Code Recovery: Breaking the Addiction Cycle
start
Welcome to Code Recovery!
You are a nurse on a psychiatric unit. You are caring for clients with suspected substance use disorder. The treatment team needs you to correctly assess, identify, and intervene before the clients deteriorate.🚨 You must solve 5 clinical puzzles to “stabilize” the clients and unlock discharge planning.
Room 1
ROOM 2
ROOM 4
ROOM 3
ROOM 5
ROOM 1: What substance is it?
Your client presented with the following symptoms:euphoria, increased energy, decreased appetite, and “crash” after use.
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Enter the password
Room 5: Rapid Response Required (Part 3)
The first number of the key is...
The second number of the key is...
The third number of the key is...
KEY 2
KEY 9
MISSION 4
KEY 7
The last digit of the key is...
enter the code
KEY 2
KEY 9
KEY 0
KEY 7
Congratulations, scientist!
You did it! After completing all missions and overcoming every challenge, you have discovered the secret formula, CHON; carbon (C), hydrogen (H), oxygen (O), and nitrogen (N), the chemical elements that are essential for the existence of life on Earth.
Correct!
✔ Naloxone is an opioid antagonist that displaces opioids from receptors and reverses respiratory depression. Acts rapidly & can restore breathing within minutes. Priority follows ABCs (Airway, Breathing, Circulation) RR of 8/min = inadequate ventilation. Interventions may include: oxygen, bag-valve-mask, or possible intubation if severe. ❌ Encouraging ambulation Increases risk for falls or injury. Providing a quiet environment is appropriate for stimulant intoxication. Waiting on labs delays intervention and can be detrimental to the client. Use Code: OVERDOSE to unlock the next level.
Correct!
✔ Naloxone is an opioid antagonist that reverses overdose. Use Code: NARCAN to unlock the next level.
Correct!
✔ Naloxone is an opioid antagonist that displaces opioids from receptors and reverses respiratory depression. Acts rapidly & can restore breathing within minutes. Priority follows ABCs (Airway, Breathing, Circulation) RR of 8/min = inadequate ventilation. Interventions may include: oxygen, bag-valve-mask, or possible intubation if severe. ❌ Encouraging ambulation Increases risk for falls or injury. Providing a quiet environment is appropriate for stimulant intoxication. Waiting on labs delays intervention and can be detrimental to the client. Use Code: OVERDOSE to unlock the next level.
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Re-read the question and review your notes if needed.
Not quite!
Re-read the question and review your notes if needed.
Not quite!
Re-read the question and review your notes if needed.
Not quite.
Re-read the question and review your notes if needed.
Correct!
✔ Alcohol intoxication is indicated by: slurred speech, impaired coordination, elevated blood alcohol level (0.18%), and CNS depression symptoms ❌ Not withdrawal because: No tremors, no diaphoresis, no severe hypertension or hallucinations Use Code: ETOH to unlock the next level.
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Not quite.
Re-read the question and review your notes if needed.
Correct!
Stimulants (including cocaine) can cause euphoria and crash. Use Code: STIM to unlock the next level.
ER Intake Note
Client: J.S. Age: 46
Chief Complaint: "Not feeling right" per EMS found at home with unsteady gait Family reports daily alcohol use for 15+ years Last drink: “earlier today” (unknown amount) No known drug use No recent illness reported Vitals: BP: 138/88, HR: 102, RR: 14, T: 98.4°F, SpO₂: 96% RA Assessment: Oriented to self, slurred speech, impaired judgment, unsteady gait, strong odor of alcohol on breath Flushed face, Poor coordination, No tremors or diaphoresis noted Laughing inappropriately at times, alternates between drowsy and mildly agitated, denies pain, states: “I’m fine, just tired” Labs: Blood alcohol level: 0.18% Glucose: 94
Not quite!
Re-read the question and think about the symptoms your client is experiencing.
Scenario:
A client is brought to the emergency department by friends.
Assessment Findings:
- Unresponsive to verbal stimuli
- Respiratory rate: 8/min
- Oxygen saturation: 88%
- Pinpoint pupils
- Skin cool and clammy
- Friends report possible “pain pill” use
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Correct!
✔ Benzodiazepine help prevent seizures & delirium tremens (life-threatening form of alcohol withdrawal). The other options are important; however, our priority at this time is client safety. Use Code: NARCAN to unlock the next level.
Not quite!
Re-read the question and think about the symptoms your client is experiencing.
Correct!
✔ The client is experiencing the classic triad of symtoms: respiratory depression (RR 8/min), pinpoint pupils, and decreased LOC. History of “pain pill” use strongly supports opioid involvement. ❌ Sedative withdrawal presents similar to alcohol withdrawal (anxiety, tremors, seizures), but NOT unresponsiveness or respiratory depression. Alcohol withdrawal presents with CNS hyperactivity (tremors, hypertension, agitation). Stimulants also cause increased CNS activity (tachycardia, HTN, agitation, dilated pupils) Use Code: OVERDOSE to unlock the next level.
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Code Recovery: Breaking the Addiction Cycle
Janna Garrett
Created on April 15, 2026
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Transcript
Code Recovery: Breaking the Addiction Cycle
start
Welcome to Code Recovery!
