Addiction Nurse Interview
Questions

6. How important is it for an addiction nurse to be a patient person? Interaction with staff and patients requires good communication skills. Part of practicing good communication is the ability to be patient with others. Working as an addiction nurse can be a very satisfying job, but it requires a lot of work and patience. The interviewer wants to know that you are comfortable with your ability to be patient and offer guidance/support when needed. Here is an answer example: "I believe that being patient is a very important characteristic for any person to possess, especially those who work in patient care. We often have very hectic schedules and work with staff and patients who have diverse personalities and needs. Being able to focus on the needs of others while performing our job can be very demanding. However, patience is a must." Here is an entry level answer example: "Being patient is very important for an addiction nurse. Some patients or staff we work with require only simple assistance. Others require more detailed assistance as they are learning new life skills and coping mechanisms. We have to know how to identify those who require a little extra time and try to accommodate that." Here is an experienced answer example: "The old saying 'patience is a virtue' is especially true when dealing with a group of staff or patients.. There are often times when we have to calm agitated patients, family members, or help a staff member who feels overwhelmed. Losing your cool or being impatient is not an effective way to communicate and calm someone. Patience is definitely a must for an addiction nurse."7. Do you anticipate any significant changes in your life within the next 2-3 years that May prevent you from continuing employment here if you are offered a position here? Knowing what goals you have and any changes you anticipate in your life will give the interviewer an opportunity to evaluate two things: 1. what positions are available that won't disrupt your plans and, 2. are you interested in having a long-term relationship within the company? Either way, being upfront and honest is always appreciated. Here is an answer example: "I recently became engaged. Although we have not set a date yet, we have agreed to wait twelve months before the marriage. My fiance' just passed the Bar exam here and has been offered an opportunity to join an existing law firm. Presently, our plans are to stay where we are and build a career, not just work a job. Also, we do not plan on having children for at least two years after our marriage. We both feel that being able to become established in our careers and save for our future would be the responsible thing to do before starting a family." Here is an entry level answer example: "My goal is to find a position that will allow me to work long term. I do not anticipate any significant changes that would affect that. I have family that live nearby and close ties to the community." Here is an experienced answer example: "I have no plans of relocating and all of my family live close by. I have traveled before and have come to a place in my life where I want to find a stationary position and grow with a company. With those things in mind, I do not see a predictable circumstance that would cause me to be unable to continue employment."8. What are some characteristics that you think an addiction nurse should have, and why? Working as an addiction nurse can be very stressful at times. Having the kind of personality that is reflective of good character, despite the challenges of your job, is essential. The interviewer wants to know what you value in a person's character. This is important because, most likely, the characteristics you value in others are often the ones you will display yourself. Here is an answer example: "I believe all people, no matter what their profession, should be compassionate and dedicated. This is especially true working with people who are fighting addictions. While we don't have to agree with someone's choices, as an addiction nurse, I believe it is important to show as much compassion as possible in an effort to encourage the successful recovery of my patients." Here is an entry level answer example: "I feel like an addiction nurse has to know how to be kind and show sympathy, even if we don't agree with our patient's choices. I say this because, fighting addictions is a hard task for our patients. We have to show kindness and sympathy in order for them to see that we care and want what is best for them. People always respond better to a caregiver who is sympathetic, rather than one who is judgemental." Here is an experienced answer example: "Addiction nurses require several different characteristics, and they are often displayed differently to each patient. Kindness, compassion, and sympathy are important. Further, being firm and professional are also crucial. Addiction is difficult to fight, but not impossible. It takes the work of many people to help a patient with addiction to overcome. Being compassionate and sympathetic are helpful, but we must also maintain a professional manner and be firm with our rationale of why a treatment plan and sobriety are important."9. What is one of your weaknesses and what do you do to help address/resolve it? This is probably one of the most dreaded questions in a job interview. Answering this question requires self evaluation and honesty. Remember, whatever weakness you decide to share, make sure