How can a nurse best support a colleague who is suspected of having a substance abuse problem?

• A. Encourage them to seek help while maintaining confidentiality
• B. Report the colleague to higher management immediately
• C. Confront the colleague publicly to ensure they receive help
• D. Avoid discussing the issue to prevent embarrassment

Answer: (A)

Encouraging a colleague to seek help while maintaining confidentiality is essential when dealing with a suspected substance abuse problem. This approach provides a safe and supportive environment for the colleague, allowing them to feel secure in discussing their struggles without fear of judgment or repercussion.

Confidentiality is paramount in these situations, as it fosters trust and encourages the individual to take the necessary steps toward recovery. By offering support rather than confrontation or public scrutiny, the nurse not only respects the colleague's dignity but also promotes a culture of understanding and compassion within the workplace. This supportive stance can significantly influence the colleague's decision to seek assistance for their issues.

In contrast, reporting the colleague to higher management could lead to negative consequences without providing the individual with the opportunity to address their problem constructively. Publicly confronting the colleague can cause significant embarrassment and may further isolate them, making recovery more difficult. Avoiding discussions altogether, on the other hand, denies the colleague the necessary support and intervention that could help them seek treatment. The chosen approach is aligned with best practices for supporting individuals with such challenges in a healthcare setting, promoting healing rather than shame.