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 C
Explanation
A. Bone and muscle aches: These are more commonly associated with opioid withdrawal, not alcohol withdrawal.
B. Decreased blood pressure and nausea: Alcohol withdrawal is typically associated with increased blood pressure, not decreased blood pressure.
C. Increased heart rate and vomiting: Tachycardia and gastrointestinal symptoms like vomiting are common signs of alcohol withdrawal.
D. Constipation and pupil constriction: These symptoms are not characteristic of alcohol withdrawal but are associated with opioid use.
Correct Answer is D
Explanation
A. Decreased blood pressure: Hypertension, not hypotension, is more common in alcohol withdrawal.
B. Muscle aches: Muscle aches are not typical for alcohol withdrawal.
C. Respiratory depression: Respiratory depression is not a feature of alcohol withdrawal but is more associated with opioid overdose.
D. Hallucinations: Visual, auditory, or tactile hallucinations may occur during severe withdrawal or delirium tremens.
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