Nurses generally experience difficulty in identifying behaviors and actions that could signal chemical dependency in a co-worker. Which of the following is not a behavioral change that occurs with chemical dependency?
a. Personality and behavioral changes
b. Job performance changes
c. Changes in educational involvement and pursuit
d. Absenteeism
ANS: C
A manager needs to be alerted when suspicions of chemical dependency are raised by behavioral changes in the employee. These include mood swings, changes in hygiene and appearance, heightened interest in the pain control of patients, frequent changes in shifts, increases in absenteeism, and increases in tardiness.
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The owner of a small business wants to improve the health of all employees. Which actions should the owner consider to meet this goal?
1. Drop health insurance for employees. 2. Provide on-site health care for employees. 3. Mandate that all vacation days are taken each year. 4. Reduce the number of sick days offered as a benefit.
A young man is staggering out of a partially closed doorway to a garage, where a car is running inside. He speaks slowly in a very low voice, telling the nurse that he fell asleep in the car with the engine running
What is the immediate nursing diagnosis and action? a. Impaired gas exchange. Ask the person to lie flat right where he is; begin rescue breathing. If the nurse sees anyone else, the nurse should ask the individual to call someone who knows CPR. b. Impaired gas exchange resulting from the inhalation of carbon monoxide. Lead the patient away from the garage and call for help. Stay with the patient and continually assess level of consciousness and respira-tions. c. Impaired circulatory perfusion resulting from sulfur dioxide poisoning. Have the patient lie flat. Keep the patient still and call for help. d. Impaired gas exchange. Have the patient breathe deeply and continually into a brown paper bag. Assess pulse, respira-tions, and color of conjunctiva. Check the patient's pockets for a cell phone to call 9-1-1.
The emergency department nurse is triaging clients. Which client does the nurse assess most carefully for hypovolemic shock?
a. 15-year-old adolescent who plays high school basketball b. 24-year-old computer specialist who has bulimia c. 48-year-old truck driver who has a 40-pack-year history of smoking d. 62-year-old business executive who travels frequently
A nurse would expect to assess which feature in a patient diagnosed with anorexia nervosa without bingeing or purging?
a. Claims of sexual activity b. Denial of hunger at all times c. Extroverted personality traits d. Abuse of diuretics and laxatives