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A nurse suspects her coworker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicions?
- A. Spending more time with coworkers
- B. Frequently absent from the unit
- C. Rapid changes in mood and performance
- D. Increased somatic complaints
- E. Patients report they did not receive their medications
Correct Answer: B,C,D,E
Rationale: Signs of drug abuse in a nurse include the nurse becoming more isolated from coworkers, being frequently absent from the unit, rapidly changing mood and performance, increasing somatic complaints, and patients reporting they did not receive their medications.
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If the patient tells the nurse, 'I'm not an alcoholic. I can stop whenever I want to,' what should be the nurse's most therapeutic response?
- A. Well, why don't you?
- B. Hasn't alcohol use interfered with your employment?
- C. A positive attitude like that is a good start.
- D. What would you call alcoholism?
Correct Answer: B
Rationale: When the addicted person presents in denial, the nurse should use techniques to set limits on that behavior.
What age of onset of alcohol consumption is most predictive of alcohol addiction?
- A. 8 or younger
- B. 10 or younger
- C. 12 or younger
- D. 14 or younger
Correct Answer: D
Rationale: Forty-four percent of those who start drinking at the age of 14 or younger will develop alcoholism.
Which statement describes the impaired nurse who is in a peer assistance program?
- A. The nurse has a revoked nursing license.
- B. The nurse does not have to notify her employer.
- C. The nurse will be allowed to work as a nurse under supervision.
- D. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.
Correct Answer: C
Rationale: The peer assistance program allows the nurse to retain licensure and continue to work under supervision, although possibly in an area where access to controlled drugs is difficult. It is necessary for the employer to have information regarding the peer assistance assignment. Action is not reported to the Healthcare Integrity and Protection Data Bank until final adverse actions are taken, allowing the nurse to complete the peer assistance program.
What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
- A. Swaddle the baby closely.
- B. Place the baby in a brightly lit area.
- C. Hold and rock the baby frequently.
- D. Place the baby in a busy part of the nursery for stimulation.
Correct Answer: A
Rationale: A baby born to a drug-addicted mother should be swaddled, placed in an area of low stimulation, and minimally handled.
The nurse should assess a patient for which criteria of addiction?
- A. Excessive use of the substance
- B. Increase in social function
- C. Uncontrollable consumption
- D. Increase in economic function
- E. Psychological disturbances
Correct Answer: A,C,E
Rationale: Criteria for addiction include excessive use of the substance, a decrease in social function, uncontrollable consumption, a decrease in economic function, and psychological disturbances.