it is not a key characteristic needed to perform your job as a medical office manager. Here is an answer example: "I think one of my biggest weaknesses is that I can get sidetracked easily. I recognize that in myself and have made a conscious effort to plan my day as much as possible and to stay on target." Here is an entry level answer example: "I know you may not think this about someone who has chosen a career as a medical office manager, but one of my weaknesses is that I often get nervous around people I don't know. I know we all do that to a certain degree, but for me, it became something that I was very aware of. I now try to attend social activities where I know there are going to be opportunities to meet new people so that I can overcome social anxiety." Here is an experienced answer example: "My biggest weakness has to be that I take on too many projects at once. While being involved and participating in various things is fun and can be good for a person, I tend to take on several things and then leave some projects unfinished. I have begun to limit myself to only taking on a few projects at a time so that I can devote the necessary time to staying on task."10. Tell me about a time you had to deal with significant changes in your workplace. How did you manage those changes? In any healthcare setting, change is inevitable. Technology, processes, leadership, laws and organizations change on a regular basis and with change at a high level comes changes in work processes. For this question, it is important to stress how you are open to change when it makes the end results better for, not only the patient, but for those who work with you. As a medical office manager, you should be able to recognize changes that are needed and be prepared to address them with employees and provide any training necessary. Talk about a specific change you had to endure in the workplace and express how you embraced the change. Here is an answer example: "In my previous employment roles, I have been a part of many changes that affected my day-to-day duties on the job. I have always embraced the technological changes and work process advancements because, in the end, they make our jobs easier, safer and better for the individual patients. The biggest change that I had to endure was an organizational merger when a private hospital I was working for merged with a larger health system. During this merger, my day-to-day work was flipped upside down from new computer systems to work on, a new work location, new leadership structure and a change in pay and benefits. With a focus on the end in mind and how great it was going to be to work for a much larger and well-established employer, I was able to be a positive influence on my team for helping others embrace the change and see the light at the end of the tunnel while changes were happening." Here is an entry level answer example: "During my years in college, I worked at a large grocery store as a cashier. After working there for one year, the company purchased a new touchscreen register system that replaced the old system I was familiar with. Knowing how much more efficiently and accurately I would be able to work when the changes came, I was happy when the announcement was made to our team of cashiers. Of course others were not happy as they'd have to learn a new system. For me, knowing how much the new system would help our work process made it easy to embrace the change. Moving forward, I fully understand how the healthcare world needs to embrace change on a regular basis and you'll find that I'm a person that can help lead change management among my peers." Here is an experienced answer example: "While I was in college, I worked in a medical office for extra credit. The corporation purchased some new equipment that was expected to help cut our time documenting significantly. When my manager announced that the new purchase was made and new equipment would be arriving in two weeks, I was shocked to see that many of the teammates reacted so negatively to that change. They were not happy that they would have to learn new equipment and were closed-minded in their perception of the how the new technology would impact their routines. My manager appreciated the fact that I was the positive member of the team was able to calm my teammates down and help them see the good that would come once we all were trained on how to operate the new piece of equipment."11. Have you ever been the intake nurse for addiction patients, and what is something common that you find among patients entering treatment? Addiction nurses have many roles. The first step into a treatment facility is the intake interview. During this time, clients may or may not be open. While there are routine questions that have to be asked of all clients, an intake nurse will learn what cues to follow from a patient that will lead to other questions that can establish a history. It is important to get as accurate a history as possible in order for a treatment plan to be implemented properly. Here is an answer example: "Yes, I have worked as the intake nurse before. One of the most common things I find is that many patients entering treatment are prone to omit certain parts about their addiction history. It may be that they disclose one drug that they used, but do not mention another, or that they downplay the seriousness of their level of addiction." Here is an entry level answer example: "I have not had the opportunity to work as an intake