A nurse is caring for a client who is chemically impaired. Which of the following is a key topic in the cascade of care framework for opioid use disorder (OUD)
Engagement in care
Recovery
Readmission
Medication initiation
The Correct Answer is A
A. This is a crucial step in the cascade of care, as it involves connecting individuals with OUD to treatment services. Without engagement, subsequent steps like medication initiation and recovery cannot be achieved.
B. While recovery is the ultimate goal of OUD treatment, it is a later stage in the cascade. It follows successful engagement, medication initiation, and retention in care.
C. This is not a primary focus of the cascade of care framework, although it can be a relevant outcome measure to assess the effectiveness of treatment.
D. While important, medication initiation is a step that occurs after engagement in care. It is not the foundational element of the cascade.
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Correct Answer is B
Explanation
A. Professional identity refers to how an individual sees themselves within their profession and how they align with the values, ethics, and roles associated with their field. It is more directly related to engagement and commitment rather than identity formation.
B. Professional commitment involves dedication to the profession and a willingness to advance the field, adhere to ethical standards, and engage in ongoing learning and development. Joining a professional organization is a strong example of professional commitment, as it demonstrates a nurse’s dedication to staying informed, participating in professional development, and contributing to the advancement of their profession.
C. Risk management involves identifying, assessing, and mitigating risks to ensure safety and compliance within the healthcare setting. While professional organizations may provide resources and support related to risk management, joining such an organization is not primarily about managing risk.
D. Quality improvement focuses on enhancing patient care and healthcare processes through systematic efforts to improve outcomes and efficiency. Joining a professional organization can support quality improvement by providing access to best practices and research, but the primary purpose of membership is not specifically to engage in quality improvement activities.
Correct Answer is D
Explanation
A. De-escalation techniques are focused on managing agitated or aggressive behavior, not opioid use.
B. Hallucinations are often related to underlying medical or psychiatric conditions and require specific treatments. De-escalation techniques may help manage agitated behaviors associated with hallucinations but won't directly decrease them.
C. While de-escalation techniques often involve improved communication, it's a means to an end rather than a primary benefit.
D. This is the primary benefit of de-escalation techniques. By effectively calming agitated individuals, the need for physical restraints can be minimized, promoting patient safety and dignity.
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