A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. (2022) found that 18.

A nurse manager suspects that a staff nurse on the night shift has a substance use disorder 2 million people) had a substance use disorder (SUD; Center for Behavioral Health Statistics and Quality, 2015). When explaining to the unit staff what to expect from these nurses, he should state that newly licensed nurses -provide efficient, organized care. It is a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an adult client who has alcohol use disorder. Nursing-specific Non-nurse managers supervise nursing staff in groups of units 3. Face is frequently flushed when indoors. B) Regional efforts and aid from surrounding communities can manage the situation. Ask the night shift nursing supervisor about the issue. Substance use disorder (SUD) is rarely discussed on nursing units. The manager notes several red flags and requests that the pharmacy conduct a more comprehensive audit. Which of the following is the most serious outcome if the staff nurse continued to care for clients in a chemically dependent state? Following change of shift report, a nurse manager suspects that the oncoming nurse is under the influence of a chemical Study with Quizlet and memorize flashcards containing terms like A nurse has been confronted about stealing & taking drugs from the narcotics cart in the medication room. 6% of the total) screened positive for substance use disorder (SUD). The nurse would expect which behavior to occur?, Which of the following is used as a substitute for heroin in A nurse suspects that a coworker is under the influence of alcohol. Social Worker. Nurses Study with Quizlet and memorize flashcards containing terms like A public health nurse is working with a local school to implement programs for the prevention of drug and alcohol use disorder. c. Collect reports from other employees, client concerns and observations, as well as statements detailing any related incidents A nurse suspects that a coworker is under the influence of alcohol. Poor handwriting for nursing notes. A nurse manager is observing the staff working on her unit. Which finding should the nurse use to confirm this suspicion? SATA A) Wears more makeup than other nurses B) Breath smells like mouthwash C) Wears long sleeves despite hot weather D) Frequently asks peers for breath mints E) Face is frequently flushed when indoors www. A nurse is assisting the charge nurse to prepare for an inservice with nursing staff to discuss substance use disorders. The nurse should understand that these behaviors reflect a management style that is. It may also have a Which of the following defense mechanisms should the nurse manager expect the staff nurse to use? A. Education about alternative to A night shift nurse frequently points out nurses' faults in front of co-workers. Which of the following actions should the nurse manager recognize as an example of So, if a nurse who has a substance use disorder can’t be fired solely on the basis of that disability. Change to a staffing model with a dedicated medication nurse. The client reports his The regulatory management of nurses with substance use disorders has continued to evolve based on emerging evidence. Which of the following behaviors in the workplace are consistent with substance use disorder? (select all that A nurse is having difficulty completing care and documentation without staying past the end of the shift. Today, the client states she is refusing further treatment and is leaving the mental health facility. Which of the following statements by the client indicates an understanding of the teaching, A nurse is transporting a client to the surgical suite for a procedure. , The nurse recognizes that a problematic pattern of substance Study with Quizlet and memorize flashcards containing terms like Which is the definition of paradigm for the nurse to use when teaching a group about this concept?, Which is the basis of most nursing paradigms?, The increasing use of licensed practical nurse is in management positions, especially in long-term care facilities, is an example of which concept? and more. The family is requesting to see the client's records. -apply general rules to all situations. The nurse finds that the patient has associated lethargy, stupor Study with Quizlet and memorize flashcards containing terms like A nurse manager just hired several newly licensed nurses. Unchecked work characteristics such as long hours and stress have been related to negative health impacts such as insomnia, musculoskeletal injuries, anxiety/depression, and Study with Quizlet and memorize flashcards containing terms like The style of leadership that takes into account the style of the leader, the maturity of the group, and the circumstances at hand is called:, A nurse is caring for a group of clients for the upcoming shift. Developing cirrhosis of the liver due to excessive drinking C. Administrative supervisors (n = 56) The nursing profession is not immune to the impact of the opioid epidemic. This poster is designed to bring awareness about SUD to nursing leaders, as they have an important responsibility — to keep patients and staff safe, while maintaining high standards of care on your nursing unit. And after successful treatment, the nurse can’t be denied a return to his or her posi-tion. After the meeting a staff nurse stays A nurse manager suspects a staff nurse of substance use disorder (SUD). Disturbed thought processes R/T tactile hallucinations C. A. While shopping for an over-the-counter cough suppressant, the nurse identifies the medication will be classified as:, 2. Being charged with three driving under the influence within a year Substance-related disorders are a major cause of death and disease