What are some potential indicators of substance abuse among nursing professionals? (Select All that Apply.)
Deterioration in relationships with colleagues
Changes in physical appearance, such as unkempt appearance
Consistent improvement in work performance and productivity
Increased incidents of medication errors
Frequent unexplained absences from work
Correct Answer : A,B,D,E
A. Deterioration in relationships with colleagues is correct. Substance abuse can impact a nurse's behavior, leading to mood swings, irritability, and interpersonal conflicts with colleagues. This can result in a breakdown in relationships and teamwork.
B. Changes in physical appearance, such as unkempt appearance is correct. Nurses struggling with substance abuse may exhibit poor hygiene, an unkempt appearance, and weight changes due to neglect of personal care. These changes are often visible signs of the physical and emotional toll of substance abuse.
C. Consistent improvement in work performance and productivity is incorrect. Substance abuse typically leads to decreased work performance and increased errors due to impairment in concentration, judgment, and decision-making. Improved performance is not a common indicator of substance abuse.
D. Increased incidents of medication errors is correct. Substance abuse can lead to impaired judgment and inattention to detail, which can contribute to an increase in medication errors. Nurses under the influence may struggle to follow protocols and maintain focus on patient safety.
E. Frequent unexplained absences from work is correct. Frequent absences, arriving late, or leaving early can be signs of substance abuse, as the individual may be seeking time to recover from the effects of substance use or to obtain substances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urine output is correct. Diabetes insipidus (DI) causes excessive urine output due to a deficiency in antidiuretic hormone (ADH). Vasopressin acts as a synthetic ADH, helping the kidneys retain water. A decrease in urine output indicates the medication is effective.
B. Specific gravity would actually increase if the medication is working, as the urine becomes more concentrated. A decrease in specific gravity would indicate continued dilute urine, suggesting the medication is not effective.
C. Blood glucose is not typically affected by vasopressin or directly related to diabetes insipidus, which is different from diabetes mellitus.
D. Blood pressure might slightly increase due to vasopressin's vasoconstrictive effects, but this is not the primary indicator that the medication is working for diabetes insipidus.
Correct Answer is C
Explanation
A. Place baby's name band on the top of the crib with MR number for safe care is incorrect. While it's important to ensure proper identification of the infant, the name band should be placed on the infant's wrist or ankle, not on the crib. Placing it on the crib could increase the risk of mixing up babies.
B. Placing small stuffed animals in the crib for stimulation is incorrect. It is not safe to place small items like stuffed animals, blankets, or pillows in the crib due to the risk of suffocation or choking. For infant safety, the crib should be kept clear of such objects.
C. Keep all items required for the infant's care out of the crib is correct. The crib should be kept clear of unnecessary items to ensure the infant's safety. This minimizes the risk of suffocation, entrapment, and falls. Only necessary items, such as a firm mattress and tight-fitting sheet, should be in the crib.
D. Leaving the crib rails down to make it easier to access the infant is incorrect. The crib rails should always be kept up when the infant is in the crib to prevent the risk of falling out or injury. Lowering the crib rails increases the risk of the infant rolling or falling out of the crib.
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