What consideration should the nurse-manager prioritize when creating a program to deal with the issue of substance abuse by employees?

The program is unnecessary because state boards of nursing have authority over this issue.

The program should emphasize punishment due to the safety risk posed by impaired employees.

For confidentiality reasons, the program should be planned and executed by the personnel department.

The program should emphasize screening, prevention and early intervention.

Answer and Explanation

The Correct Answer is D

A.   While state boards of nursing do have regulatory authority over nursing practice and can take action against nurses who abuse substances, this does not negate the need for an internal program. Organizations should proactively address substance abuse to support employee health and safety, rather than relying solely on external authorities.
B.   While safety is a critical concern, emphasizing punishment can create a culture of fear and may discourage employees from seeking help. A punitive approach may lead to further issues, such as hiding problems rather than addressing them.
C.   While confidentiality is important, the involvement of the personnel department alone may not be sufficient to address the complexities of substance abuse. A comprehensive program should include input from healthcare professionals, mental health experts, and employee assistance programs to effectively manage and support affected employees.
D.   This is the most appropriate consideration. A program focusing on screening, prevention, and early intervention can help identify issues before they escalate, support employees in getting the help they need, and create a healthier workplace culture.

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Correct Answer is A

Explanation

A. In many institutions, when a nurse administers a controlled substance and has leftover medication, it is standard practice to have another nurse witness the disposal of the excess. This is a safeguard against misuse and ensures accountability.
B. While a sharps container is appropriate for disposing of needles and other sharp objects, it is not suitable for liquid medications. Discarding liquid medications in a sharps container could lead to contamination and is not compliant with disposal protocols.
C. Medications, especially controlled substances, should never be saved for later use once they have been drawn up or prepared. This practice poses a significant risk for medication errors and misuse.
D. Generally, the waste amount is not sent to the pharmacy. Instead, it should be wasted according to the facility's policy, typically in the presence of another nurse. Sending it to the pharmacy is unnecessary and could create logistical complications.

A. It is high because the RN is automatically held liable for the tasks delegated to all recognized subordinates. B. It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification. C. is reduced when the RN delegates appropriately and supervises the completion of the tasks. D. It is avoided entirely as long as the nurse delegates only other licensed personnel

Correct Answer is C

Explanation

A. While RNs can be held liable for their actions and, to some extent, for the actions of those they delegate to, liability is not automatic for all tasks delegated. Liability depends on whether the RN acted appropriately in the delegation process and whether the delegated tasks were performed within the subordinate's scope of practice.
B. While subordinates are accountable for their actions, RNs also share responsibility when they delegate tasks. If the RN delegates a task inappropriately or fails to supervise adequately, they may still be held liable for any resulting harm.
C. This statement is true. When RNs delegate tasks appropriately, ensuring that they are within the subordinate's scope of practice and providing adequate supervision, their liability is reduced. Proper delegation includes assessing the situation, providing clear instructions, and monitoring the outcomes.
D. While delegating to licensed personnel may reduce some liability, it does not eliminate it entirely. RNs still have a duty to ensure that the tasks delegated are appropriate for the individual’s scope of practice and to provide supervision.

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What consideration should the nurse-manager prioritize when creating a program to deal with the issue of substance abuse by employees?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Which statement is true regarding the general delegation liability of the registered nurse (RN)?

Correct Answer is C

Explanation

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