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What should the nurse do when suspecting a coworker of abusing drugs while at work?
- A. Confront the abuser.
- B. Report observations to a supervisor.
- C. Call the state board of nursing.
- D. Discuss the problem with another coworker.
Correct Answer: B
Rationale: The nurse's observations should be reported objectively, preferably in writing, to the supervisor.
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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.
The nurse cautions that a person who chronically abuses drugs may experience mental impairment. The area of the brain that can be affected and permanently damaged is the system.
Correct Answer: limbic
Rationale: The most commonly abused drugs act on the limbic system of the brain and can cause permanent damage.
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
- A. 30 to 60 minutes
- B. 1 to 4 hours
- C. 4 to 6 hours
- D. 6 to 12 hours
Correct Answer: D
Rationale: Some hallucinogenic effects of PCP can last 6 to 12 hours.
The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?
- A. Not asking personal questions
- B. Having a nonjudgmental attitude
- C. Including the family
- D. Promising the patient not to tell anyone
Correct Answer: B
Rationale: Maintaining a nonjudgmental attitude may reassure the patient and allow him to be more honest in his responses to the admission assessment.
Which drug is often used in date rape?
- A. Dalmane
- B. Xanax
- C. Narcan
- D. Rohypnol
Correct Answer: D
Rationale: Rohypnol has been abused as a date-rape drug and has not been approved for use in the United States.