Term
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Definition
| not intending to take at ion in the foreseeable future, not in the next 6 months. They may be uninformed about consequences or demoralized about their ability to change |
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Term
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Definition
| intend to change in the next 6 months. Aware of reasons to change but also of the cons of changing, ambivalent and not ready for traditional action oriented change programs |
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Term
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Definition
| intending to take action in the next months. They often have taken significant action in the last year and have a plan of action. They are ready for assistance in changing. |
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Term
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Definition
| they made modifications in their lifestyle in the last 6 months that is significant enough to reduce risk for disease. Vigilance against relapse is critical. |
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Definition
| working to prevent relapse but they are less tempted and more confident that they can continue their change |
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Term
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Definition
| Part of the teaching process.. gather data about learning needs, motivation, stage of change, ability to learn and teaching resources from client, family, learning environment, medical record, nursing history, and literature |
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Term
1) assessment
2) identify needs
3) planning
4) implementation
5) evaluation |
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Definition
| List the 5 stages of the teaching process in order |
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Term
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Definition
| Part of the teaching process involving the three domains of learning- cognitive (understanding), affective (feelings, attitudes, opinions & values), & psychomotor (skills integrating mental and muscular activity) second step in teaching process |
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Term
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Definition
| establishing learning objectives (outcomes) in behavioral terms, collaborate with client to identify priorities and methods and determine needed outcomes |
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Term
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Definition
| which part of the teaching process actively involves clients/significant others in learning? |
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Term
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Definition
| which part of the teaching process actively involves clients/significant others in learning? |
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Term
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Definition
| part of teaching process in which achievement of learning objectives is measured and information is reinforced as needed |
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Term
| Speaking and doing demonstrations, return demonstration, gaming, role play |
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Definition
| Which teaching method is 90% effective? |
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Term
| reading, self-instruction |
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Definition
| Which teaching method is generally only 10% effective? |
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Term
1) consciousness raising
2) dramatic relief
3) environmental reevaluation
4) social liberation
5) self reevaluation |
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Definition
| List the 5 experiential approaches that are most useful in the early stages of the process of change |
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Term
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Definition
| part of process of change.. increased awareness of the causes, consequences, and cures for a problem behavior. Interventions include include feedback, education, interpretation, respectful confrontation, bibliotherapy, & media campaigns. |
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Definition
| second of process of change; increasing emotional experiences which will enable imported feelings if action is taken. Psychodrama, role play, grief, personal testimony & media campaigns. |
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Term
| environmental reevaluation |
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Definition
| third in the process of change; affective and cognitive assessments of how the behavior affects other people including the desire to be a role model. Empathy training, documentaries, family interventions |
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Term
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Definition
| forth part of process of change; increased opportunities or alternatives not previously available to the person. Advocacy, policy, changes health promotion for minority populations |
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Term
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Definition
| fifth part of process of change; affective and cognitive assessments of ones own self-image with and without a particular unhealthy habit. Healthy role models, values clarification and imagery. |
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Term
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Definition
| fifth part of process of change; affective and cognitive assessments of ones own self-image with and without a particular unhealthy habit. Healthy role models, values clarification and imagery. |
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Term
| Stimulus control, helping relationships, counter conditioning, reinforcement management, self liberation |
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Definition
| List the last 5 processes of change; they are primarily behavioral & generally work best when the person is in the latter stages of change |
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Term
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Definition
| remove cues for unhealthy habits and add prompts for healthier alternatives, avoidance, changing the environment & self help groups |
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Term
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Definition
| examples of this part of the process of change: caring support & acceptance. Buddy systems, therapist relationships, rapport building; seventh of the process of change |
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Term
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Definition
| eight of the process of change; learning healthy behaviors that can substitute for the problem behavior. Relaxations can counter stress, assertion can counter peer pressure |
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Term
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Definition
| ninth of the process of change; consequences for taking steps in a particular direction, usually rewards. Contingency contracts, positive self statements, group recognition |
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Term
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Definition
| tenth of the process of change; belief that you can change and choices in how to make that change. Options for behavioral choices like New Years resolutions, public testimonies. |
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Term
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Definition
| Regression to an earlier stage from any of the stages is common but often they do not go all the way back to ______________. |
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Term
- Have you ever felt you should CUT* down on your drinking?
- Have people Annoyed* you by criticizing your drinking?
- Have you ever felt bad or Guilty* about your drinking?
