Judy is a LPN working the night shift on a busy post-surgical unit. Patrick, a RN works the night shift on the same unit.. He often works with only one night off and fills in for other nurses when they need time off. He is married with 4 children. Judy notices over the past few weeks Patrick is less social not taking breaks with the other nurses and answers in a mumbling manner when asked questions. He seems tired and sluggish; answering fewer call lights and seems slower to respond to requests. By the moming report his speech is slurred. He also appears agitated and moody when asked questions or if he can help other nurses. His eyes are bloodshot but he says he has new contacts that he’s ‘getting used to’. He has left medications uncharted and often asks other nurses to complete duties such as stocking supplies in the patient rooms or checking in on the patients saying he is behind. The last week Judy has looked for Patrick for assistance and he reported being in the bathroom. Patrick has been frequently asking Judy to co-sign narcotics that are wasted. Judy is beginning to question if Patrick is abusing medications. 1. Who is usually the first to note drug abuse among nurses? 2. What factors may lead to medication abuse among nurses? 3. List all of the indicators, in the above case study, that indicate Patrick may be impaired? 4. What are additional indicators that a co-worker may be impaired? S. What is the responsibility of the health care worker who is suspicious of a co-worker abusing medications? 6 What measures may be taken if a nurse is found to be abusing drugs? 7. What are reasons the co-worker may not report the suspected abuse? 8.Are these reasons justified to not report the behaviors?