A nurse has been confronted about stealing and taking drugs from the narcotics cart in the med room. The nurse has been reported to the board of nursing in their state. What is the likely initial outcome?
The nurse will lose their nursing license immediately.
The nurse will need to transfer to a different unit.
The nurse will be fired immediately.
The nurse will be assisted into drug treatment.
The Correct Answer is D
A. The nurse will lose their nursing license immediately: While stealing and taking drugs from the narcotics cart is a serious offense, losing a nursing license typically involves a formal investigation process and a hearing before the board of nursing. Immediate revocation is unlikely without due process.
B. The nurse will need to transfer to a different unit: Transferring to a different unit does not address the underlying issue of substance abuse or theft. While this may occur in some cases, it is not a likely initial outcome given the severity of the allegations.
C. The nurse will be fired immediately: While termination may occur as a consequence of the behavior, it is not the immediate action taken in response to the report. The facility may conduct an investigation before deciding on termination.
D. The nurse will be assisted into drug treatment: It is common for healthcare facilities to offer assistance for substance use disorders, especially if the nurse expresses a willingness to seek help. The initial outcome often includes referrals to treatment programs as part of a broader approach to address the issue and ensure the nurse receives the necessary support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Thought insertion: This delusion involves the belief that one's thoughts are not their own and have been placed in their mind by an external force. The client's belief of being a celebrity does not reflect this type of delusion.
B. Persecutory: Persecutory delusions involve the belief that one is being targeted or harassed by others. The client's delusion of being a celebrity does not indicate that they feel threatened or persecuted; rather, it reflects an inflated sense of self-importance.
C. Control: Delusions of control involve the belief that one's thoughts, feelings, or actions are being controlled by an external force. The client's behavior does not suggest they believe their actions are controlled by someone else but rather indicates a belief in their elevated status.
D. Grandiose: Grandiose delusions are characterized by an inflated sense of self-worth, power, or identity. The client's belief of being a celebrity exemplifies this type of delusion, as it involves an exaggerated perception of their own importance and status.
Correct Answer is B
Explanation
A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.
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