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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Support the client’s coping skills. While important, safety takes precedence in the acute phase.

B. Prevent the client from harming herself or others. Alcohol withdrawal can lead to agitation, hallucinations, or seizures, making safety the nurse's priority.

C. Identify the use of defense mechanisms. This is part of long-term treatment, not immediate care.

D. Develop goals for treatment. Goal-setting is essential for long-term management but is not the priority during acute withdrawal.

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence. B. Education and interventions early in childhood when children are more inclined to change. C. Education and interventions in middle school when children are learning about health and nutrition. D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors.

Correct Answer is B

Explanation

A. Education and interventions in high school during early adolescence when children are more susceptible to peer influence: Waiting until early adolescence may miss critical formative years when behaviors are more easily influenced.

B. Education and interventions early in childhood when children are more inclined to change: Early intervention is effective because children at this stage are forming habits and values, making it easier to instill healthy behaviors. Early interventions can shape their attitudes and understanding about the risks associated with drug and alcohol use before they are exposed to peer pressure and high-risk situations.

C. Education and interventions in middle school when children are learning about health and nutrition: Middle school interventions are beneficial but may come too late for some children who have already been exposed to risky behaviors.

D. Education and interventions in high school during late adolescence when children are more likely to engage in high-risk behaviors: This approach may be too late to prevent substance use for many children already engaging in risky behaviors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Correct Answer is B

Explanation

A public health nurse is working with a local school to implement programs for the prevention of drug and alcohol use disorder. The nurse should identify which of the following interventions is an effective strategy for preventing drug and alcohol use disorder in children?

Correct Answer is B

Explanation

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A nurse is assisting the charge nurse to prepare for an in service with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 ml. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Which of the following is a correctly prioritized hypothesis about manifestations of withdrawal symptoms?

A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

A nurse manager is talking to a nurse who she suspects has alcohol use disorder. The nurse tells the nurse manager, "I don't have a problem. I'm just tired." The nurse manager should identify that the nurse is using which of the following defense mechanisms?

The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor?

A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse? (Select All that Apply.)