The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.

The narcotic count is incorrect when the nurse ends the shift.

The nurse has poor hygiene practices and has an offensive body odor.

The observing nurse finds oral narcotics blister packs torn in the back.

The clients are reporting a lack of pain control when the nurse is working.

The nurse administers narcotics and then goes to use the bathroom.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A: The narcotic count is incorrect when the nurse ends the shift

An incorrect narcotic count at the end of a shift is a serious issue that could indicate potential drug diversion. It's crucial for nurses to accurately count and document narcotics to ensure patient safety and maintain legal and ethical standards. Therefore, this behavior should be reported to the nurse manager.

Choice B: The nurse has poor hygiene practices and has an offensive body odor

While poor hygiene and offensive body odor can be disruptive and unpleasant in a workplace setting, they are not direct indicators of substance use disorder. However, it's important to note that changes in personal hygiene can sometimes be a sign of other health or personal issues.

Choice C: The observing nurse finds oral narcotics blister packs torn in the back

Finding torn narcotics blister packs could indicate that a nurse is diverting drugs for personal use. This is a serious violation of nursing practice and should be reported immediately.

Choice D: The clients are reporting a lack of pain control when the nurse is working

If patients consistently report a lack of pain control when a specific nurse is working, it could suggest that the nurse is not administering the prescribed pain medications properly¹?¹?¹?¹?¹?. This could be due to a variety of reasons, including potential drug diversion, and should be reported.

Choice E: The nurse administers narcotics and then goes to use the bathroom

Frequent bathroom breaks immediately after administering narcotics could be a red flag for drug diversion. While there could be other explanations, this behavior in the context of the other signs could indicate a substance use disorder and should be reported.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.

Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.

Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.

Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.

Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.

A. "My spouse had a terrible childhood, and I would probably do the same things." B. "If I don't give them money for the drugs, they will just steal it anyway." C. "I told my spouse that in order to be able to come home, they will first have to go to rehab." D. "I am so scared about my spouse getting fired; I often call in sick for them." E. "I can't keep money in the house and have to lock up jewelry in a safe."

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: This statement is an example of rationalizing the spouse's behavior, which can perpetuate the cycle of substance abuse.

Choice B reason: Providing money for drugs, even under the guise of preventing theft, is enabling because it facilitates the continuation of the substance abuse.

Choice C reason: Suggesting rehab as a condition for coming home is not enabling; it is a step towards addressing the substance use disorder.

Choice D reason: Calling in sick on behalf of the spouse to cover for their potential job loss due to substance abuse is an enabling behavior that prevents the spouse from facing the natural consequences of their actions.

Choice E reason: Securing valuables to prevent theft due to the spouse's substance abuse is also enabling because it adjusts normal routines to accommodate the substance use, rather than confronting or addressing the issue.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)

The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa, what family dynamic is most likely contributing to the client's condition?

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?