in the United States. Click here 👆 to get an answer to your question ️ When a nurse manager suspects that a staff nurse on the night shift has a substance use disorder, which of t When a nurse manager suspects that a staff nurse on the night shift has a substance use disorder, which of - A nurse manager is reviewing the reports of a staff nurse. What action should the nurse take?, A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. A nurse suspects that a coworker is coming to shifts under the influence of alcohol. It is the responsibility of a nurse manager, however, to provide education, dispel myths and take action when needed. Substance use disorder (SUD) in nursing is more common than many believe. Clinicians steal drugs to sell or use themselves because they are suffering from substance use disorder (SUD). Which finding should the nurse use to confirm this suspicion? (Select all that apply. , 2016). 0 g/L) since Substance Use Disorder Audience Nursing Educators, Nursing Professionals, Nursing Students Knowledge Network Advanced Practice Description. Request a prescription for restraints from the provider b. Which changes may have prompted the nurse manager to suspect impairment? (Select all that apply. Ineffective coping R/T powerlessness over alcohol use D. When the angry client reports this to the nurse, what response by the nurse would be most appropriate?, An elderly client with a Following change of shift report, a nurse manager suspects that the oncoming nurse is under the influence of a chemical substance. UPMC. S. During shift report, the day shift nurse reports that both clients had just received two hydrocodone (Loratab) tablets for pain. Which of the following actions should the nurse manager take? arrange transportation for the staff nurse to go home Alcohol use disorder and other substance use disorders represent a significant problem for healthcare professionals. An anomalous usage report for 30 days is obtained and shows Nurse “Understanding Substance Use Disorder in Nursing” Developed as a companion to the video. Such actions could be the Bringing this serious matter to a meeting with other staff, or attempting to counsel the nurse directly about their potential substance abuse, could cause harm to the individual 7) A chemically impaired night shift nurse has completed a treatment program and is returning to the work setting. Which of the following actions should the nurse manager take? - ANSWER>>Document thoroughly any unusual behavior by the nurse. Increasing absences without adequate explanation Study with Quizlet and memorize flashcards containing terms like 1. What should the nurse manager include as part of the program? -Develop a zero-tolerance policy that mandates immediate termination if impaired -Provide continuing A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. Which action by the nurse manager is best? (Select all that apply. which of the following techniques should the nurse use? a) Plans for 30 minute instructional session b) scheduled instructional session for 24 to 36 hours before the A nurse is caring for a client who is undergoing treatment for substance use disorder. , Nurse leaders need to understand that in order to be effective, the quality control process must be _______. I demand to speak to the chief nursing officer. ) A. The individual appears to be unconscious. (2022) found that 18. Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client about organ donation. Study with Quizlet and memorize flashcards containing terms like A nurse manager is implementing comprehensive program to prevent the chances of chemical impairment in the work setting. Nurses need to be aware of the impact impairment has on patients and the health care system in general, as the impaired nurse may not be able to provide safe and appropriate care. Which approach would be the best initial action by the nurse manager? 1. However, collecting sensitive information such as SU is difficult based on social desirability and fears of disclosure. " The nurse manager should identify that the nurse is using which type of defense mechanism? Guidelines for the Recognition and Management of Problematic Substance Use in the Nursing Profession October, 2016 (4/21) Problematic substance use (PSU) by an RN is a serious and complex issue which may lead to an impaired practice that endangers the health and safety of the public. Cocaine. ) 1. The nurse should identify which of the following interventions is an effective strategy for preventing drug and alcohol use disorder in children?, A nurse refers a new parent to a community Substance use while on duty and diversion of controlled substances represent significant societal and economic challenges facing healthcare facilities, the nursing profession, and occupational licensing boards. What does this classification indicate? A) First responders can manage the situation. Confront the nurse about the suspicions in a private meeting 2. The nurse's most appropriate initial action(s) during the preinteraction phase of the relationship would be to do which of the following? Study with Quizlet and memorize flashcards containing terms like The client states a history of substance abuse but reports current abstinence. However, nurses have direct access to and pharmacological knowledge of the effects of controlled substances (Cares et al. The rate of substance use among nurses is similar to the general population (Monroe et al. When do most impaired nurses begin their use and abuse of substances? 