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 B
Explanation
A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.
B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.
C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.
D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.
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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