A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings.
Crying, sharing personal details of relationship problems, monopolizing conversations.
Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications.
Increased cheerfulness, increased energy, helping other nurses on the shift.
The Correct Answer is C
A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: These behaviors may reflect workplace dissatisfaction or burnout rather than substance use.
B. Crying, sharing personal details of relationship problems, monopolizing conversations: These are more indicative of emotional distress or poor boundaries, not necessarily substance use.
C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors suggest potential access and misuse of medications, a key indicator of substance use disorder in healthcare workers.
D. Increased cheerfulness, increased energy, helping other nurses on the shift: While these behaviors might seem unusual, they are not strong indicators of substance use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I have had bipolar disorder for over 10 years." While mental health conditions can co-occur with addiction, this statement does not directly indicate gambling addiction.
B. "My parents are my support system." This is a neutral statement and does not indicate addiction.
C. “I can't sleep at night. I have insomnia." Insomnia may occur for various reasons and is not diagnostic of gambling addiction.
D. "My wife left me. I lost my job and had to file for bankruptcy." Financial ruin and personal losses are strong indicators of gambling addiction.
Correct Answer is D
Explanation
A. Repression: Repression involves unconsciously blocking unacceptable thoughts or feelings, not denying a problem exists.
B. Projection: Projection is attributing one’s own unacceptable feelings or behaviors to someone else.
C. Rationalization: Rationalization involves justifying a behavior with logical, but false, reasons.
D. Denial: Denial involves refusing to acknowledge the reality of a situation, such as the presence of an alcohol use disorder.
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