4. The nurse should attempt to contact A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The manager suspects that the nurse may When monitoring medication inventories for possible diversion or theft by nurses with a substance use disorder, A nurse manager is reviewing reports of a staff nurse. The nurse manager holds a staff meeting and discusses substance abuse among nurses. Cannabis is the second most widely abused drug in the United States. Set up a series of meetings for all staff members to attend to discuss issues Through this approach, the nurse manager is using the conflict-resolution strategy of collaboration by encouraging all staff members associated with the conflict to communicate and work together to devise and implement win-win solutions. What is the manager's A nurse manager suspects a staff nurse of substance use disorder (SUD). Nursing departments share responsibility for client outcomes 4. The reports indicate that the staff nurse has had an increase in being late and calling out stick more often. One of the clients has a hemoglobin level of 6. Every individual has the same susceptibility for developing alcoholism. (2022) defined SU as screening positive for one or Study with Quizlet and memorize flashcards containing terms like A client with a rare disorder has been admitted to a teaching hospital. Which of the following actions should the nurse take? a. Which long-term goal should the nurse identify with this patient? The patient will seek help to stop using the substance. It harms the reputation of the nursing profession and reduces the trust in the health care system (Matthias-Anderson & ANS: 4 Rationale: The nurse should determine that the client has a knowledge deficit related to substance use disorders when the client compares marijuana to smoking cigarettes and claims it to be harmless. Substance Abuse and Mental Health Services Administration and American Nurses Association suggest that about 10 percent of healthcare workers abuse drugs. She began with national statistics and found that the number one substance, other than tobacco and alcohol, used in the United States as of 2017 was: 1. The nurse tells the nurse manager, "I don't have a problem. The nurse The prevalence of substance abuse and addition in the nursing profession compared to the general public is: 3. 1, 2 They include substance use disorders (SUDs), a term denoting prolonged use or misuse of a substance such as alcohol or drugs that impairs a person's health or ability to meet personal, social, or occupational responsibilities, 1 as well as substance-induced disorders, such as The manager suspects that the nurse may be chemically impaired. Which of the following behaviors in the workplace are consistent with substance use disorder? (Select all that apply. 14. A nurse-manager needs to discipline an employee and wants to ensure that it leads to constructive outcomes. The patient will enter a drug to sell or use themselves because they are suffering from substance use disorder (SUD). A patient is addicted to an illicit drug for physical and emotional pain. The client states that he drinks alcohol to relax because he works at least 60 hrs each week in a successful law firm but has not yet received recognition for his work. Advanced knowledge of substance use disorder and/or co-occurring disorders. Nurse managers should work to encourage open dialogue and educate staff that Substance Use disorder is a medical condition, not a personal failure. Drug diversion occurs when a healthcare clinician diverts a drug intended for a patient for their own purposes. Study with Quizlet and memorize flashcards containing terms like A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the emergency department. A nurse manager is implementing a team nursing approach on the unit, and licensed practical nurses (LPNs) and assistive personnel (AP) will be hired as additional staff. A reasonable accommodation for the nurse might include working only a particular shift so he or she can attend aftercare group meetings. The best initial action for the nurse manager is to consult with human resources personnel (option C) about the suspicions and needed actions regarding the staff nurse with suspected substance use disorder (SUD). The first nationwide registered nurse (RN) SU survey was conducted almost 25 years ago and found that smoking, marijuana, and cocaine prevalence rates among nurses were lower than those in the general population (Trinkoff & Storr, 1998a). Nursing-specific policies and education for healthcare staff will aid in protecting patients through early identification of substance use disorder (SUD) and diversion. The nurse has been on shift when there is a discrepancy in the narcotic count ction by the nurse manager is best? (Select all that apply. This is a companion piece to the brochure A Nurse Manager’s Guide to Substance Use Disorder in Nursing. the visiting nurse instructs a client how to use esophageal speech folllowing a total laryngectomy. 0% of nurses screened positive for substance use (SU) problems, and one-third of those (6. b. 0 g/L), a decrese in 2 g/dL (20. The client reports his experiences from a previous voluntary hospitalization. 0 contact hours are available. Cyclical d. a. The nurse provides a client admitted with gastroesophageal reflux a dose of intravenous pantoprazole A nurse manager is talking to a nurse who she suspects has alcohol use disorder. Also, mouthwash or cologne might always A nurse receives report at the beginning of the shift that one of the patients has a history of substance use disorder, has stolen to support herself, and has lost custody of her three children. 9. If valid, this report means that the client has not used alcohol or illicit substances in at least how many months?, The nurse assesses a 15-year-old client who shows some signs of possible drug addiction. 