NURSl 222l NURS222l Quizl 6l l Mentall

NURSl 222/l NURS222l Quizl 6l –l Mentall Healthl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel Al

Q:l Nursingl Process

Answer:

Nursingl Care:

-empathetic,l supportivel l -assistl thel patientl tol feell safel enoughl tol startl lookingl atl problemsl l -counselingl duringl thel earlyl stagel ofl treatmentl needsl tol bel direct,l open,l honestl

-Ifl disordersl ofl perceptionl occur:

l -Explainl thatl thesel arel partl ofl thel withdrawall processl l -reinforcel reality,l speakl inl al calml voice

Q:l Detoxification/l Withdrawall Nursingl Care

Answer:

Withdrawall S/S:l tremors,l seizure,l increasedl agitation,l anxiety,l disordersl orl perceptionsl

-Stayl withl clientl -Monitorl Vitalsl andl bloodl sugarl levelsl -Providel restl andl hydration;l nutritionl andl quietl environmentl -Provide/restore/maintainl fluidl andl electrolytel l -Tol preventl fluidl andl electrolytel imbalancesl

-Alcoholl usel disrupts:l normall sleepl patternsl

-Alcoholl withdrawall orl detoxication:l increasedl restlessnessl andl agitationl

1000:l 120-70l mml hgl andl 76l beats/minutel

-1stl :l 2hrs-l normall BPl andl HR-l samel asl 1stl readingl

-2nd:l 2l hrs-l normall BPl andl HR,l butl al littlel higherl thanl 1stl readingl -3rd:l 2l hrs-l Normall BPl andl HR,l butl higherl thanl 1st/2ndl readingl 1 / 4

-4th:l 2ndl hrs-l 150/94l mml hgl andl 98l beats/minutel

NURSESl PRIORITYl ACTIONl -Beginl thel detoxl protocoll

RATIONALE:l

-Elevatedl pulsel andl BOl mayl indicatel impendingl alcoholl withdrawall andl thel needl forl detoxl withl medicall interventionl tol preventl al hypertensivel crisisl and/orl seizuresl

MEDICATION:

-Observel effects/Sidel effectsl ofl medicationsl carefullyl

ANXIOLYTICSl (BENZODIAZEPINES)l tol stabilizel moodl l -Chlordiazepoxidel (Librium),l Ativanl (Lorazepam),l Diazepaml (Valium)

ANTICONVULSANTS l (Tegretol,l Depakote,l Lamictal)

Q:l Pharmacologicall Treatment:

Answer:

Anxiolyticsl (Benzodiazepines):l

-Valiuml (Diazepam)

-Chlordiazepoxidel (Librium):l forl withl drawll symptoms-l longl halfl lifel

-Ativanl (Lorazepam)l

-Serax:l shortl half/lifel

USEFULl INl REVERSINGl THEl SEDATIONl ANDl RESPIRATORYl DEPRESSIONl

FLUMAZENILl (ROMAZICON):l Benzodiazepinel Antagonistl

DISULFIRAMl (ANTABUSE):l inhibitsl Acetaldehydel Dehydrogenasel

l -Alcohol-disulfiraml reactionl causesl unpleasantl physicall effectsl l -supportl thel treatmentl ofl chronicl alcoholisml l -Producesl anl acutel sensitivityl tol ethanoll (drinkingl alcohol)l

l CLIENTl TEACHING:l

l -Avoidl alcoholl basedl skinl productsl l -Mouthl wash,l aftershavel l -avoidl breathingl fumesl ofl strippingl compound,l paints,l stainsl 2 / 4

l -Readl labelsl ofl cold,l cough,l andl flul medicationsl l -Takenl consistentlyl tol maintainl thel aversionl tol alcoholl l -Ifl ingestingl alcoholl whilel takingl thisl medicationl TOXICl REACTION:l Intensel nausea/vomiting,l headache,l sweating,l flushedl skin,l respiratoryl difficulties,l andl confusion.l

NALTREXONEl (REVIA,l DEPADE,l TREXAN):l Blockl thel needl tol investl alcohol.l

Vivitrol-IMl (monthly),l Pelletsl (insertedl underl thel skinl lastl forl 2-4l months)l Naltrexonel (ReVia) l -Opiatel Antagonistl l -Blocksl euphoricl reinforcementl cravingl andl rewardl l -Maintainl abstinencel l -mustl havel al cardl withl theml inl casel ofl accidents -Patientsl withl al historyl ofl opiatel andl alcoholl abuse

l

Opiatel Antagonist:

-Blockl thel needl tol ingestl alcoholl -maintainl abstinencel -eliminatesl cravingsl l -blockl euphoricl reinforcementl cravingl andl rewardl -mustl havel al cardl withl theml inl casel ofl accidentsl -Vivitrol-IMl (monthly)l -Pelletsl (insertedl underl thel skinl lastl forl 2l tol 6l months)

Q:l Interventionl Implementationl (l Detoxingl )

Answer:

Preventingl Relapse:

l -Teachingl andl rehearsingl techniquesl tol hensleyl anticipatedl stressfull situationsl l -Assistingl thel patientl tol identifyl lifel skillsl neededl forl effectivel copingl l -Informingl thel patientl ofl physicall changesl tol expectl asl thel bodyl adaptsl tol functioningl withoutl substancesl

Healthl Teachingl andl Healthl Promotionl l -Preventionl againstl geneticl vulnerabilityl l -Publicl classes

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Q:l Nursingl Care:l (Detoxing)l WHENl STABLE

Answer:

Providel infol aboutl rehab:l AA

l -Selfl helpl groupl forl peoplel tol sharel experiencesl withl alcoholisml andl recoveryl l -Patientl outcomel priorl tol d/cl

l -Patientl willl state:

l "Il knowl il needl longl terml treatment"l -bestl goall relatedl tol controllingl relapsel

REHABl CHALLENGE:l

-Sobrietyl solvesl somel problemsl -Néel onesl mayl emergel asl onel adjustsl tol livingl withoutl drugsl andl alcohol

Q:l Placesl tol helpl addiction

Answer:

ALCOHOLICSl ANONYMOUS:l Platforml forl peoplel tol sharel experiencesl withl

alcoholisml andl recovery

l -AL-ANON:l Partl ofl thel Al-Anonl fellowshipl designedl forl thel youngerl relativesl andl friendsl ofl alcoholicsl throughl thel teenl yearsl l -NAR-ANON:l Isl thel branchl ofl Narcoticsl Anonymousl thatl helpsl familyl membersl andl friendsl ofl drugl addicts.l fellowshipl ofl peoplel forl whoml drugl abusel hasl becomel problematic.l l -GAMBLERSl ANONYMOUS:l al 12l stepl programl forl peoplel whol havel al gamblingl problem.l Thel onlyl requirementl forl membershipl isl al desirel tol stopl gambling

Q:l Defensel Mechanisms

Answer:

DENIAL:l

-Patientsl canl sometimesl bel angryl andl doesl notl trustl staffl

TRANSFERENCE:l

-Youl remindl mel of...whol hatesl me...

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