MOD 14 Quiz - Study Topics
Alcohol withdrawal, nursing interventions - answerUse CIWA assessment tool to
determine degree of withdrawal.
o Onset within 4 to 12 hours after cessation or marked reduction of alcohol intake;
usually peaks on the second day and complete in about 5 days
o Symptoms: coarse hand tremors, sweating, elevated pulse and blood pressure,
insomnia, anxiety
o Severe or untreated withdrawal may progress to transient hallucinations, seizures, or
delirium (DTs).
o Withdrawal can be life-threatening.
o Benzodiazepines for safe withdrawal
Disulfiram (Antabuse) is used to treat chronic alcoholism. It causes unpleasant effects
when even small amounts of alcohol are consumed. These effects include flushing of
the face, headache, nausea, vomiting, chest pain, weakness, blurred vision, mental
confusion, sweating, choking, breathing difficulty, and anxiety.
Alcohol withdrawal, S/S - answerSymptoms: coarse hand tremors, sweating, elevated
pulse and blood pressure, insomnia, anxiety
Alexithymia - answera personality trait limiting a person's ability to understand and
describe emotions
Amenorrhea - answerabsence of menstruation
Anorexia (anorexia nervosa) - answerRestricted eating/caloric intake.
Onset usually between the ages of 14 and 18
Denial early on; depression and lability with progression; isolation; medical
complications (see Table 20.2)
Treatment: often difficult; client has minimal insight into their problem; is resistant,
uninterested, denies problem
Medical management (can develop significant medical issues including cardiac arrest
and death)
Weight restoration/nutritional rehabilitation
Rehydration/correction of electrolyte imbalances
Psychopharmacology: amitriptyline, cyproheptadine, olanzapine, fluoxetine
Psychotherapy - Family therapy, Individual therapy, CBT
Benzodiazepines - answerSedatives, Hypnotics, and Anxiolytics
Intoxication and overdose
o CNS depressants
o Intensity depends on drug.
, o Intoxication symptoms: slurred speech, lack of coordination, unsteady gait, labile
mood, stupor
o Barbiturate overdose possibly lethal; coma, respiratory arrest, cardiac failure, death
Onset of withdrawal dependent on half-life of drug
o Symptoms opposite of drug's acute effect
Detoxification via drug tapering (cannot suddenly discontinue benzodiazepines. Must
taper off.)Examples: diazepam/Valium, lorazepam/Ativan, chlordiazepoxide/Librium.
Reversal Agent: Flumazenil
Binge eating disorder - answer(Bulimia Nervosa)
Binging-Purging Pattern: Eating an excessive amount of food (far more than normally
consumed)All within a 2 hour period or less
Purging by self-induced vomiting; laxative abuse; excess exercise, etc.
Onset: late adolescence or early adulthood (average age of 18-19 years)
Binge eating frequently begins during or after dieting
Possible restrictive eating between binges
Clients have insight into their disorder (are aware eating behavior is pathologic); go to
great lengths to hide; have feelings of guilt.
At risk for electrolyte imbalances (i.e., hypokalemia due to excess vomiting); fluid
imbalances; loss of tooth enamel; esophageal rupture.
Treatment CBT Psychopharmacology: antidepressants
Body image disturbance - answeroccurs when there is an extreme discrepancy between
one's body image and the perceptions of others and extreme dissatisfaction with one's
body image
Bulimia (bulimia nervosa) - answerBinging-Purging Pattern:
Eating an excessive amount of food (far more than normally consumed)All within a 2
hour period or less
Purging by self-induced vomiting; laxative abuse; excess exercise, etc.
Onset: late adolescence or early adulthood (average age of 18-19 years)
Binge eating frequently begins during or after dieting
Possible restrictive eating between binges
Clients have insight into their disorder (are aware eating behavior is pathologic); go to
great lengths to hide; have feelings of guilt.
At risk for electrolyte imbalances (i.e., hypokalemia due to excess vomiting); fluid
imbalances; loss of tooth enamel; esophageal rupture.
