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 ["65.0"]
Explanation
Step 1: Convert weight from pounds to kilograms
143 lbs÷2.2=65 kg
Step 2: Calculate the dose
1 mg/kg×65 kg=65 mg
Answer: 65mg
Correct Answer is A
Explanation
A. The first priority when a medication error occurs is to ensure the client's safety. The nurse should assess the client for any adverse reactions or complications from receiving the wrong medication. This includes checking for any immediate signs of distress, such as changes in vital signs, breathing difficulties, or other symptoms of an allergic reaction or toxicity. Once the client’s condition is stabilized, further steps such as notifying the provider or completing an incident report can be taken.
B. Call the client's provider is incorrect as the first step. While notifying the provider is necessary, the immediate action should be to assess the client to determine if there is any harm or need for urgent intervention.
C. Complete an incident report is incorrect as the first action. Incident reports are important for documenting the error and improving future practices, but the immediate priority is the client's well-being.
D. Notify the manager is incorrect as the first action. While informing the manager is part of the process, the first priority is always the client's safety, which begins with an assessment.
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