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Practice Question

A nurse manager is presenting an in-service about indications of possible substance use disorder among nursing staff. Which of the following examples should the nurse manager include?

Answer Choices:

Correct Answer:

Having assigned clients who report feeling increased sedation or fatigue

Rationale:

💊 Clients who report unexpected sedation or fatigue may be experiencing the effects of diverted or tampered medications, indicating that the nurse might be misusing narcotics or sedatives. This is a key warning sign of substance use disorder (SUD) among healthcare staff.

💊 Nurses with SUD may divert controlled substances for personal use by giving clients smaller doses, substituting medications, or falsifying documentation. These actions result in inadequate symptom control or unusual client reactions.

💊 Other red flags include frequent medication errors, discrepancies in narcotic counts, and volunteering to administer pain medications more often than others.

💊 Recognizing and reporting these indicators promptly is vital for patient safety and for providing the nurse involved with early intervention and support.

💊 The nurse manager should educate staff on ethical responsibilities and the importance of maintaining accountability in medication administration.

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This question is from RN Concept Based Level Assessment 4 which contains 140 questions.

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 A nurse is participating in an interprofessional care conference for a client who received a new diagnosis of an aggressive form of cancer earlier that day. The nurse should inform the team that which of the following is an example of paternalism?

Answer Choices:

A. The provider had pre-arranged for the client to begin chemotherapy in the morning.
B. The social worker has initiated the discharge planning process.
C. The client does not have an advance health care directive in place.
D. The nurse discusses the diagnosis with the client's family.
 A nurse is caring for a client on a medical-surgical unit.

Answer Choices:

A. Monitor for pulmonary edema.
B. Weigh the client once a week.
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F. Educate the client about low-potassium foods.
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From Exam
RN Concept Based Level Assessment 4

140 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Concept-Based Assessment Level Exam(s)
  • Answer Choices: 4
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