CFPN Drug Diversion Investigation and Prevention 2

Question 1

A nurse is found to be diverting fentanyl by replacing it with saline in patient syringes. What patient safety risk does this create beyond the diversion itself?

Accepted Answer

Patients receive inadequate pain control and may be exposed to blood-borne pathogens

Answer

Patients receive double doses of the medication

Answer

The saline causes an allergic reaction

Answer

Documentation errors are created in the medical record

Question 2

Which Schedule II controlled substance is most commonly associated with healthcare worker diversion in the US?

Accepted Answer

Oxycodone and fentanyl

Answer

Marijuana

Answer

Heroin

Answer

Methamphetamine

Question 3

What does 'wasting' a controlled substance mean in the hospital context, and why is it forensically significant?

Accepted Answer

Discarding unused medication with a witness, significant because fraudulent wasting is a primary diversion method

Answer

Disposing of expired medications, significant for environmental compliance

Answer

Returning unused medications to pharmacy, significant for cost savings

Answer

Administering only part of a dose, significant for dosing accuracy

Question 4

During a drug diversion investigation, a forensic pharmacy nurse conducts a peer comparison analysis. What does this involve?

Accepted Answer

Comparing a suspect nurse's controlled substance access patterns to peers with similar patient assignments

Answer

Interviewing the suspect's nursing peers for character references

Answer

Comparing medication error rates between nurses

Answer

Reviewing the suspect's educational background

Question 5

Which body should a hospital notify when a healthcare professional is confirmed to have diverted controlled substances?

Accepted Answer

State Board of Pharmacy, State Board of Nursing, and the DEA

Answer

Only the state board of nursing

Answer

Only the hospital's human resources department

Answer

Only the patient's family

Question 6

What is the purpose of a Prescription Drug Monitoring Program (PDMP) in forensic pharmacy nursing?

Accepted Answer

To track prescriptions for controlled substances across prescribers and pharmacies to detect misuse patterns

Answer

To monitor only inpatient controlled substance administration

Answer

To replace automated dispensing cabinet records

Answer

To manage insurance reimbursement for controlled substances