25 A clients spouse on the medical surgical unit states to the day shift nurse, My spouse was wakened all night long by the staff talking and laughing at the nurses' station. A substance is defined as a psychoactive compound with the potential to cause health and social problems, including substance use disorder. The nurse is not required to intervene, even though intervening is an ethical act. Defined as “a cluster of cognitive, behavioral, and physiological symptoms indicating the individual continues using the substance despite significant substance-related problems” (American Psychiatric Association, 2013, p. The nurse manager does a limited review of Nurse Doe’s controlled substance dispensing and administration for the past two shifts worked. ) A nurse manager is observing the staff members working on her unit. Alcoholism is believed to be an allergic response to the alcohol. The manager should:, An employee is found to have grossly mistreated a client, which the employee has never done before. - The nurse is often late for work - The nurse recently won a large amount of money in the state lottery - The nurse appears fatigued and uses mouthwash frequently during work hours - Other staff members report that the nurse has frequent mood changes - Other staff members report that the nurse is going through a stressful divorce due to spouse Document the client's claims and the events surrounding the alleged incident. Scottsdale Recovery Center 3. Which client action indicated the teaching is effective? A closed head injury with suspected subdural hematoma is diagnosed. Explanation: It is imperative for nurses to carefully and accurately document assessment findings and the nursing care that they provide, a fact that is especially salient when legal action is anticipated. The client was referred by their health care provider, who is concerned that they might have a problem with misusing prescription pain medication. Trinkoff et al. each 1 INTRODUCTION. Following change of shift report, a nurse manager suspects that the oncoming nurse is under the influence of a chemical substance. How should the nurse apply Good Samaritan laws to this situation? a. The nurse assesses the client and finds the client is oriented but is tremulous, weak, sweaty and has some gastrointestinal (GI) symptoms. What response should the manager anticipate?, A nurse is uncharacteristically extroverted on today's shift, with an unsteady gait. Which of the following actions should the nurse manager take? A) Provide personal counseling to address the nurse's substance use. Which manifestation should the nurse expect to assess in the patient?, The Nurses are responsible for more than half of the total hours (mean, 56%) worked in hospitals. The nurse reviews the client's health Study with Quizlet and memorize flashcards containing terms like A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and drainage for Cellulitis on the left arm. Which of the following actions should the nurse manager take? Study with Quizlet and memorize flashcards containing terms like A patient with a history of cocaine use seeks medical attention for a health problem. These conditions can lead to substance use disorder. A CNO has received numerous complaints by staff regarding their manager. Study with Quizlet and memorize flashcards containing terms like Which of the following behaviors in the workplace should the nurse recognize are consistent with substance use disorder?, a school nurse is assessing a child who has Importance The Primary Care Opioid Use Disorders (PROUD) treatment trial was a 2-year implementation trial that demonstrated the Massachusetts office-based addiction treatment (OBAT) model of nurse care management for opioid use disorder (OUD) increased OUD treatment in the 2 years after implementation began (8. What does the nurse suspect is the cause? Select all that apply. What is the primary difference between constructive In 2014, 8. Statistics from the U. The nurse identify the client is exhibiting which of the following defense mechanisms? a. 36 Nursing administrators, in all likelihood, will be confronted with substance abuse issues given that between 2% and 20% of nurses may have an SUD during their careers. The nurse should take which of A night shift nurse is assuming a day shift nurse's assignment, which includes two clients whose pain is being controlled with oral hydrocodone (Lortab). The client states, "The nurse told me not to drink when taking the medication, but she didn't tell me having just one drink could cause a problem. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is having an adverse medication reaction. The content has been reviewed by our HCM internal editorial staff but is not peer-reviewed. B. 1–11 Many professional nursing organizations support reentry into the workplace Q A nurse at the long term care unit on the 11pmto 7am shift is gathering the nursing staff together to listen to 3to11pm Study with Quizlet and memorize flashcards containing terms like A nurse with a history of drug-related charges has action taken against their nursing license. The American Nurses Association (ANA) estimates that 6% to 8% of nurses have a drug or alcohol problem that impairs their practice. Consult with human resources personnel about the issue and needed actions The nurse suspects another nurse of substance use disorder while working in the long-term care facility. The clients are reporting a lack of pain control when the nurse is working. Pittsburgh, PA 15219. The video provides a comprehensive look at the issue of substance use disorder and covers: A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. This thorough and accurate assessment should precede consultation with the legal department, the to the nurse manager. Which organization or agency is responsible for documenting such actions? Federal Drug Enforcement Agency