Signs & Symptoms
Risk Factors
Legal & Ethical Considerations
Prevention Strategies
Real Life Scenarios
100

This is a common behavioral sign that a nurse may be abusing substances on the job.

A: What is frequent absenteeism or tardiness?

100

The high-stress nature of this work environment is a known risk factor for substance abuse in this career. 

A: What is nursing?

100

Nurses are considered what? 

A: What is mandatory reporters 

100

This type of education helps nurses recognize and respond to stressors.

A: What is stress reduction programs? 

100

You notice your coworker frequently leaves the med cart unattended and avoids patients after giving pain meds. What should you do?

A: What is report the behavior to a supervisor or follow facility policy?

200

Slurred speech, poor coordination, and drowsiness may be signs of this type of substance use.

A: What are CNS depressants or alcohol use?

200

Nurses are at an increased risk for substance use disorder because? 

A: High-stress environments, easy access to medication, workplace culture, and emotional fatigue

200

This is why substance abuse by nurses is taken seriously—it can compromise patient care and violates the trust placed in the profession.

A: What is the fact that nurses are held to high ethical and professional standards?

200

This workplace program offers confidential help for nurses struggling with personal or professional challenges, including substance use.

A: What is an Employee Assistance Program (EAP)?

200

A nurse confides in you that they’re struggling with addiction but fear losing their job. What is your best response?

A: What is encourage them to seek help through the facility's support resources?

300

A nurse frequently volunteers to administer narcotics and patients complain of unmanaged pain. This could indicate what?

A: What is drug diversion?

300

Nurses with a personal or family history of this are at increased risk.

A: What is addiction or substance use disorder?

300

This is one of the major consequences nurses may face if caught diverting drugs or working while impaired.

A: What is the risk of losing a nursing license or facing legal consequences?

300

Encouraging open conversations, team check-ins, and a judgment-free environment promotes this type of workplace culture.

A: What is a supportive or non-punitive culture?

300

Your coworker has bloodshot eyes, smells of alcohol, and is preparing to give meds. What’s your ethical responsibility?

A: What is intervene immediately and report the impairment?

400

Mood swings, irritability, and secretive behavior are all red flags for what?

A: What is possible substance abuse?

400

This shift type is often linked to burnout and potential substance misuse.

A: What are night shifts or rotating shifts?

400

Substance abuse programs for nurses aim to achieve this delicate goal—ensuring patient safety while offering treatment and rehabilitation opportunities.

A: What is the balance between protecting the public and supporting the nurse?

400

This prevention strategy involves educating nurses and staff to identify behavioral and physical warning signs of substance use in colleagues and respond through proper channels.

A: What is training staff to recognize early signs and respond appropriately?

400

A nurse returning from a treatment program is back at work under restrictions. What should the team do?

A: What is offer support, follow guidelines, and avoid stigma?

500

What are some commonly abused substances?

A: What is prescription opioids, benzodiazepines, alcohol, and stimulants 

500

Nurses who struggle to deal with stress in healthy ways may lack these psychological tools, leading to maladaptive behaviors like substance use.

A: What are coping skills?

500

Failure to act on known substance abuse in a coworker could lead to this legal issue.

A: What is negligence or malpractice?

500

This workplace initiative focuses on reducing stress, encouraging self-care, and supporting emotional well-being to prevent substance abuse among nurses.


A: What is promoting mental health awareness and burnout prevention?

500

A patient reports their pain isn’t controlled despite receiving narcotics. What could this indicate?

A: What is potential drug diversion?