- Have you every had a drink first thing in the morning (an "Eye-opener"*) to steady your nerves or to get rid of a hangover? |
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Definition
| what are the questions in the CAGE questionnaire? |
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Term
| Two "yes" answers indicate probable alcohol abuse and warrant further assessment |
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Definition
| scoring of the CAGE questionnaire? |
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Term
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Definition
| more than 4 drinks/day or more than 14 drinks/week= risky substance use for who? |
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Term
| more than 3 drinks in one day and/or more than 7 drinks/week is risky substance use for who? |
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Definition
| for women who are over 65 |
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Term
| Prescription misuse and illicit drugs, any tobacco use |
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Definition
| other than drinking the specific amounts noted earlier, what else qualifies as risky substance use? |
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Term
| substance related disorder |
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Definition
| disorders related to taking a drug of abuse, including alcohol, stimulants, cannabis, hallucinogens, inhalants, tobacco, opioids, sedatives- hypnotics & anxiolytics, caffeine, other unknown substance |
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Term
| cause direct activation of the reward centers of the brain |
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Definition
| What do all of the drugs of abuse and gambling have in common? |
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Term
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Definition
the following four criteria represent what category of substance use disorder?
1) taking in larger amounts than intended
2) unsuccessful attempts to cut down
3) Excessive time spent obtaining
4) Craving |
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Term
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Definition
the following criteria represent what category of substance use disorder?
5) not meeting work, home, or school obligations
6) Continued use despite persistent problems
7) withdrawing from important family, social, occupational, recreational activities to use |
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Term
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Definition
the following criteria represent what category of substance use disorder?
8) recurrent use in physically hazardous situations
9) Continued use despite recurrent physical or psychological problems |
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Term
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Definition
These criteria make up what category of Substance use disorder?
10) tolerance- needing increasing amounts of a subtance to produce desired effect
11) withdrawal- the adverse physical and psychological symptoms that occur when a person ceases using a substance |
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Term
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Definition
| behavioral/psychological changes due to recent ingestion of the substance |
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Term
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Definition
| behavioral/cognitive/physiological changes due to cessation or reduction in use after heavy prolonged use |
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Term
| substance induced mental disorder |
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Definition
| Methamphetamine induced psychotic disorder and cocaine withdrawal induced depression are temporary examples of what? |
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Term
| alcohol, inhalants, sedative-hypnotic anxiolytic drugs |
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Definition
| In reference to substance induced mental disorder, what can cause potentially permanent neurocognitive changes? |
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Term
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Definition
| Most commonly used illicit drug? |
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Term
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Definition
| Rates of binge drinking and heavy alcohol use are highest among what ages? |
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Term
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Definition
| caused by a Thiamine deficiency (B 1)- oculomoter dysfunctions (eyes), ataxia (unsteady gait), and confusion; treat with Thiamine |
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Term
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Definition
| If Wernicke's is not treated then this type of psychosis occurs (alcohol amnestic disorder). Symptoms are retrograde and anterograde amnesia, lack of insight, paucity of speech (won't say much), confabulation (makes up answers), apathy.. Treat with Thiamine |
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Term
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Definition
| Vitamin C deficiencies can lead to this |
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Term
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Definition
| short term mental status changes that are life threatening; from alcohol withdrawal syndrome |
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Term
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Definition
| the long acting ________ are the drugs of choice (for alcohol detox) because they effectively reduce signs and symptoms of withdrawal, prevent seizures, and have a better margin of safety than other drugs |
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Term
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Definition
| A __________ dosing regimen is preferred over fixed-schedule dosing because it is effective, requires less medication, and appears to prevent seizures as well as fixed schemes. (for alcohol detox) |
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Term
| benzodiazepines (valium, librium) |
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Definition
this is used as pharmacologic treatment of alcohol withdrawal..
given for elevations in hear rate, blood pressure, and temperature, and in the presence of tremors; when given early in withdrawal and in sufficient dosages, can prevent delirium tremens |
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Term
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Definition
| Rx treatment of alcohol withdrawal; produces sedation and reduces anxiety symptoms |
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Term
| benzos, CNS depressants, antipsychotic meds, vitamins and folic acid for vitamin deficiencies, thiamine, & magnesium sulfate to reduce seizures |
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Definition
| What meds/supplements are given for pharm treatment of alcohol withdrawal? |
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Term
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Definition
| Delirium tremens are a medical emergency that usually occurs ______ days following alcohol withdrawal and persists for 2-3 days. |
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Term
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Definition
| Early signs of alcohol withdrawal appear _______ hours following cessation of the drug, peak after _________ hours, and then rapidly disappear unless the withdrawal progresses to delirium tremens (DT). |
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Term
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Definition
| Pharm treatment of alcohol use disorder; used adjectively for aversion therapy, this plus even small amounts of alcohol produces adverse effects |
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Term
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Definition
Rx treatment of alcohol use disorder
- can reduce cravings. ca help maintain abstinence, and ca interfere with wanting to drink more if a recovering patient relapses |
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Term
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Definition
what drug is this?
