34. A daughter of a home health patient very hesitantly approaches…
34. A daughter of a home health patient very hesitantly approaches the nurse and asks for information about alcohol abuse. At first, the daughter is very vague and claims to be asking out of general interest.
As rapport develops, the daughter discloses that her mother (home health patient) and her stepfather seem to be drinking more alcohol. The daughter is not sure if they are true “alcoholics,” but is worried about how their drinking is affecting the rest of the family.
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a. The nurse decides to collect data to determine if the family members have risk factors that could contribute to alcoholism. What are some contributing factors?
b. What can the nurse tell the daughter about the possible effects of alcoholism on relationships between family members who abuse alcohol and family members who do not?
35. The nurse suspects that something unusual is happening during the night shift. The patients frequently complain that the pain medication that they receive at night seems ineffective. These complaints seem to occur when the same two nurses are working together; however, the nurse hesitates to report these complaints because he recognizes that subjective reports of pain could be influenced by a number of factors.
a. What should the nurse do?
b. What are the specific role-related signs or behaviors that may be seen if nurses are chemically impaired?
36. How would you feel about reporting a friend/coworker for stealing opioid mediaton
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