Recognizing Impairment in the Workplace Questions With Complete Solutions

A chronic and relapsing brain disease that presents with compulsive drug seeking and use. correct answer: Addiction This disorder has symptoms divided into four groups: impaired control, social impairment, risky use, and pharmacological criteria, such as tolerance and withdrawal. correct answer: Substance Use Disorder Poor function or incompetence. correct answer: Impairment Using prescription drugs without a designated script, using prescribed dosage in excess, or using a prescribed drug for reasons other than what it was intended for. correct answer: Abuse A state in which the body functions normally only in the presence of a drug. correct answer: Dependence A physical disturbance when the drug is removed from the body. correct answer: Withdrawal Risk Factors: T o F Anxiety and depression correct answer: T Risk Factors: T o F Low self-esteem correct answer: T Risk Factors: T o F Desperation correct answer: T Risk Factors: T o F End-of-shift medications count discrepancies correct answer: F Risk Factors: T o F Impulsivity and risk-taking tendencies correct answer: T Risk Factors: T o F Frequently reported medication spills correct answer: F Risk Factors: T o F Alienation and rebelliousness correct answer: T Risk Factors: T o F Failing to obtain co-signatures when necessary correct answer: F Risk Factors: T o F Peers using alcohol and drugs correct answer: T Risk Factors: T o F Poor interpersonal relationships correct answer: T Risk Factors: T o F Access to or an availability of alcohol and drugs correct answer: T Identifying Signs & Symptoms Wearing long-sleeved shirts correct answer: Sign or Symptom Identifying Signs & Symptoms Evidence of tampered drug containers correct answer: Sign or Symptom Identifying Signs & Symptoms End-of-shift medications count discrepancies correct answer: Sign or Symptom Identifying Signs & Symptoms Excessive use of sick time correct answer: Sign or Symptom Identifying Signs & Symptoms Frequently reported medication spills correct answer: Sign or Symptom Identifying Signs & Symptoms Failing to obtain co-signatures when necessary correct answer: Sign or Symptom Identifying Signs & Symptoms Partial-dose medication administration correct answer: Sign or Symptom Identifying Signs & Symptoms Diminished alertness, forgetfulness, and confusion correct answer: Sign and Symptom Identifying Signs & Symptoms Last-minute requests for time-off correct answer: Sign and Symptom Identifying Signs & Symptoms Excessive number of mistakes correct answer: Sign or Symptom Identifying Signs & Symptoms Unpredictability, defensiveness, and irritability correct answer: Sign or Symptom Identifying Signs & Symptoms Isolation and withdrawal correct answer: Sign or Symptom What is the correct definition of the term "dependence"? correct answer: A state in which the body functions normally only in the presence of a drug. What is the correct definition of the term "impairment"? correct answer: To function poorly or incompetently. What is the correct definition of the term "substance use disorder"? correct answer: The category that includes substance abuse and substance dependence. What is the substance use rate among nurses in the United States? correct answer: 8-10% In regards to the 2010 research study in Alberta, Canada, what percentage of nurses self-identified with substance dependence within the past year? correct answer: 3% In regards to the 2010 research study in Alberta, Canada, what percentage of nurses was unsure of their abilities to recognize impairment in the workplace? correct answer: 53% In regards to the 2010 research study in Alberta, Canada, the stigma associated with substance use disorder among nurses has what negative outcomes? (Select all that apply) correct answer: Social rejection Loss of current employment Psychological risk factors may include which of the following? correct answer: Loss of control over life circumstances Behavioral risk factors may include which of the following? correct answer: Impulsivity and risk-taking tendencies Social risk factors may include which of the following? correct answer: Access to or an availability of alcohol and drugs Demographic risk factors may include which of the following? correct answer: Lack of employment opportunities Genetic risk factors account for what percentage of risk? correct answer: 40-60% Signs and symptoms in regards to job performance may include which of the following? correct answer: Excessive use of sick time Signs and symptoms in regards to personality and mental status may include which of the following? correct answer: Inappropriate verbal and emotional responses Signs and symptoms in regards to diversion may include which of the following? correct answer: Frequently reporting medication spills Familial risk factors may include which of the following? correct answer: Parents using alcohol and drugs The Florida Statute 464.018 (1) (j) states the following: (1) The following acts constitute grounds for denial of a license or disciplinary action, as specified in statute 456.072(2): (j) Being unable to practice nursing with reasonable skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics, or chemicals or any other type of material or as a result of any mental or physical condition. correct answer: T The Florida Statute 464.018 (1) (k) states