nurse yet. Most of my experience has been as a direct care addiction nurse. I have noticed, though, that many clients in early treatment try to minimize the severity of their addiction. This makes it difficult for us to address some of the issues that they need to face, but with time, many of them do open up more." Here is an experienced answer example: "I have worked as both an intake nurse and a direct care addiction nurse. Intake nurses have the challenge of trying to get as much information from the patient as possible before he/she is admitted into the treatment program. Many clients are not willing to share all of their information. For instance, they may mention one drug that they have used while omitting facts about another drug or alcohol addiction. This is when having a release of information signed and someone from whom we can obtain collateral information is important. The more accurate a history we can obtain prior to treatment beginning, the better plan of care we can prepare and begin to implement."12. If you begin to feel overwhelmed with a situation at work, how do you handle it? Being an addiction nurse requires a great deal of time and attention to detail. It also requires a lot of patience. The interviewer understands the stresses that are often related to being an addiction nurse. He wants to know that you can identify personal stressors and that you are capable of addressing them before the anxiety of a situation gets out of hand. Here is an answer example: "I am usually not easily overwhelmed, but we do all have times that some situations affect us differently. If I begin to feel anxious or overwhelmed, if possible, I take a break for a few minutes. Sometimes just stepping outside and getting a breath of fresh air helps me to relax. Also, I am not too embarrassed to call on a coworker or supervisor if I need help. Patient care is my number one priority." Here is an answer example: "I offer different support based on the patients need. It is important for me to provide emotional, educational and motivational support to patients." Here is an experienced answer example: "Working as an addiction nurse, there are times that we all feel overwhelmed. Sometimes patients are compliant and easy to work with. Other times they are not. I have found that when I begin to have feelings of stress or anxiety, it is always a good idea to let a team leader know. Sometimes a short break or a slight change in routine is all it takes to relieve those feelings."13. Tell me about a time you may have had a disagreement with a team member and how you handled it. In any work environment, there can be times that you may have a complicated encounter with someone. The interviewer does not expect you to say that you have/never will have a disagreement. Rather, he is looking for signs that you will be able to address adversity professionally and keep it from hindering your work relationships or the quality of care that you provide to your patients. No matter how difficult a story may may, finish it with something positive that you gleaned from the experience. Here is an answer example: "I've experienced difficult situations with co-workers and most times it has to do with miscommunication. I have learned that if we can take the time to discuss a problem and allow one another to express their thoughts regarding an issue, it is easier to work through things. Leaving things unfinished seems to create an atmosphere of tension and increases the risk of a situation escalating. I try to have a positive outlook and express my interest in what my coworkers think and feel, even if their opinions differ from mine." Here is an entry level answer example: "I can only think of a time or two that I had a disagreement with a coworker, and it was nothing that caused me to feel like I couldn't continue my working relationship with them. As a nurse, it is natural to have situation where tensions run high. I simply try to respect those I work with and be an ear to listen, when needed. Those simple steps can help resolve an otherwise difficult situation." Here is an experienced answer example: "I have many years' experience working in a multidisciplinary team environment. I prefer working as part of a team because the collaboration ensures that each patient gets the best care possible."14. If a patient were to exhibit feelings of affection or infatuation with you, how would you address the situation? People who battle addiction often replace one addiction with another as they are trying to recover. This is usually not intentionally, but just part of the personality of an addict. Many times patients who are beginning to recover from an addiction such as drugs or alcohol tend to divert their attention to those who are providing care to them. Addiction nurses and counselors are often the object of the addict's attention because of the amount of time that they have to spend with them. The interviewer wants to know that you are capable of identifying this behavior when it begins to happen and that you can address it professionally. Here is an answer example: "If I were to suspect that a patient had affectionate feelings toward me, I would make sure that I am monitoring the patient/nurse boundaries closely and not allow myself to be put in a situation that may be misconstrued. I would also make sure that the charge nurse and/or the patient's counselor was aware. It is easy for patients to become infatuated with their caregivers as they are recovering from