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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence. B. Education and interventions early in childhood when children are more inclined to change. C. Education and interventions in middle school when children are learning about health and nutrition. D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors.

Correct Answer is B

Explanation

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence: Waiting until early adolescence may miss critical formative years when behaviors are more easily influenced.

B. Education and interventions early in childhood when children are more inclined to change: Early intervention is effective because children at this stage are forming habits and values, making it easier to instill healthy behaviors. Early interventions can shape their attitudes and understanding about the risks associated with drug and alcohol use before they are exposed to peer pressure and high-risk situations.

C. Education and interventions in middle school when children are learning about health and nutrition: Middle school interventions are beneficial but may come too late for some children who have already been exposed to risky behaviors.

D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors: This approach may be too late to prevent substance use for many children already engaging in risky behaviors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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