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","D","E"]
Explanation
A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem.
B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse.
C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk.
D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse.
E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.
Correct Answer is D
Explanation
A. They do not care that they lost their job and their partner: This statement reflects apathy but does not define addiction.
B. They filed for bankruptcy because of their debts and job loss: This is a consequence of their addiction, not a defining characteristic.
C. They are depressed over their current life situation: Depression may coexist with addiction but is not a defining characteristic.
D. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: The hallmark of addiction is the compulsive engagement in the behavior despite adverse outcomes.
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