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Therapeutic Communication
Chapter 8
19
Nursing
Not Applicable
01/30/2012

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Term
Physical dependence means:
Definition

there is a physical withdrawal syndrome when the substance is not being used.

Ex. Fever, convulsions, hallucinations

Term
Psychologic dependence means:
Definition
Symptoms such as anxiety, insomnia or an irresistible craving to take the drug exists.
Term
Three theories (causes) of alcoholism are:
Definition

Genetic factors

Psychological factors

cultural factors

Term
what is the mnemonic used to diagnose alcoholism and what do its 4 letters mean?
Definition

CAGE

Is the person Cut down by their drinking?

Are they Annoyed by others questions?

Do they feel Guilty about drinking?

Do they need an Eye opener in the morning?

Term

Current treatments for alcoholism include:

(name 5)

Definition

motivational interviewing

individual / group therapy

cognitive behavioral therapy (used in relapse prevention)

Alcoholics Anonymous

Medication

Term
To treat addiction, what must happen first?
Definition

Detoxification

(which may cause physical or psychologic symptoms and may need medical management for health safety)

Term
A decrease in the number of receptors on the surface of a cell, making it less sensitive to further stimulation is called __________________. This will often cause the user to take higher and higher doses of the drug to achieve the same effect.
Definition
Downregulation
Term
Additive effect
Definition
Sedatives (e.g., alcohol, benzodiazepines, barbiturates, sleeping pills, inhalants, anesthetics), all of which may have a cumulative effect
Term
Alcoholism
Definition
Chronic consumption of alcohol that continues despite significant interference with a person's physical, econommic, or social health.
Term
Cognitive behavioral therapy (CBT)
Definition
Psychotherapeutic approach that deals with thought processes, beliefs, and responses to influence problematic emotions or behaviors.
Term
Emotional augmentation
Definition
An over-response to normal stress and events of everyday life with a lowered threshold for action.
Term
Fetal alcohol syndrome
Definition
A syndrome that occurs in babies of mothers who drink excessively during pregnancy.
Term
Moderation management (MM)
Definition
Organization that believes that problem drinkers can continue to drink in a controlled fashion, but, if they fail, suggest AA.
Term
Psychologic treatment
Definition
Motivational interviewing; CBT; group and family, individual, and multiple approach models.
Term
Substance abuse
Definition
Significant distress, manifest by three of the following: failure to fulfill school, work, or parenting obligations; hazardous use (e.g., while driving); recurrent substance-related legal problems (e.g., DUI); or continued substance use despite persistent or recurrent social interpersonal problems.
Term
Substance dependence
Definition
Significant distress manifested by three of the following: tolerance; withdrawal; increasing consumption; desire to quit; excessive time spent on abuse; fewer social, occupational, or recreational activities; or continued use despite knowing physiologic and psychologic effects.
Term
Substance use disorder
Definition
A disorder that includes substance abuse and, more seriously, substance dependence.
Term
Habituation
Definition
psychological dependence on a substance
Term
Tolerance
Definition
When a patient needs higher doses of a drug to have the same physical effect. That is, the more a person uses a drug, the more of it he or she needs to experience the same high.
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