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.
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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Related Questions
Correct Answer is B
Explanation
A. Battery refers to the intentional and unlawful physical contact with another person without their consent. In this scenario, the nurse did not intend to harm the patient; the action was accidental. Therefore, battery would not apply here.
B. Malpractice is a type of negligence that occurs when a healthcare professional fails to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. Administering the wrong medication is a breach of duty, and if this mistake leads to harm (like an allergic reaction), the nurse can be held liable for malpractice.
C. Abuse generally refers to intentional harm or mistreatment of a patient, often involving physical or emotional harm. Since the nurse's actions were accidental and not intended to cause harm, this would not constitute abuse.
D. Assault involves the threat or attempt to cause physical harm to another person, creating a fear of imminent harm. Since the nurse did not intend to threaten or harm the patient, and the incident was not a threat, this does not fit the definition of assault.
Correct Answer is C
Explanation
A. A client's address is indeed considered personally identifiable information (PII) under HIPAA, which protects an individual's health information that can be used to identify them.
B. This statement is true. HIPAA is a federal law that sets standards for the protection of health information. However, state laws can provide additional protections but cannot be less stringent than HIPAA.
C. This statement indicates a need for further teaching. Under HIPAA, health information can only be disclosed to family members if the client has given consent or if it is in the best interest of the client (such as in emergencies). Without patient authorization, healthcare providers cannot disclose information freely.
D. This statement is accurate. HIPAA indeed regulates how individually identifiable health information is managed and protected, regardless of the format in which it is stored or communicated (verbal, electronic, or written).
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