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 B

Explanation

A. While it's important to gather relevant information about the assault, asking open-ended questions about the perpetrator may not be the most appropriate approach initially.

B. Speaking softly helps to convey empathy and can make the client feel more comfortable and less threatened.

C. Direct eye contact can be perceived as intrusive or threatening, especially for individuals who have experienced trauma such as sexual assault.

D. Sitting next to the client rather than directly across can create a more relaxed and less intimidating atmosphere. This approach can help establish a sense of partnership and support, making the client feel more at ease.

A. Somatic symptom disorder B. Illness anxiety disorder. C. Factitious disorder D. Functional neurological symptom disorder

Correct Answer is B

Explanation

B Illness anxiety disorder (formerly known as hypochondriasis) is a mental health condition characterized by excessive worry or fear about having a serious illness, despite having little or no medical evidence to support the presence of the illness.

A. The focus in somatic symptom disorder is on the physical symptoms themselves rather than the fear of having a serious illness.

C. Individuals with factitious disorder may feign symptoms, manipulate test results, or induce illness in themselves to gain attention or care from healthcare providers.

D. The primary characteristic of functional neurological symptom disorder is the presence of neurological symptoms rather than excessive fear of illness or body checking behaviors.

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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 providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

Correct Answer is B

Explanation

A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

Correct Answer is B

Explanation

A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?

A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?

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A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

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