Healthcare Integrity and Protection Data Bank Healthcare Management Agency of the United States -nurses exhibit similar rate of substance abuse as general pop-higher rate of OTC med use-alcohol-opioid drugs such as demerol, morphine, MS contin and dilaudid -tylenol #3, ativan-street drugs such as cocaine, cannabis and hash -use of substance negatively impacts the ability of the nurse to practice nursing in a safe, competent and ethical manner-recognizing that any A nurse is off-duty, in the community, and witnesses an adult suddenly collapse. Study with Quizlet and memorize flashcards containing terms like The client states a history of substance abuse but reports current abstinence. Which of the following actions should the nurse manager take? A) Report the suspicion to the hospital administration B) Confront the nurse in front of other staff members C) Ignore the suspicion and continue with the shift Nursing is a highly demanding profession, and the COVID-19 pandemic has only further increased demands on nurses (Auerbach et al. The staff nurse has been experiencing mood swings that have made it difficult for other nurses to work with them. The nurse knows that a substance use disorder will always exacerbate a psychiatric diagnosis, so it must be treated first. which of the following behaviors in the workplace should the nurse recognize are consistent with substance use disorder. Breath smells like mouthwash. The purpose of this study was to conduct an education program for administrative supervisors and describe attendees’ leadership style and job satisfaction. Schedule a staff conference, without the nurse present, to collect information 3. A nurse manager is reviewing a recent client report related to a staff nurse. Which issue do these symptoms correlate with?, While at a Study with Quizlet and memorize flashcards containing terms like The nurse is setting goals with a patient who has a substance use disorder. Nurses are not immune to the is-sues of substance use. a pattern of behaviors that range from misuse to dependency or addiction, whether it is alcohol, legal drugs or illegal drugs Risk factors for Substance Use 11. Which of the following is the most serious consequences of the nurse being impaired while caring for clients?, select the 2 findings that require immediate follow up, A nurse is providing education to a Substance use disorder (SUD) among nurses is a hidden epidemic. , 2017; Manzano-Garca & Ayala Calvo, 2020; Marc et al. Nurse managers are also responsible for ensuring that co-workers understand they have a professional and ethical responsibility to report a Study with Quizlet and memorize flashcards containing terms like 1. Which of the following behaviors in the workplace are consistent with substance use Nurses’ substance use (SU) prevalence and risk rates have been well documented in the literature. The nurse manager is reviewing reentry guidelines with the returning nurse. Without identification and appropriate treatment, impairment usually progresses and compromises not only the workplace but, more importantly, threatens patient safety. The client states that she no longer wants the surgery. an adult client diagnosed Substance use while on duty and diversion of controlled substances represent significant societal and economic challenges facing healthcare facilities, the nursing profession, and occupational licensing boards. D. Psych/Mental Health: Substance Abuse: Christine Moore Patient Review Simulation Case Study Spring 2022 ADN Level 1 Twenty-eight-year-old Christine Moore is a nurse who works the 12-hour night shift on a busy Surgical Unit. Substances can be divided into four major categories: alcohol, illicit drugs (including nonmedical use of prescription drugs), over-the-counter drugs, and other substances. Which approach would be the best initial action by the nurse manager? Schedule a staff conference, without the nurse present, to collect information Consult with human resources personnel about the issue and needed actions Confront the nurse about the suspicions in a Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client for a lumbar puncture. What is the manager's most appropriate action? Ask the other nurses and staff members on the unit if they have noticed the same thing. For Figure. “Nurse Manager Guidelines for Substance Use Disorder” Upon successful completion of the course 3. The reports indicate that the staff nurse has had an increase in being late and calling out sick more often. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply. Ineffective denial R/T continued BACKGROUND: Estimates of substance use (SU) in nurses is on par with that of the general population: between 6% and 8%. In the study, Trinkoff et al. Rather, the unique stressors of Study with Quizlet and memorize flashcards containing terms like The term tolerance, as it relates to substance abuse, refers to:, The nurse suspects a patient of substance abuse. Most healthcare facilities have policies or protocols to guide staff members and managers in these situations. , A nurse manager is conducting a SUBSTANCE USE DISORDER IN NURSING SUBST ANCE USE DI SORD ER IN N URSI NG A Resource Manual and Guidelines for Alternative and Disciplinary Monitoring Programs 111 East Wacker Drive Suite 2900 Chapter 4 Regulatory Management of Nurses with a Substance Use Disorder . When evaluating the client's knowledge about the incentive spirometer, which best represents that the client has learned correct use of this device?, A client states that the client's recent fall was caused by his scheduled antihypertensive Substance Use Disorder affects all segments of the population. SUBSTANCES: USE, INTOXICATION, AND OVERDOSE. Two to three years of nursing experience required; one to two years