Substance Abuse and Abuse NCLEX Practice 2022-2023, 55 Questions with answers,

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1. 1. Question Nurse Rob has observed a co-worker arriving to work drunk at least three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary ass ... istance for the co-worker? o A. Ignore the co worker's behavior, and frequently assess the clients assigned to the co-worker. o B. Make general statements about safety issues at the next staff meeting. o C. Report the coworker's behavior to the appropriate supervisor. o D. Warn the co-worker that this practice is unsafe. Incorrect Correct Answer: C. Report the coworker’s behavior to the appropriate supervisor. The nurse is obligated by ethical considerations of client safety, as well as by nurse practice acts in many states, to report substance abuse in health care workers. Most healthcare facilities have an employee assistance program to help workers with substance abuse problems. Alcohol and drug abuse by employees cause many expensive problems for business and industry ranging from lost productivity, injuries, and an increase in health insurance claims. The loss to companies in the United States due to alcohol and drug-related abuse by employees totals $100 billion a year, according to the National Clearinghouse for Alcohol and Drug Information (NCADI).  Option A: Ignoring the co-worker’s behavior would be a form of enabling behavior (codependency) on the staff nurse’s part. Misuse of alcohol and drugs among U.S. workers create costly medical, social, and other problems that affect both employees and employers. Substance abuse among employees can threaten public safety, impair job performance and threaten their own safety.  Option B: Making general statements about safety in a staff meeting avoids dealing with the problem. When the issue of workplace substance abuse is addressed by establishing comprehensive programs, it is a “winwin” situation for both employers and employees, according to the U.S. Department of Labor. 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