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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 ["A","C","E"]

Explanation

A. Visual hallucinations: Hallucinations, especially visual, are common in alcohol withdrawal delirium.

B. Grandiosity: This is more associated with mania in bipolar disorder than alcohol withdrawal.

C. Tremors: Tremors, or "shakes," are classic signs of withdrawal.

D. Hypotension: Hypertension, rather than hypotension, is more commonly seen in alcohol withdrawal delirium.

E. Paranoid delusions: Delusions, often paranoid in nature, are characteristic of withdrawal delirium.

A. They do not care that they lost their job and their partner. B. They filed for bankruptcy because of their debts and job loss. C. They are depressed over their current life situation. D. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences.

Correct Answer is D

Explanation

A. They do not care that they lost their job and their partner: This statement reflects apathy but does not define addiction.

B. They filed for bankruptcy because of their debts and job loss: This is a consequence of their addiction, not a defining characteristic.

C. They are depressed over their current life situation: Depression may coexist with addiction but is not a defining characteristic.

D. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: The hallmark of addiction is the compulsive engagement in the behavior despite adverse outcomes.

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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 collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

Correct Answer is D

Explanation

A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?

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?

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?

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse monitor for that indicate the client is experiencing alcohol withdrawal?

A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?

A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?

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.)