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Author Question: The chief nursing officer understands that clinical incompetence is best prevented by a(n): a. ... (Read 47 times)

Ebrown

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The chief nursing officer understands that clinical incompetence is best prevented by a(n):
 
  a. Flexible protocol for evaluating competency skills.
  b. Standardized clinical skills checklist.
  c. Administration of personality tests and competency assessments at point of hire.
  d. Formalized competency program with established standards for practice.

Question 2

The nurse manager places a staff member on probation because of reports of chemical dependency. The nurse manager should be aware that which of the following statements is true regarding chemical dependency?
 
  a. The chemically dependent employee usually hides any changes in behavior.
  b. When confronted with the issue, the affected employee is usually relieved to have someone to talk to about the problem.
  c. The chemically impaired nurse affects the entire healthcare organization.
  d. Hospital policy, state laws, and nurse practice acts address procedures for the chemically dependent employee in the most general terms.



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upturnedfurball

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Answer to Question 1

ANS: D
The competency program with established standards of practice outlines what the nurse must do to achieve desired competencies in her current position. Competency assessment and goal-setting should help the nurse identify how to excel and which competencies the nurse wants to achieve in the future.

Answer to Question 2

ANS: C
A chemically impaired nurse jeopardizes patient care through impaired skills and judgment. She or he also compromises teamwork and continuity as peers attempt to cover deficiencies in work performance for their impaired team member.





 

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Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

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Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

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Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

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Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

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Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

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