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?

Repression

Projection

Rationalization

Denial

Answer and Explanation

The Correct Answer is D

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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Correct Answer is B

Explanation

A. Methadone: Methadone is used for opioid withdrawal, not alcohol.

B. Benzodiazepines: Benzodiazepines, such as lorazepam or diazepam, are first-line medications to manage alcohol withdrawal symptoms, prevent seizures, and reduce the risk of delirium tremens.

C. Naloxone: Naloxone is used to reverse opioid overdose.

D. Diphenhydramine: While it may help with mild symptoms like sleep disturbance, it is not a primary treatment for withdrawal.

A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings. B. Crying, sharing personal details of relationship problems, monopolizing conversations. 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. D. Increased cheerfulness, increased energy, helping other nurses on the shift.

Correct Answer is C

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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