Treatment
CBT
Psychopharmacology: antidepressants
Cannabis, THC - answer(Marijuana)
Used for psychoactive effects
Medical applications
Intoxication
o Lowered inhibitions, relaxation, euphoria, increased appetite
Alcohol withdrawal, nursing interventions - answerUse CIWA assessment tool to
determine degree of withdrawal.
o Onset within 4 to 12 hours after cessation or marked reduction of alcohol intake;
usually peaks on the second day and complete in about 5 days
o Symptoms: coarse hand tremors, sweating, elevated pulse and blood pressure,
insomnia, anxiety
o Severe or untreated withdrawal may progress to transient hallucinations, seizures, or
delirium (DTs).
o Withdrawal can be life-threatening.
o Benzodiazepines for safe withdrawal
Disulfiram (Antabuse) is used to treat chronic alcoholism. It causes unpleasant effects
when even small amounts of alcohol are consumed. These effects include flushing of
the face, headache, nausea, vomiting, chest pain, weakness, blurred vision, mental
confusion, sweating, choking, breathing difficulty, and anxiety.
Alcohol withdrawal, S/S - answerSymptoms: coarse hand tremors, sweating, elevated
pulse and blood pressure, insomnia, anxiety
Alexithymia - answera personality trait limiting a person's ability to understand and
describe emotions
Amenorrhea - answerabsence of menstruation
Anorexia (anorexia nervosa) - answerRestricted eating/caloric intake.
Onset usually between the ages of 14 and 18
Denial early on; depression and lability with progression; isolation; medical
complications (see Table 20.2)
Treatment: often difficult; client has minimal insight into their problem; is resistant,
uninterested, denies problem
Medical management (can develop significant medical issues including cardiac arrest
and death)
Weight restoration/nutritional rehabilitation
Rehydration/correction of electrolyte imbalances
Psychopharmacology: amitriptyline, cyproheptadine, olanzapine, fluoxetine
Psychotherapy - Family therapy, Individual therapy, CBT
Benzodiazepines - answerSedatives, Hypnotics, and Anxiolytics
Intoxication and overdose
o CNS depressants
o Intensity depends on drug.
, o Intoxication symptoms: slurred speech, lack of coordination, unsteady gait, labile
mood, stupor
o Barbiturate overdose possibly lethal; coma, respiratory arrest, cardiac failure, death
Onset of withdrawal dependent on half-life of drug
o Symptoms opposite of drug's acute effect
Detoxification via drug tapering (cannot suddenly discontinue benzodiazepines. Must
taper off.)Examples: diazepam/Valium, lorazepam/Ativan, chlordiazepoxide/Librium.
Reversal Agent: Flumazenil
Binge eating disorder - answer(Bulimia Nervosa)
Binging-Purging Pattern: Eating an excessive amount of food (far more than normally
consumed)All within a 2 hour period or less
Purging by self-induced vomiting; laxative abuse; excess exercise, etc.
Onset: late adolescence or early adulthood (average age of 18-19 years)
Binge eating frequently begins during or after dieting
Possible restrictive eating between binges
Clients have insight into their disorder (are aware eating behavior is pathologic); go to
great lengths to hide; have feelings of guilt.
At risk for electrolyte imbalances (i.e., hypokalemia due to excess vomiting); fluid
imbalances; loss of tooth enamel; esophageal rupture.
Treatment CBT Psychopharmacology: antidepressants
Body image disturbance - answeroccurs when there is an extreme discrepancy between
one's body image and the perceptions of others and extreme dissatisfaction with one's
body image
Bulimia (bulimia nervosa) - answerBinging-Purging Pattern:
Eating an excessive amount of food (far more than normally consumed)All within a 2
hour period or less
Purging by self-induced vomiting; laxative abuse; excess exercise, etc.
Onset: late adolescence or early adulthood (average age of 18-19 years)
Binge eating frequently begins during or after dieting
Possible restrictive eating between binges
Clients have insight into their disorder (are aware eating behavior is pathologic); go to
great lengths to hide; have feelings of guilt.
At risk for electrolyte imbalances (i.e., hypokalemia due to excess vomiting); fluid
imbalances; loss of tooth enamel; esophageal rupture.
Treatment
CBT
Psychopharmacology: antidepressants
Cannabis, THC - answer(Marijuana)
Used for psychoactive effects
Medical applications
Intoxication
o Lowered inhibitions, relaxation, euphoria, increased appetite