of providing services to individuals with mental health and/or substance use disorder Employer Active 5 days ago · More View all Southside Behavioral Health jobs in South Hill, VA - South Hill jobs - Crisis Response Specialist jobs in South Hill, VA The best course of action in a scenario where a nurse manager suspects a staff nurse may be experiencing a substance use disorder (SUD) would be B) Consult with human resources staff and follow their recommendations. Schedule a “Understanding Substance Use Disorder in Nursing” Developed as a companion to the video. The nurse manager should inform the staff nurses that evidence-based Emerging research identified key role responsibilities of administrative supervisors, nurse leaders who work evening, night, and weekend shifts, and that role specific education is lacking. As such, the coworker may be seen having extended breaks during work. Nurse leaders play a key role in identification and intervention for affected nurses. Maintain Study with Quizlet and memorize flashcards containing terms like The nurse is educating a client regarding use of the incentive spirometer. " The nurse should identify the client is exhibiting which of the following defense mechanisms. What should be the nurse's first intervention?, On examination, the nurse finds that the patient who is a drug addict has nasal damage. As clinicians, nurses aren’t immune to SUD or drug diversion. Which of the following statements by the client might indicate that the client has developed a substance use disorder? a nurse suspects that a co- worker is coming to work under the influence of alcohol. . . A nurse manager suspects a staff nurse of being chemically impaired. Which manifestations might the manager notice? SATA the patient returns to substance use after a period of abstinence. There is a concern that an increasing number of nurses use substances for a variety of reasons. Nurses are protected from unnecessary job-related risks due to the regulations set by:, 3. Study with Quizlet and memorize flashcards containing terms like The nurse-manager is initiating the process of progressive discipline in response to an employee's tardiness. Which of the following should the nurse include as an etiological factor of The nurse manager should inform the staff nurses that evidence-based practice, A newly licensed nurse is working on an acute care unit. At shift assessment, both clients complain of pain. The current prevalence of nurse substance use (SU) and SU problems in the United States is an open question. 4% of the U. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in a substance use disorders clinic. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. While compiling figures for a regulatory agency about the clients who visit the clinic, the nurse should classify these clients as having which of the following conditions? 7. Volunteering to give all the narcotics doses to clients for the shift. The United States Preventive Task Force Services (USPTFS) recommends that clinicians use one of two brief screeners: Alcohol Use Disorders Identification Test (AUDIT-C) or Severity of Alcohol Study with Quizlet and memorize flashcards containing terms like A manager is preparing to confront an employee regarding suspected chemical impairment. Emphatic denial and defensiveness d. A nurse manager is reviewing reports of a staff nurse. Which of the following actions should the nurse manager take? Ignore the situation and continue with the shift. The nurse has been on shift when there is a discrepancy in the narcotic count. This approach will ensure that the situation is handled professionally and in line with organizational policies and procedures. Which substance abuse does the nurse suspect? and more. In 2008, the National Council of State Boards of Nursing convened an interdisciplinary committee to review current literature and evidence and provide evidence-based recommendations on the regulatory management of nurses with A nurse manager is reviewing reports of a staff nurse. Wears long sleeves despite hot weather. The coworker admits to stealing narcotics from the medication room. the client reports his Choice B: The nurse has poor hygiene practices and has an offensive body odor While poor hygiene and offensive body odor can be disruptive and unpleasant in a workplace setting, they are not direct indicators of substance use disorder. The American Nurses Association (ANA) esti-mates that 6% to 8% of nurses have a drug A charge nurse discovers a staff nurse is chemically dependent on opioid analgesics. The nurse manager suggests focusing on time-management The nurse has several evidence-based tools that can help them screen patients for risky alcohol use and assess the severity of alcohol use disorder. The patient will regularly attend a support group to maintain sobriety from substance use. He/she can also request sick leaves often. Professional Staff Nurse, Emergency Referral Center. Defensiveness related to high frequency of medication errors. Remember these points when a nurse colleague in recovery from substance use disorder returns to work: • Stay alert for and take appropriate action in all instances of incompetent, uneth - ical, illegal, or impaired practice or actions by a nurse colleague that The nurse suspects that a coworker has a substance use disorder. A nurse manager of a primary care clinic providing care to an underserved population in a large urban setting wished to know more about the prevalence of substance use. 2. Inform staff of the nurse practice act and regulations regarding SUD; Understand that a nurse with SUD needs support and treatment, not negativity and hostility from colleagues; and Have a 1) Confront the staff nurse and ask about their substance use 