A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

Report the incident to the appropriate person in the chain of command right away.

Agree to not report the incident if the coworker seeks treatment.

Report the incident to the other RNs on the shift.

Agree to not report the incident if the coworker promises to report themselves to the supervisor.

Answer and Explanation

The Correct Answer is A

A. When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities.

B. While it's important to encourage the coworker to seek treatment for their substance abuse issue, withholding reporting of the incident compromises patient safety and violates organizational policies and legal obligations. It's essential to report the incident regardless of the coworker's actions afterward.

C. Reporting the incident to other RNs on the shift may not be sufficient action to address the seriousness of the situation. While it's important for colleagues to be aware of potential risks to patient safety, the primary responsibility lies with reporting the incident to the appropriate authorities within the organization.

D. Agreeing not to report the incident in exchange for the coworker promising to report themselves to the supervisor is not an appropriate course of action. It's essential to follow established reporting protocols and ensure that the incident is documented and addressed through the appropriate channels to protect patient safety and uphold professional standards.

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Correct Answer is C

Explanation

C. Vulnerable populations, such as those with low socioeconomic status, the elderly, racial and ethnic minorities, and individuals with certain health conditions, may experience higher levels of health risks due to various factors such as limited access to healthcare, environmental exposures, social determinants of health, and underlying health disparities.

A. Although variability of response to stressors is important it is not the primary concern

B. Although older individuals are vulnerable to risk factors, the nurse should include all vulnerable groups.

D. While resilience can mitigate the impact of risk factors on health outcomes, it is not a determinant of health risk itself.

A. "Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones." B. "Somatic symptom disorder is characterized by suicidal ideations or thoughts of death. C. Individuals may intentionally make up the symptoms they are experiencing. D. There are limited effective treatment options for this disorder."

Correct Answer is A

Explanation

A. This statement accurately describes a key aspect of somatic symptom disorder. Individuals with this disorder experience real physical symptoms, but these symptoms are primarily driven by psychological or emotional factors rather than underlying physical causes.

B. Suicidal ideation is not a defining characteristic of the disorder. Somatic symptom disorder primarily involves persistent and distressing physical symptoms along with excessive thoughts, feelings, or behaviors related to those symptoms.

C. Somatic symptom disorder is not characterized by malingering or intentionally fabricating symptoms. Individuals with this disorder genuinely experience physical symptoms that cause distress and impairment

D. There are effective treatment approaches available, including cognitive-behavioral therapy (CBT), psychotropic medications for co-occurring conditions such as depression or anxiety, and supportive therapies that address underlying psychological factors

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A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing factors that determine a client's health risk with a newly licensed nurse. Which of the following factors should the nurse include?

Correct Answer is C

Explanation

A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?

Correct Answer is A

Explanation

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