addiction. It's like replacing one 'high' for another one. However, establishing healthy boundaries from the beginning is often a deterrent for this." Here is an answer example: "I've taught 12-step classes for the last six months in my current position. It is encouraging to see patients be part of their recovery and embrace the recovery techniques that I teach them." Here is an experienced answer example: "One of the first things addiction nurses should learn, in my opinion, is how to establish and enforce healthy boundaries between ourselves and our patients. Most patients suffering from addiction have dependent personalities and, although they may not be aware of it, they seem to be desperate for some kind of relationship. When drugs and alcohol are removed, they tend to replace those things with other addictions, such as food, or with people. Part of my job as an addiction nurse is to help my patients develop healthy relationship building skills and to recognize situations that could end up in a new dependency."15. One common recommendation for people in addiction recovery is to avoid an intimate relationship with someone else in recovery. How would you explain the importance of this to a patient? Many healthcare providers say that the choice of addiction patients to establish new relationships with other addicts is, in a way, a 'comfort zone' for them. While some people feel that establishing a support system with people who have had the same experiences can be beneficial, research indicates that this could lead to an increased chance of relapse because those, especially in early recovery, are still learning coping mechanisms to help prevent relapse. The interviewer wants to know that you are able to understand and be able to educate patients on how to associate with people who will be a strength to them during this critical time in their lives and on ways to make healthy decisions regarding their support system and relationships so that the patient can increase his chances of staying clean and sober. Here is an answer example: "I think it is important for my patients to understand how to make healthy choices regarding their relationships. If I were to explain the rationale behind not having an intimate relationship with someone else who is suffering from addiction ,I would begin by telling my patient that in the early stages of recovery, the main focus should be on self. This means self-awareness, such as triggers that may cause a desire or a feeling of 'need' to relapse and how to avoid them. In early recovery, patients should be educated on why it is important to avoid establishing any new intimate relationship." Here is an entry level answer example: "I believe when educating a patient regarding intimate relationships, it is important for the patient to realize that relationships take work. For an addict, recovery has ups and downs. I would explain to my patient that, although friendships are good, relationships (intimate or not) should be built with people who can offer them strength and encouragement during their recovery rather than people who are suffering with addiction, who may not be as helpful in stress times." Here is an experienced answer example: "The best way I have learned to educate addiction patients on this is to explain to them that recovery from addiction is like recovering from an abusive relationship. It takes time and hard work, and when other things are thrown into the mix it often creates more turmoil and frustration. I like to encourage my patients to take time for themselves and to learn to love themselves again. It is a process, a lifelong process. In time, other people can be added in the mix, but careful consideration should be given to when and who should be allowed in an addict's circle."16. What would your response be if your 15 yr old patient asked you to withhold the results of a positive drug screen from her parents? Recent polls of adolescent patients (under the age of 18) have shown a tendency to not seek medical care or treatment if that care cannot be independent of a parent or guardian. Among those patients polled, many of them stated that there were certain topics that they do not want their parents to know about (sexual activity, presence or treatment of STDs, and alcohol or drug abuse). Many said that they would prefer to have no treatment at all if notification of their parents was required. As an addiction nurse, some of your patients will be younger than the legal age of consent for treatment. Knowing the law and how it affects what information you can or cannot provide is crucial. The interviewer wants to know that you are not only familiar with the law, but that you are able to explain legal issues to your patient so that she understands. Here is an answer example: "I have had patients in the past who did not want their parents to know certain test results. While I understand some situations may cause a patient to feel reservation about disclosing information, I would explain to the patient that, because of her age, I cannot keep the information regarding her test results from her parents." Here is an answer example: "I have come across some difficult patients in my career as a nurse.I would say the most challenging patients are those who do not follow their treatment plan yet tell me that they are. It's hard to work around dishonesty, so I gently remind these patients that the only person they are hurting is themselves." Here is an experienced answer example: "Every state