You are a nurse on a psychiatric unit. You are caring for clients with suspected substance use disorder. The treatment team needs you to correctly assess, identify, and intervene before the clients deteriorate.🚨 You must solve 5 clinical puzzles to “stabilize” the clients and unlock discharge planning.
Room 1
ROOM 2
ROOM 4
ROOM 3
ROOM 5
ROOM 1: What substance is it?
Your client presented with the following symptoms:euphoria, increased energy, decreased appetite, and “crash” after use.
This page is password protected
Enter the password
This page is password protected
Enter the password
This page is password protected
Enter the password
This page is password protected
Enter the password
This page is password protected
Enter the password
Room 5: Rapid Response Required (Part 3)
The first number of the key is...
The second number of the key is...
The third number of the key is...
KEY 2
KEY 9
MISSION 4
KEY 7
The last digit of the key is...
enter the code
KEY 2
KEY 9
KEY 0
KEY 7
Congratulations, scientist!
You did it! After completing all missions and overcoming every challenge, you have discovered the secret formula, CHON; carbon (C), hydrogen (H), oxygen (O), and nitrogen (N), the chemical elements that are essential for the existence of life on Earth.
Correct!
✔ Naloxone is an opioid antagonist that displaces opioids from receptors and reverses respiratory depression. Acts rapidly & can restore breathing within minutes. Priority follows ABCs (Airway, Breathing, Circulation) RR of 8/min = inadequate ventilation. Interventions may include: oxygen, bag-valve-mask, or possible intubation if severe. ❌ Encouraging ambulation Increases risk for falls or injury. Providing a quiet environment is appropriate for stimulant intoxication. Waiting on labs delays intervention and can be detrimental to the client. Use Code: OVERDOSE to unlock the next level.
Correct!
✔ Naloxone is an opioid antagonist that reverses overdose. Use Code: NARCAN to unlock the next level.
Correct!
✔ Naloxone is an opioid antagonist that displaces opioids from receptors and reverses respiratory depression. Acts rapidly & can restore breathing within minutes. Priority follows ABCs (Airway, Breathing, Circulation) RR of 8/min = inadequate ventilation. Interventions may include: oxygen, bag-valve-mask, or possible intubation if severe. ❌ Encouraging ambulation Increases risk for falls or injury. Providing a quiet environment is appropriate for stimulant intoxication. Waiting on labs delays intervention and can be detrimental to the client. Use Code: OVERDOSE to unlock the next level.
Consectetur adipiscing elit
Lorem ipsum dolor
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod.
Lorem ipsum dolor sit
Not quite!
Re-read the question and review your notes if needed.
Not quite!
Re-read the question and review your notes if needed.
Not quite!
Re-read the question and review your notes if needed.
Not quite.
Re-read the question and review your notes if needed.
Correct!
✔ Alcohol intoxication is indicated by: slurred speech, impaired coordination, elevated blood alcohol level (0.18%), and CNS depression symptoms ❌ Not withdrawal because: No tremors, no diaphoresis, no severe hypertension or hallucinations Use Code: ETOH to unlock the next level.
Consectetur adipiscing elit
Lorem ipsum dolor
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod.
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Not quite.
Re-read the question and review your notes if needed.
Correct!
Stimulants (including cocaine) can cause euphoria and crash. Use Code: STIM to unlock the next level.
ER Intake Note
Client: J.S. Age: 46
Chief Complaint: "Not feeling right" per EMS found at home with unsteady gait Family reports daily alcohol use for 15+ years Last drink: “earlier today” (unknown amount) No known drug use No recent illness reported Vitals: BP: 138/88, HR: 102, RR: 14, T: 98.4°F, SpO₂: 96% RA Assessment: Oriented to self, slurred speech, impaired judgment, unsteady gait, strong odor of alcohol on breath Flushed face, Poor coordination, No tremors or diaphoresis noted Laughing inappropriately at times, alternates between drowsy and mildly agitated, denies pain, states: “I’m fine, just tired” Labs: Blood alcohol level: 0.18% Glucose: 94
Not quite!
Re-read the question and think about the symptoms your client is experiencing.
Scenario:
A client is brought to the emergency department by friends.
Assessment Findings:
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Correct!
✔ Benzodiazepine help prevent seizures & delirium tremens (life-threatening form of alcohol withdrawal). The other options are important; however, our priority at this time is client safety. Use Code: NARCAN to unlock the next level.
Not quite!
Re-read the question and think about the symptoms your client is experiencing.
Correct!
✔ The client is experiencing the classic triad of symtoms: respiratory depression (RR 8/min), pinpoint pupils, and decreased LOC. History of “pain pill” use strongly supports opioid involvement. ❌ Sedative withdrawal presents similar to alcohol withdrawal (anxiety, tremors, seizures), but NOT unresponsiveness or respiratory depression. Alcohol withdrawal presents with CNS hyperactivity (tremors, hypertension, agitation). Stimulants also cause increased CNS activity (tachycardia, HTN, agitation, dilated pupils) Use Code: OVERDOSE to unlock the next level.
Consectetur adipiscing elit
Lorem ipsum dolor
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod.
Lorem ipsum dolor sit
Consectetur adipiscing elit
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