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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 D

Explanation

A. Acupuncture: While it may be used as a complementary therapy, it is not a primary approach.

B. Prayer: This may provide personal comfort but is not a medical treatment.

C. Hypnosis: Hypnosis is not widely used or validated for substance abuse treatment.

D. Detoxification: Detoxification is the process of safely removing a substance from the body, often under medical supervision.

A. Having a learning disability B. Inadequate sleep at night C. Substance uses within immediate family D. Feeling unsafe at home E. Fighting with peers at school

Correct Answer is ["A","C","D","E"]

Explanation

A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem.

B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse.

C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk.

D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse.

E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.

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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

Which of the following is a commonly used approach in substance abuse treatment?

Correct Answer is D

Explanation

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.)

Correct Answer is ["A","C","D","E"]

Explanation

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