has laws that allow minors to give their own consent for certain kinds of health care, such as emergency, general health, contraceptive, pregnancy-related, HIV or other STD, substance abuse and mental health care. Each state also has some laws that allow minors to consent for care if they are emancipated, mature, living apart from their parents, or older than a certain age. Many of these laws have been in place for several decades. It is commonly accepted that if an adolescent is allowed to give consent for healthcare, the information pertaining to that care is considered confidential. While many minor consent laws contain explicit provisions regarding the disclosure of information to parents, some do not allow disclosure without the minor's permission. Others, still, leave the decision about disclosure to the physician's discretion. With all of that in mind, I believe it is important for healthcare professionals to be aware of their state's laws regarding privacy and to also know the guidelines set in place within their facility."17. What made you choose a career as an Addiction Nurse? In almost all interviews, the employer will ask why you chose this specific career. Everybody has his own story to tell, and the interviewer wants to hear yours. If you had some experience that led you to this career choice, this is a good time to share that. Remember, though, this is an interview, not a conference where you are a guest speaker. Tell your 'why' and tell it with passion, but be conscientious of the time that you are being given. Here is an answer example: "If someone had told me many years ago that I would have chosen a career dealing with addiction, I would never have believed them. I have always wanted to help people. It wasn't until I really began to research the different types of patient care related fields that are available that I realized the critical role that nurses can have in the lives of those who are struggling with addictions. The more I researched, the more I felt like this is what I was meant to do." Here is an entry level answer example: "I wanted to find a career that would challenge me to grow and become a better person by giving back to others. When I started seriously thinking about my future and what possibilities there are, I really felt like if I could make a difference in just one person's life and help them overcome the stronghold of addiction, that it would be worth it all. Being an addiction nurse gives me the chance to work on a one to one basis with patients who are really struggling and need help. I can't imagine ever doing anything else." Here is an experienced answer example: "I wanted to find a career that would challenge me to grow and become a better person by giving back to others. When I started seriously thinking about my future and what possibilities there are, I really felt like if I could make a difference in just one person's life and help them overcome the stronghold of addiction, that it would be worth it all. Being an addiction nurse gives me the chance to work on a one to one basis with patients who are really struggling and need help. I can't imagine ever doing anything else."18. If you had a client who told you he was only in drug rehab because he was ordered to by a judge and that he had no intention of quitting drugs, how would you handle the situation? Unfortunately, there are a number of people who are addicted to illegal substances who only attend rehab because it is court-ordered, rather than choosing to do so on their own. This is not to say that when someone is ordered to rehab, rather than choosing it for themselves, that it will not be effective. However, with those cases, many addiction nurses are faced with the task of not only battling the addiction, but the addict's opposition to treatment. The interviewer wants to know that you are able to address a situation like this professionally. Here is an answer example: "Being understanding is key to working with any client. With someone fighting addiction, it is especially important. When someone with a substance abuse addiction comes for treatment, it is not always because they want to. Whether it is court-ordered or the family gives an ultimatum, many of them come in unwilling. However, there are times that, even if they come to us with some resistance, with support and encouragement, they begin to see some hope of what life can be like if they are drug free. Knowing that, I always try to be sympathetic to their fears, but also offer them a look at what they can accomplish if they overcome their addictions. Confrontation never works; so, if someone tells me they are not going to stop using, I tell them it is their right, but while they are with me, we have still have to address what could result with continued use and the possibility of what life could be like without drugs." Here is an entry level answer example: "Despite my personal feelings, it is the client's right to do what he wants when he has finished treatment. However, while the client is in my care, I will attempt to address as many things as I can with regard to his feelings of needing to use drugs rather than live independent of them. Many times, people with addictions to drugs get to a point that their body needs the drug so much that they can't seem to imagine life without it. I will spend what time I am allowed with the client offering alternatives to drug use and encouraging him to use resources available with the hope that, although he may initially