Nokea
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.
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The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
- A. 3 hours
- B. 4 hours
- C. 5 hours
- D. 6 hours
Correct Answer: D
Rationale: Withdrawal signs can occur as early as 6 hours after cessation of alcohol intake and sometimes last for 3 to 5 days.
While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time?
- A. Daily for the rest of his life.
- B. Daily until stabilized, then gradually reduce the dose to zero.
- C. Weekly for at least 6 months, then decrease the dose to once a month.
- D. Monthly for 6 to 10 months, then decrease the dose to zero.
Correct Answer: B
Rationale: Methadone is given daily until the patient is stabilized. The methadone is reduced gradually until the patient does not need to take any.
When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?
- A. Clonidine
- B. Narcan
- C. Orlaam
- D. Methadone
Correct Answer: B
Rationale: Opioid overdose treatment involves administering Narcan as prescribed to reverse the effects of the narcotic.
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.
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.