- CNS stimulant
- Produces a sudden burst of mental alertness and energy and feelings of self-confidence, being in control and sociability
- Rush lasts about 10 ti 20 minutes
- High is followed by an intense let-down effect in which the person feel irritable, depressed, and tires, and cranes more of the drug |
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Term
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Definition
This drugs increases the release and blockade of the reuptake of neurotransmitters, increases dopamine: euphoric and psychotic symptoms, increase norepinephrine: tachycardia, hypertension, dilated pupils and rising body temp, increasing serotonin: sleep disturbances , anorexia
long term use: depletion of dopamine |
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Term
| norepinephrine depletion causes person to sleep 12-18 hours |
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Definition
| Withdrawal symptoms of concaine? |
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Term
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Definition
These are withdrawal symptoms for what drug?
- Sleep disturbances with rebound REM, anergia (lack of physical activity/energy), decreased libido, depression, suicidality, anhedonia (lack of enjoyment), poor concentration and cocaine craving may last for weeks |
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Term
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Definition
| This drug is a stimulant that blocks the reuptake of norepinephrine and dopamine, not as strong effect on serotonin (as cocaine does), effects peripheral nervous system |
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Term
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Definition
| this drug releases dopamine, the "rush" damages nerve terminals, highly addictive-used in a "binge and crash" pattern, a woman lives an average of 10 years after becoming addicted |
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Term
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Definition
| This drug causes hallucinations, confusion, depression, sleep problems, drug craving, severe anxiety, and paranoia |
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Term
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Definition
_______ withdrawal is marked by mood changes (craving, anxiety, irritability, depression) and physiologic changes (difficulty in concentration, sleep disturbances, headaches, gastric distress, and increased appetite.
Treated with replacements such as transdermal patches, gum, nasal spray, inhalers, Chantix |
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Term
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Definition
| This drug stimulates the cerebral cortex and increases mental acuity; a dose of 300mg can can cause tremors, poor motor performance, and insomnia |
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Term
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Definition
| Doses of caffeine exceeding _______mg increase the heart rate; stimulate respiratory, vasomotor, an vagal centers and cardiac muscles; dilate pulmonary and coronary blood vessels; and constrict blood flow to the cerebral vascular system |
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Term
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Definition
| This marijuana binds with an opioid receptor in the brain to dopamine reuptake, can be stored for weeks in fat tissue and in the brain, impairs the ability to form memories, recall events, and shift attention from one thing to another, long-term marijuana use produces motivational syndrome |
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Term
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Definition
| These kind of drug produces euphoria or dysphoria, altered body image, distorted or sharpened visual and auditory perception, confusion, incoordination, and impaired judgement and memory |
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Term
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Definition
| These kind of drug produces euphoria or dysphoria, altered body image, distorted or sharpened visual and auditory perception, confusion, incoordination, and impaired judgement and memory |
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Term
| dissociative anesthetics (Ketamine, PCP) |
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Definition
| These drugs reduce (or block) signals to the conscious mind from other parts of the brain; intoxication can last 4-6 hours, Interventions to reduce stimuli, maintain a safe environment for the patient and others, manage behavior, and observe for medical and psychiatric complications |
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Term
| infection of heart lining and valves, pneumonia |
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Definition
| long term effects of heroin on the lungs and heart? |
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Term
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Definition
Rx Treatment of Opiate Use disorder
- combo of Buprenorphine and Naloxone- used for easier, safer opiate withdrawal and long term replacement therapy |
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Term
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Definition
Rx treatment of opiate use disorder
- semi-synthetic opioid used to treat opioid addiction, long term replacement therapy without many side effects |
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Term
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Definition
| given in emergency treatment of opiate intoxication- IV in 2 minutes reverses reparatory depression, sedation, and hypertension |
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Term
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Definition
| ________ (taken daily) blocks the euphoric effects of opioids, has little effect on opioid cravings |
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Term
| specific, measurable, attainable, realistic, and time limited |
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Definition
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