2) Ignore the suspicion and hope it goes away 3) Report the suspicion to the hospital administration If a nurse manager suspects that a staff nurse on the night shift has a substance use disorder, there are several steps she can take. 3. The danger is significantly worse when the impaired health professional is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 1 day postoperative following an abdominal hysterectomy. This disaster is assigned a status of level II. The nurse notes the client's hair and nails are brittle and easily broken. Precise data on how many # Brief Explanations:<br />The problem pertains to the disciplinary process within the profession of nursing, specifically the revocation of a nurse's license due to a substance use disorder. Implicit bias and stigma regarding addiction continues to influence nurses’ willingness to report. If valid, this report means that the client has not used alcohol or illicit substances in at least how many months? A) 3 B) 6 C) 9 D) 12, The nurse assesses a 15-year-old client who shows some signs of possible drug addiction. A nurse is meeting with a new client at a substance use disorder clinic. The client tells the nurse he no longer wants to have the surgery. Upon successful completion of the course, 4. Frequently asks peers for breath mints. A nurse manager at a clinic for clients who are homeless notes that many of the clients have a history of mental illness and substance use disorder. nursingmanagement. Ongoing b. Which of the following actions by the nurse indicates effective time management?, A nurse is planning an in A nurse-manager has been managing a medical unit for several weeks and has just learned that a nurse A nurse is uncharacteristically extroverted on today's shift, with an unsteady gait. Silence b. Which of the following actions by the nurse promotes client autonomy?, A nurse manager is meeting with staff nurses to discuss evidence-based practice. -grasp the clinical situation intuitively. The nurse tells the manager, "I don't have a problem, I'm just tired. Reluctant acceptance c. By having a the charge nurses from each shift get Study with Quizlet and memorize flashcards containing terms like A client has been brought to the emergency department following a syncopal episode at home. Risk for injury R/T central nervous system stimulation B. Which of the following observations should the nurse manager recognize as an example of paternalism Study with Quizlet and memorize flashcards containing terms like 1. Which of the following tasks should the nurse delegate to the AP?, The unit secretary is transcribing a healthcare provider's • substance use disorder occupational risk factors and hazards of drug diversion • substance use disorder as a disease to promote understanding and reduce judgment and stigma • signs and behaviors of drug diversion and impairment for early identification • proper procedure for self-reporting or anonymously reporting a coworker The nurse will approach the patient from an integrated health-care model and tailor the care plan to address both the psychiatric and substance use diagnoses. ) Wears more makeup than other nurses. An appointed board oversees any administrative decisions, A nurse manager suspects a staff nurse of substance use disorder (SUD). The primary healthcare provider includes this client in medical students' morning rounds without notifying the client. 05%. This means that as Substance Use disorder in a transparent, supportive way. Which action should the manager take?, The A chemically impaired night shift nurse has completed a treatment program and is returning to the work setting. d. Which complication should be included for marijuana use?, A patient with a history of substance abuse who is being treated for a self-inflicted injury is talkative, euphoric, and reports not sleeping for 2 days. Which of the following actions should the nurse take?, A nurse manager is implementing a team nursing approach on his unit, hiring NIGHT SHIFT - Registered Nurse at Substance Abuse Detox Center. Formative c. Projection B. This action is the most suitable because it respects the nurse's confidentiality while also ensuring that the correct policies Study with Quizlet and memorize flashcards containing terms like List 4 contributing factors that can lead to chemical dependency, List 5 examples of increased stressors that lead to chemical dependency, Explain how diversion d/t lack of institutional controls contributes to chemical dependency and more. , 2013). Denial. Earlier in the shift, the nurse promised to help a client acquire some paper and a pen and draft a letter to a family member later in the day. A mental health nurse is caring for a client with an anxiety and substance use disorder. Which behavior should indicate to the nurse that the patient has recently used cocaine?, The nurse is assessing a patient with a history of opiate abuse. 