A nurse is providing teaching to a group of newly licensed nurses about stress reduction techniques.
Which of the following should be included in the teaching? (Select all that apply.)

Choice A rationale

Submitting to weekly drug testing is a common component of monitoring for chemical impairment but is typically part of a broader re-entry plan. While necessary for accountability and ensuring sobriety, it is a compliance measure rather than a foundational rehabilitative requirement that addresses the underlying issues of chemical dependence for successful re-entry.

Choice B rationale

Working on the night shift for the first year is not a standard requirement for re-entry after chemical impairment and may even be counterproductive. Irregular schedules and isolation can potentially increase stress and relapse risk, as a supportive and stable environment is crucial for successful recovery and reintegration into the workforce following impairment.

Choice C rationale

Completing a diversion program is an appropriate requirement for re-entry to the workplace for a chemically impaired nurse. These programs are structured to provide comprehensive treatment, rehabilitation, and monitoring, addressing the root causes of impairment and supporting the nurse's recovery to ensure patient safety and professional integrity upon return.

Choice D rationale

Attending anger management classes is not typically a primary requirement for re-entry following chemical impairment. While anger management might be beneficial for some individuals, it does not directly address the core issue of chemical dependence or provide the structured monitoring and treatment necessary for a safe and successful return to nursing practice.

Choice A rationale

Veracity is the ethical principle of telling the truth and being honest. In a healthcare context, this means that healthcare providers have an obligation to provide accurate and complete information to clients, including disclosing errors that may have occurred during their care, which builds trust and promotes client autonomy.

Choice B rationale

Confidentiality is the ethical principle of protecting private client information and not disclosing it to unauthorized individuals. While important, it does not directly address the nurse's obligation to inform the client of an error.

Choice C rationale

Justice is the ethical principle that focuses on fair and equitable treatment for all individuals, ensuring resources are distributed justly and that all clients receive the same standard of care. This principle is not directly related to disclosing an individual medication error.

Choice D rationale

Assessment is a step in the nursing process involving data collection about a client's health status. While crucial for safe nursing practice, it is a clinical skill and not an ethical principle guiding the disclosure of an error.