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Questions and Answers
A nurse manager notices that a staff nurse is volunteering for extra shifts, frequently administering pain medications, and isolating from colleagues. What is the most appropriate initial action by the nurse manager?
A nurse manager notices that a staff nurse is volunteering for extra shifts, frequently administering pain medications, and isolating from colleagues. What is the most appropriate initial action by the nurse manager?
A nurse with a history of substance use disorder (SUD) is returning to work after completing a rehabilitation program. What is the best way for the nursing team to support this colleague?
A nurse with a history of substance use disorder (SUD) is returning to work after completing a rehabilitation program. What is the best way for the nursing team to support this colleague?
Which of the following is most consistent with behavioral changes seen in nurses with substance use disorder (SUD)?
Which of the following is most consistent with behavioral changes seen in nurses with substance use disorder (SUD)?
A nurse self-administers a narcotic intended for a patient and falsifies documentation to cover the discrepancy. What is the primary ethical issue involved in this situation?
A nurse self-administers a narcotic intended for a patient and falsifies documentation to cover the discrepancy. What is the primary ethical issue involved in this situation?
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According to the Ohio Nurse Practice Act, what is the most appropriate action when a nurse is found to have substance use disorder (SUD)?
According to the Ohio Nurse Practice Act, what is the most appropriate action when a nurse is found to have substance use disorder (SUD)?
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What is the best approach for addressing the stigma surrounding nurses with substance use disorder (SUD)?
What is the best approach for addressing the stigma surrounding nurses with substance use disorder (SUD)?
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A nurse in recovery from substance use disorder (SUD) is participating in a monitoring program as a condition of returning to work. Which of the following is most important to include in the monitoring program?
A nurse in recovery from substance use disorder (SUD) is participating in a monitoring program as a condition of returning to work. Which of the following is most important to include in the monitoring program?
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Which physical sign might indicate a healthcare provider is experiencing substance use disorder (SUD)?
Which physical sign might indicate a healthcare provider is experiencing substance use disorder (SUD)?
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A nurse colleague suspects another nurse is diverting medications but is hesitant to report the behavior. What is the most appropriate advice to provide?
A nurse colleague suspects another nurse is diverting medications but is hesitant to report the behavior. What is the most appropriate advice to provide?
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A nurse is returning to work after completing treatment for SUD. Which of the following responsibilities falls on the nurse manager to ensure a successful reintegration?
A nurse is returning to work after completing treatment for SUD. Which of the following responsibilities falls on the nurse manager to ensure a successful reintegration?
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A nurse denies having a substance use problem despite evidence of impaired practice. What is the most appropriate initial intervention?
A nurse denies having a substance use problem despite evidence of impaired practice. What is the most appropriate initial intervention?
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Which of the following best describes the primary goal of alternative-to-discipline (ATD) programs for nurses with SUD?
Which of the following best describes the primary goal of alternative-to-discipline (ATD) programs for nurses with SUD?
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A nurse supervisor notices discrepancies in medication counts and altered patient records involving a single staff nurse. What is the priority action?
A nurse supervisor notices discrepancies in medication counts and altered patient records involving a single staff nurse. What is the priority action?
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When educating nursing students about substance use disorder (SUD), which of the following points should be emphasized?
When educating nursing students about substance use disorder (SUD), which of the following points should be emphasized?
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Study Notes
Substance Use Disorder (SUD) Practice
- Nurses with SUD may demonstrate frequent errors in documentation, isolating themselves from colleagues, and reporting coworkers for minor infractions. Frequent errors in documentation are a key indicator.
- Confronting a nurse directly and demanding an explanation is not the most appropriate initial action when a nurse is exhibiting concerning behavior.
- Reviewing medication administration records for discrepancies is the initial, and most appropriate action.
- Creating a supportive environment is the best way to support a colleague recovering from a substance use disorder.
- Closely monitoring a nurse or assigning them only non-patient care duties is not a supportive way to help them recover.
- Nurses with substance use disorders can demonstrate a range of behavioral changes.
- Nurses with SUD might have inconsistencies in medication handling.
- Self-administering narcotics and falsifying documentation is a violation of patient confidentiality and the ANA Code of Ethics, specifically concerning principles of patient safety and integrity.
- The most appropriate action when a nurse is found to have a substance use disorder (SUD) is mandatory enrollment in an employee assistance or alternative-to-discipline program.
- Educating staff on the chronic nature of SUD and recovery success rates is the best approach to address stigma.
- Implementing strict monitoring policies or requiring nurses to sign a pledge to remain drug-free can exacerbate the situation.
- Random drug testing and regular check-ins with a supervisor are important components of a monitoring program to help nurses in recovery.
- Persistent fatigue and drowsiness during shifts can be a physical sign of SUD.
- Nurses have an ethical obligation to report suspected impairment to protect patients.
- Nurse managers should provide consistent support for nurses returning to work after treatment for SUD, including compliance with monitoring programs.
- A nurse suspected of SUD should have their case investigated following institutional policies. This is especially important if there are concerns about medication discrepancies.
- Early recognition, support, and treatment increase the possibility of successful recovery. SUD is a chronic disease, not a moral failing.
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Description
This quiz focuses on understanding Substance Use Disorder (SUD) in the context of nursing practice. It covers key behaviors, appropriate responses, and support strategies for nurses facing SUD. Test your knowledge on identifying SUD indicators and effective interventions.
