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The opioid crisis

Staff empowerment strategies

doi: 10.1097/01.NUMA.0000554815.86042.1b
CE Connection

GENERAL PURPOSE: To provide information about staff strategies to improve the care of patients who are addicted to opioids. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Discuss the challenges of caring for patients addicted to opioids. 2. Identify examples of how the concepts of forgiveness, flexibility, and fortification can be used in the care of patients addicted to opioids.

  1. Caring for patients who are abusing opioids when they're reaching rock bottom can cause staff members to experience
    1. anger.
    2. burnout.
    3. compassion fatigue.
  2. In 2017, the leading cause of accidental death in the US was
    1. drownings.
    2. motor vehicle accidents.
    3. opioid-related overdoses.
  3. A challenging concept for staff members to understand is that patients who abuse opioids will seek help only when they're
    1. hospitalized.
    2. ready.
    3. required by law enforcement.
  4. Which philosophy does the author recommend for healthcare providers caring for patients addicted to opioids?
    1. Just take one day at a time.
    2. We provide a soft place to land.
    3. Treating addiction requires tough love.
  5. The author believes that with a patient-centered focus of care, healthcare providers can work together to help patients addicted to opioids become better connected to
    1. resources.
    2. their families and friends.
    3. themselves.
  6. To encourage accountability and develop a trusting relationship with patients addicted to opioids, the author recommends
    1. redirecting patient lies.
    2. speaking the hard truths out loud.
    3. trusting the patient completely.
  7. Opening the door to a therapeutic dialogue with patients addicted to opioids usually does which in the long run?
    1. improves patient outcomes
    2. prevents relapses
    3. reduces recovery time
  8. Which term does the author use when patients who abuse opioids lie?
    1. addicted lying
    2. coping lying
    3. survival lying
  9. The author notes that lying seems to become less of an issue with patients after about how many months of treatment?
    1. 1
    2. 2
    3. 3
  10. When lying becomes less of an issue for patients, it appears that they're starting to focus more on
    1. relationships.
    2. recovery.
    3. survival.
  11. According to the author, when staff members forgive patients for causing extra stress, they're offering
    1. flexibility.
    2. acceptance.
    3. understanding.
  12. Which is a reason why patients addicted to opioids relapse?
    1. Their family has cut off all ties.
    2. They aren't living in a rehabilitation facility.
    3. They've stopped participating in therapy.
  13. What should staff members do if a patient addicted to opioids relapses?
    1. contact law enforcement for advice
    2. provide a tough love approach to care
    3. reach out and help
  14. Which is an important step in the fortification process?
    1. knowing staff limitations
    2. researching available community resources
    3. understanding the patient's coping skills
  15. Which type of care can meet the fortification needs of the patient struggling with addiction?
    1. autonomous
    2. compassionate
    3. parental
  16. Which type of interaction is essential to emotionally fortify patients struggling with addiction?
    1. face-to-face
    2. group
    3. indirect
  17. Which can be especially helpful for patients struggling with addiction?
    1. helping them connect with family and friends
    2. educating them about the chronic nature of the disease
    3. being a source of encouragement
  18. When working with patients who may cause compassion fatigue, the author recommends that staff members remind themselves
    1. “no life is a throw-away life.”
    2. “this is what nursing is all about.”
    3. “tomorrow is another day.”
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