A nurse is reviewing their state board of nursing's information about substance use rehabilitation programs for nurses. Which of the following is a reason to enroll a nurse into an Alternative-to-Discipline program?

Correct Answer: C

Rationale: In the context of assessing health behavior in nursing, enrolling a nurse in an Alternative-to-Discipline program for substance use rehabilitation is based on the understanding that addiction is a treatable disease (Option C). This approach recognizes that substance use disorders are complex health conditions that require medical intervention, counseling, and support rather than punitive measures. By enrolling nurses in rehabilitation programs, the focus shifts from punishment to treatment, aiming to address the underlying issues contributing to the substance use. Option A, character flaw, is incorrect because viewing addiction as a character flaw perpetuates stigma and does not align with evidence-based practices in addressing substance use disorders. Addiction is recognized as a multifaceted issue influenced by genetic, environmental, and psychological factors. Option B, a crime, is also incorrect as addiction, while it can lead to illegal behavior, is primarily a health issue that requires a therapeutic approach. Criminalizing addiction without addressing the root causes does not effectively support individuals in their recovery journey. Option D, a mistake, is not an appropriate rationale for enrolling a nurse in a rehabilitation program as it oversimplifies the complexities of addiction. Substance use disorders involve physiological and psychological dependence that cannot be equated to a mere error in judgment. In an educational context, understanding the rationale behind enrolling nurses in Alternative-to-Discipline programs promotes a compassionate and evidence-based approach to addressing substance use issues in healthcare settings. It highlights the importance of viewing addiction as a treatable medical condition, reducing stigma, and providing appropriate support for nurses struggling with substance use disorders to ensure patient safety and nurse well-being.

Correct Answer: A

Rationale: The correct answer is A) The nurse will be assisted into drug treatment. This is the likely initial outcome because when a nurse is confronted about stealing drugs and reported to the board of nursing for substance abuse issues, the primary concern is the nurse's health and well-being. Nursing regulatory bodies and healthcare institutions prioritize the rehabilitation and support of healthcare professionals struggling with substance abuse to ensure patient safety and provide the nurse with the necessary resources for recovery. Option B) The nurse will need to transfer to a different unit is incorrect because simply transferring the nurse to a different unit does not address the underlying issue of substance abuse. It is important to address the root cause of the problem through appropriate interventions. Option C) The nurse will be fired immediately may not be the best course of action as termination without offering support or assistance for rehabilitation does not address the nurse's potential for recovery and may not comply with labor laws or ethical considerations. Option D) The nurse will lose their nursing license immediately is also an extreme measure that is usually not the initial step taken in cases of substance abuse. Licensing boards typically aim to protect the public while also providing avenues for nurses to seek help and rehabilitation before resorting to revoking their license. In an educational context, it is crucial for nursing students and professionals to understand the importance of addressing substance abuse issues with compassion, support, and appropriate interventions. Nurses should be aware of the resources available for seeking help and the potential consequences of not addressing substance abuse problems in a timely manner.

Correct Answer: A

Rationale: In the context of Selye's General Adaptation Syndrome (GAS), the correct answer to the question is option A) Resistance phase. This phase reflects the body's ability to adapt to the stressor and maintain a heightened state of resistance over a prolonged period of time without apparent impairment. During the Resistance phase, the body continues to cope with the stressor, and physiological functions stabilize at a new, higher level of functioning. In the case of a nurse facing prolonged stress, such as heavy workload or emotionally taxing situations over weeks to months, being in the Resistance phase is crucial for maintaining performance without observable impairment. Option B) Exhaustion phase is incorrect because this phase occurs when the body's resources are depleted after prolonged exposure to stress, leading to a breakdown in adaptation and increased vulnerability to illness or impairment. Option C) Adaptive phase is not a recognized phase in Selye's GAS model. While adaptation is a key component of the stress response, it is not a specific phase in this context. Option D) Alarm phase is the initial phase of GAS where the body first recognizes and responds to a stressor. It is characterized by the activation of the fight-or-flight response, which is not sustainable over prolonged periods without negative consequences. Understanding Selye's GAS model is essential for healthcare professionals like nurses, as it provides insights into how the body responds to stress and the importance of adaptation in maintaining health and performance. Knowing the different phases helps nurses recognize where they, or their patients, may be in the stress response cycle and implement appropriate interventions to promote adaptation and resilience.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Secondary data. Secondary data is information obtained from sources other than the client themselves, such as family members or medical records. In this case, the information provided by the client's family is considered secondary data because it is coming from a source external to the client. Option B) Objective data refers to measurable and observable data obtained through physical assessments or tests. In this case, information provided by the client's family is not objective data as it is based on their perceptions and experiences, rather than concrete measurements. Option C) Subjective data is information based on the client's feelings, perceptions, and experiences. While the family's information may contain subjective elements, the term "subjective" typically refers to data provided directly by the client themselves during assessments. Option D) Historical data refers to past information about the client's health status, treatments, and outcomes. While the information from the client's family may include historical elements, the term "historical" typically refers to data collected from the client's medical records or previous healthcare encounters. Understanding the difference between these types of data is crucial for nurses in assessing and providing care for clients. By recognizing that the information from the client's family is secondary data, the nurse can appropriately integrate it into the client's care plan while being mindful of its source and potential limitations.

Correct Answer: C

Rationale: The correct answer is C) The client adapts well to change. When a client verbalizes the use of coping mechanisms during stress, it indicates that they have developed healthy strategies to manage challenging situations. Coping mechanisms help individuals navigate stressors effectively, leading to better adaptability to changes in their environment or health status. Option A) The client prefers solitary activities to group activities is incorrect because coping mechanisms do not necessarily indicate a preference for solitude. It simply means the client has strategies to manage stress. Option B) The client follows all rules is incorrect as it does not directly relate to the use of coping mechanisms. Following rules may be a behavior unrelated to stress management. Option D) The client prefers to sit quietly is incorrect as it assumes a specific behavior that may not be indicative of how the client copes with stress. Educationally, this question highlights the importance of recognizing and understanding coping mechanisms in nursing practice. It emphasizes the significance of assessing clients' abilities to manage stress and adapt to changes, which are essential skills for providing holistic and effective care. Nurses need to be aware of clients' coping strategies to support their overall well-being and resilience.