the following: (1) The following acts constitute grounds for denial of a license or disciplinary action, as specified in statute 456.072(2): (k) Failing to report to the department any person who the licensee knows is in violation of this part or of the rules of the department or the board; however, if the licensee verifies that such person is actively participating in a board-approved program for the treatment of a physical or mental condition, the licensee is required to report such person only to an impaired professionals consultant. correct answer: T The Florida Board of Nursing website states the following: "Any person suspecting impairment of a nurse's ability to provide safe nursing care may report this nurse to the Florida Department of Health and/or Intervention Project for Nurses. Under Florida's Mandatory Reporting Law, all licensed nurses must report any suspected impairment in practice to the Department of Health and/or Intervention Project for Nurses." correct answer: T In order to file a complaint to the Florida Department of Health, a Health Care Provider Complaint form must be filled out and submitted. correct answer: T What is the role of the Consumer Services Unit in the Florida Department of Health? correct answer: The unit that reviews all complaints. What is the role of the Prosecution Services Unit in the Florida Department of Health? correct answer: The unit that provides legal services. An investigation includes which of the following? (Select all that apply.) correct answer: Drafting and serving subpoenas Interviewing relevant persons Reviewing medical records A Probable Cause Panel includes which of the following members? correct answer: One or two health care professionals and one consumer. Which of the following is correct concerning an Administrative Complaint? correct answer: A formal recommendation for further legal action. Which of the following is correct concerning Hearings Involving Disputed Issues of Material Fact? correct answer: A subject disputes the facts within an Administrative Complaint and chooses to have a hearing. Permanent revocation or suspension of licensure. correct answer: Disciplinary May initially report to the Intervention Project for Nurses instead of being reported to the Florida Department of Health. correct answer: non-Disciplinary Corrective action. correct answer: Disciplinary Issuance of reprimand. correct answer: Disciplinary If referred to the Intervention Project for Nurses only, it is not public record. correct answer: non- Disciplinary Final Order of Discipline. correct answer: Disciplinary If referred to the Intervention Project for Nurses only, it is cost-effective. correct answer: non-Disciplinary Due Process. correct answer: Disciplinary public record correct answer: Disciplinary Report to the Nursys(R) Data Bank and the National Practitioners Data Bank correct answer: Disciplinary What is an objective of the IPN? (Select all that apply.) correct answer: Coordinate rehabilitation and provide monitoring. Ensure public health and safety. Facilitate early intervention. What actions should the nurse manager take to increase staff awareness of substance use disorder in nursing? correct answer: Educate staff with in-services on substance use disorders. What is the description for the International Nurses Society on Addictions? correct answer: An organization committed to the prevention, intervention, treatment, and management of addictive disorders. What does the IPN assess for a nurse to be eligible to return to work? (Select all that apply.) correct answer: Cognitive functioning Problem-solving ability Support systems According to the GIFTS acronym, what or who is the source of recovery? correct answer: . The nurse What is the percentage of nurses who are successful in recovery? correct answer: 80-90% What type of questions should be asked to a nurse who is suspected of substance use disorder? correct answer: "You have been slurring words today; are you going through something?" The term "stayed suspension" refers to the fact that the license has been suspended, and is lifted, or "stayed," when the Board of Nursing is notified of the nurse's active status within the IPN. correct answer: t If a nurse with substance use disorder is reported to the Florida Department of Health and found to be in violation of the Nurse Practice Act, it will be considered _____. correct answer: Public record If the nurse was only reported to the IPN and fails to comply with the requirements made by the IPN, the IPN will terminate the nurse, report it to the Florida Department of Health, and a disciplinary outcome may occur and become a public record. correct answer: t What does the acronym "GIFTS" stand for? correct answer: Giving, Integrity, Focus/Follow-through, Trust, Source of recovery The IPN is a monitoring program for practitioners that acts as a liaison between the Florida Board of Nursing, the Florida Department of Health, treatment providers, and the nurse. correct answer: T Within the traditional disciplinary approach, _____. correct answer: A Final Order of Discipline may include fines, permanent licensure revocation, practice restrictions, and corrective action. If the nurse is initially referred to the IPN instead of first being reported to the Florida Department of Health, it will not be considered disciplinary action. correct answer: t