be there because the court ordered him, perhaps he will begin to see the importance of living a drug free life and opt to continue with rehabilitation efforts." Here is an experienced answer example: "Each patient I see deserves the best care and the most attentive part of me. I utilize a standard template to get started and keep me on track to ensure the initial assessment goes smoothly and covers all required bases."19. If you felt threatened by a patient, what would your response be? All areas of nursing involve difficult patients but those working within the addiction recovery discipline are more exposed to this than others. Difficult patients require specific handling and this question aims to establish whether you're a suitable candidate for this demanding work. Talk your way through how you would handle a potentially threatening situation so that the interviewer can see that you are able to think quickly in a possibly tense situation. Here is an answer example: "If I felt threatened by a patient, I would make sure that patient/caregiver boundaries were verbalized to him. I would speak calmly and try to assure the patient that my goal is to provide safe care for him. I would ask him to calm down and talk to me about what has him angry or frustrated and see if we can work through the situation without any threat of harm to anyone." Here is an entry level answer example: "If I felt threatened by a patient, I would speak calmly, but firmly, and ask her if she can tell me why she is upset. I would tell her that my responsibility is to provide care for her in a safe environment, which means that we all need to feel safe and free of harm. If the patient does not calm down, I will ask a team leader or supervisor for assistance in diffusing the situation." Here is an experienced answer example: "One of the difficult things about working with clients who are suffering from addictions is that they may have an outburst of anger or frustration, especially during the detox period. It is really important to learn to identify possible triggers for patients and be aware of when they may be at higher risk for this to happen. I have been threatened by patients before and have learned that remaining as calm as possible is one of the first steps to resolving the situation. When tensions are running high, if I cannot remain calm, my anxiety may cause the situation to escalate. I would ask the patient to calm down and speak in a soft, but firm tone. I would ask the patient if he will tell me why he is upset and what I can do to help him. I would alert any coworker who is nearby to notify a supervisor to come for assistance. This is important because an aggressive patient should not be left alone. That could lead to the possibility of having other patients in harm's way. When a supervisor arrives, I will follow his/her lead in handling the situation."20. If you suspected that one of your co-workers was abusing drugs, how would you handle the situation? Working with patients who are recovering from addiction is a very stressful job. Statistics show that there has been an increase of healthcare providers who rely on drugs or illegal substances. Unfortunately this trend creates more stress on the healthcare providers who do not abuse drugs. The interviewer wants to know that you are capable of identifying signs of drug abuse and that you will make professional decisions to ensure the safety of your patients and the healthcare team. Here is an answer example: "As an addiction nurse, I am trained to identify possible signs of drug abuse. It is impossible to give proper care to others if we are working in an impaired state. If I suspected that a co-worker was abusing drugs, I would ask to speak to my supervisor privately and disclose my concerns." Here is an entry level answer example: "I would direct any suspicion of drug abuse to my supervisor right away. Working while under the influence of any drug, illegal or not, could impair a nurse's ability to provide proper care. I am obligated, in the interest of protecting my patients, to report any concerns to my supervisor so that he can assess the situation." Here is an experienced answer example: "First, I would ask my coworker if he/she is feeling well. There are illnesses, such as diabetes, that can mimic intoxication if they are not properly managed. Talking to my coworker will give me an idea of what may be going on. This is important because it is my duty to report any concerns to my supervisor. While the symptoms may be a true health issue that is mimicking drug or alcohol use, it is my responsibility to report suspicions to my supervisor so that he can get to the source of the issue."21. If, during shift change, the nurse you are replacing told you to expect the narcotics count to be off because it was off when she began her shift, how would you handle the situation? State and federal guidelines mandate accurate record keeping of medications. No matter where you work as a nurse, part of the daily routine includes narcotics counts at the beginning and ending of each shift. The interviewer wants to know that you understand the importance of accurate record keeping and that you will handle any discrepancies within the legal guidelines. Here is an answer example: "If I were taking over a shift and the nurse who worked before me told me about a discrepancy between the narcotics count book and the actual medications on hand, I would first ask her if we can do another count to verify the