A nurse is concerned about potential substance abuse by a coworker. The nurse determines that the clients on the unit are at risk for injury based on which of the following nursing behaviors?
1. The nurse in question frequently requests the largest patient care assignment for the shift.
2. The nurse in question prefers not to be the "medication nurse" on the shift.
3. The nurse in question declines to take scheduled breaks.
4. The nurse in question frequently wastes medications.
4. The nurse in question frequently wastes medications.
Rationale:
Excessive medication wasting could be a sign that a nurse is using or diverting drugs. The nurse might be wasting erroneous amounts of medications. The nurse who is unable or unwilling to manage a large patient care assignment or who requests to administer medications could be a substance abuser. Taking frequent or lengthy breaks might signal substance abuse.
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