A nurse has successfully completed a drug treatment program and is returning to work 3 months later. Which of the following best describes a program designed for a nurse returning to work after treatment?
A drug recovery support group
An early-release incarceration program
An Alternative-to-Discipline (ATD) program
An involuntary long-term residential treatment
The Correct Answer is C
Rationale:
A. A drug recovery support group can be beneficial for ongoing support but does not specifically address the work-related needs of a nurse returning to practice.
B. An early-release incarceration program is not relevant to the context of a nurse returning to work after completing treatment for substance abuse.
C. An Alternative-to-Discipline (ATD) program is designed to support healthcare professionals returning to work after treatment for substance use disorders. These programs focus on monitoring and supporting the nurse while ensuring public safety.
D. An involuntary long-term residential treatment is not applicable to a nurse who has already completed a treatment program and is preparing to return to work.
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Correct Answer is B
Explanation
Rationale:
A. While inappropriate clothing might indicate a need for assessment of the client’s awareness or physical comfort, it is not as immediate a concern as the client's behavior.
B. The comment to the nurse is concerning as it may indicate disorganized thinking or potential for inappropriate behavior, which requires immediate attention for safety and therapeutic intervention.
C. A heart rate of 102/min is slightly elevated but not the most urgent issue compared to the client's behavior.
D. Elevated blood pressure should be monitored, but the priority is the client’s inappropriate behavior, which may affect safety.
Correct Answer is D
Explanation
Rationale:
A. Poor concentration is common in anxiety but is not specific to panic-level anxiety.
B. Voice tremors can occur but are not as distinctive as depersonalization.
C. Shakiness can be a symptom but is not as defining as depersonalization.
D. Depersonalization is a common experience during panic-level anxiety, where the individual feels detached from themselves or their surroundings.