A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings.
Crying, sharing personal details of relationship problems, monopolizing conversations.
Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications.
Increased cheerfulness, increased energy, helping other nurses on the shift.
The Correct Answer is C
A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: These behaviors may reflect workplace dissatisfaction or burnout rather than substance use.
B. Crying, sharing personal details of relationship problems, monopolizing conversations: These are more indicative of emotional distress or poor boundaries, not necessarily substance use.
C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors suggest potential access and misuse of medications, a key indicator of substance use disorder in healthcare workers.
D. Increased cheerfulness, increased energy, helping other nurses on the shift: While these behaviors might seem unusual, they are not strong indicators of substance use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Visual hallucinations: Hallucinations, especially visual, are common in alcohol withdrawal delirium.
B. Grandiosity: This is more associated with mania in bipolar disorder than alcohol withdrawal.
C. Tremors: Tremors, or "shakes," are classic signs of withdrawal.
D. Hypotension: Hypertension, rather than hypotension, is more commonly seen in alcohol withdrawal delirium.
E. Paranoid delusions: Delusions, often paranoid in nature, are characteristic of withdrawal delirium.
Correct Answer is C
Explanation
A. Infrequent attendance is usually successful. Success in a 12-step program often depends on consistent attendance and active participation.
B. The philosophy that it is possible to reduce the use of substances without abstaining. The 12-step program emphasizes total abstinence rather than moderation or reduced use.
C. It is a self-help group that focuses on total abstinence. This is the hallmark of the 12-step program, as it emphasizes a commitment to complete abstinence through peer support and personal accountability.
D. Persons who use this program are independent in their sobriety. The program focuses on mutual support, and participants rely on the group and sponsors to maintain sobriety.
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