted. Encourage participation in 12 step
program. Inform that must be administered at an approved treatment center.
Intended effect of clonidine (Catapres) - ANSWER-Assists with withdrawal s/s
related to autonomic hyperactivity (n/v/d) Has anticholinergic effects and CNS
depression.
Does clonidine (Catapres) reduce the craving for opioids? - ANSWER-NO
Buprenorphine (Subutex) intended effect? - ANSWER-Agonist-antagonist opioid
use for detox and maintenance. Decreases feeling of craving.