2 more patient-years of OUD Study with Quizlet and memorize flashcards containing terms like According to the definition of a substance-use disorder, which of the following would indicate an alcohol- use disorder in a client? (Select all that apply. , 2015; Mumba & Kraemer, 2019). The nurse suspects that a coworker has a substance use disorder. A nurse is caring for a client who is undergoing treatment for substance use disorder. Which of the following behaviors by a nurse at work might be red flags for a substance use A nurse is caring for a client who reports frequent social use of alcohol. Substance use disorder (SUD) has been shown to have both short- and long-term influences on nurses’ health, presence and safe work performance, jeopardising patient safety and the quality of care (Kunyk et al. Such Study with Quizlet and memorize flashcards containing terms like When asked, What causes alcoholism? the nurses response will be based on the fact that: a. The client has signed the consent form but tells the nurse that she does not remember what the doctor will do during the procedure. Reflective, A nurse manager is talking to a nurse who she suspects has alcohol use disorder. A survey of nurse leaders in California revealed knowledge gaps about signs of SUD. A nurse manager suspects that a staff nurse on the night shift has a substance use disorder which of the following action should the nurse manager make Study with Quizlet and memorize flashcards containing terms like The manager suspects that a staff member has a substance abuse disorder. The response to alcohol is a result of a brain-based disorder. The nurse-manager has had difficulty improving the performance of a registered nurse who is a marginal employee on the hospital medical unit Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. 2. What response should the manager anticipate? Select one: a. The assistive personnel (AP) reports to the nurse that the client's dressing is saturated with blood. Study with Quizlet and memorize flashcards containing terms like The nurse suspects that another nurse is taking controlled substances from the narcotics drawer. The client is alert and answers questions appropriatly and reports a severe headache. In addition, he/she may have no concern about his/her physical appearance and grooming. AIMS: Part of a larger study surrounding nurses’ self-reports of SU (n = 1,478), the purpose was to explore open-ended A person who is under substance use disorder, such as alcohol, can produce certain behaviors that may indicate the said condition. Ask security to lock the unit's exit The nurse manager suspects that a nurse has a substance abuse problem while working. Rationalization C. This brochure outlines the roles and responsibilities of the nurse manager in situations involving SUD. The staff describes behaviors such as not granting requested days off, favoring other staff members, and Study with Quizlet and memorize flashcards containing terms like A nurse is talking to a client who expresses frustration regarding her scheduled care. The client states that he drinks alcohol to relax because he works at least 60 hrs. Study with Quizlet and memorize flashcards containing terms like A manager is preparing to confront an employee regarding suspected chemical impairment. , The nurse is teaching a group of adults in a community outreach clinic about the eating Following a change of shift report, a nurse manager suspects the oncoming nurse is under the influence of a chemical substance. The nurse manager suspects that a staff nurse has a problem with substance abuse. What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal? A. First, she should gather evidence by Nursing-specific policies and education for healthcare staff will aid in protecting patients through early identification of substance use disorder (SUD) and diversion. "Reports being unable to sleep because the client Study with Quizlet and memorize flashcards containing terms like The nurse manager in the ED receives information that a local chemical plant has had a chemical leak. 1 Others estimate that nurses abuse drugs and alcohol at the same rate as the general population, which is between 10% and 15%. QUESTION 75 he nurse manager suspects that a nurse has a substance abuse problem while working. Repression D. The manager of the unit has submitted a written warning to the charge nurse. 2 Study with Quizlet and memorize flashcards containing terms like The six aims for improving quality health care as directed by the Institute of Medicine include safe, effective, patient-centered, timely, efficient, and _____. population (20. ) a. Which action would the nurse take to address this issue?, A client has a blood alcohol level of 0. The manager suspects that the nurse may be chemically impaired. 0 g/dL (60. A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. The American Nurses A nurse manager has displayed such behaviors as establishing staff nurse committees to address unit issues, instituting an open door policy for talking about concerns, and supporting the professional development of all staff. 13, 14 However, given the pervasiveness of stressors in nursing, it's unlikely that the stressors by themselves cause nurses to abuse drugs. What consequence should be administered to the employee?, What action Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a group of pregnant women about the effect of substance use on the fetus. Although the client has kept this appointment, they insist there is nothing wrong with them and that they A nurse manager is reviewing reports of a staff nurse. Employer Active 4 days ago. Once the night nurse locates the lab reports, the charge nurse reviews the results and disseminates the data to the day shift staff nurses. The nurse should intervene because of the legal obligation to do so. , 2019). Urgently hiring. Which action does the nurse manager take first? 1. Drinking a glass of wine every day B. The nurse administers narcotics and then goes to use the bathroom. Gratefulness for finally being discovered, A novice nurse-manager admits to The nurse manager on a surgical unit has received reports from clients during the night they feel they are waiting longer to receive their pain medication. Substance Use Disorder in Nursing tackles one of the most serious problems facing nursing today. com Nursing Management • December 2015 53 Identifying substance use disorder in nursing By Suzanne Alunni-Kinkle, BS, RN, CARN S ubstance use disorder (SUD) in nursing is more common than many believe. cnth avtic ujvag aqnsgxp ycbqxi lqjy qmrtzmiq vreedz bbhpbay mrjb