discrepancy. If the count does reflect that medications are missing, I would immediately report this to my supervisor. This is not about getting someone into trouble, but about being accountable for the safety and well being of my patients, myself, and the other staff. Medication errors are sometimes made, but it is my responsibility to make sure I notify the appropriate people (my supervisor) to determine where the error occurred and to make sure it doesn't happen again." Here is an entry level answer example: "Any time the count of medications does not match the record book, I would report the incident to my supervisor. While errors do occur, unfortunately, there could be other reasons for inaccurate counts. It is my responsibility to notify a supervisor. This puts the situation in the hands of someone with authority and protects me from any liability related to missing medications." Here is an experienced answer example: "As a medical professional, I'm trusted with confidential information each day. I handle and respect the information and provide details to providers on a need to know the basis for further treatment."22. What are some aspects of being an addiction nurse that make the career different from other nursing careers? This question really gives the interviewer a chance to see what your personal thoughts are regarding being an addiction nurse. There is really no right or wrong answer to this question. This is another opportunity for you to show what you thought was special about this specialty that led you to choose it as a career. Here is an answer example: "I suppose all nurses could tell one thing or another that makes us feel like the area we work in is unique. All nursing departments have their own uniqueness." Here is an entry level answer example: "I am new to the area of addiction nursing, so I may not be qualified to make comparisons. I feel comfortable saying that I chose to work in addiction care because I have a focused interest in addictions and the associated medical conditions and treatments." Here is an experienced answer example: "I handle stress very well, and when you call my references, they will attest to this fact. When I am under pressure on the job, I focus on the task at hand and make sure not to get distracted. Staying on deadline is very helpful, and I will delegate when necessary to alleviate some stress."23. Being an addiction care nurse can be very stressful. What are some ways you manage stress on the job? Providing care for patients with addiction disorders is inherently stressful. Each shift presents what could be a very trying situation. A hiring official needs to know that you can handle stress. Moreover, how you handle it, speaks volume. In an addiction nurse interview, be prepared to provide examples of how stress impacts you. For Here is an answer example: "As an addiction nurse, I realize my care is crucial in patient outcomes. This is stressful, but I always try to compartmentalize my stress and channel it, in a healthy way. I have a strong support network and yoga is my 'go to' stress reliever, after a shift." Here is an entry level answer example: "I have always taken time to examine how I feel after a shift and deal with my emotions in a healthy way. I like to write, so I use that as an outlet for any feelings that need to be resolved." Here is an experienced answer example: "Any job can be stressful at times. Working with addiction disorders is especially critical because we handle some critical patient care situations. I have learned that if I am working on an especially stressful case that it is ok to reach out to co-workers within the unit and ask for help when needed."24. Give me an example of a workplace challenge you encountered, and how did you handle it? As an addiction nurse, you may face various workplace challenges. Internal struggles or co-workers struggles. Tell the interviewer about a situation you faced and how you handled it. Burnout, people problems and not being challenged may be a few issues you could bring up. Here is an answer example: "A workplace challenge I faced was when I did not have enough nurses on staff to cover our night shift. Because we had enough nurses to only cover the shifts it made it difficult to get by if someone was out sick. I spoke to my Director about the situation and suggested a PRN nurse. Now, double shifts aren't necessary, we just contact our float nurses, and they can cover." Here is an entry level answer example: "In my previous position, we had a couple of nurses who were unreliable with their documentation. This lack of documentation meant that the covering nurses were often confused or left with only pieces of information. We overcame this by expressing the concern to our union leader. It was the only way we could ensure policy and procedures surrounding documentation were met at all times." Here is an experienced answer example: "As an addiction nurse, there is a new challenge each day including shortages of staff, supplies, rooms, and more. Over the years, I've learned to prioritize these challenges, delegate as needed and not allow it to affect my work."25. Is there a type of patient or specific diagnosis that you find it more difficult to work with? Behavioral issues and dual diagnosis, like a bipolar alcoholic, can make treatment extremely difficult. What can make treatment even more difficult are those who don't cooperate or follow through with the plan of care. Tell the interviewer about a particular situation or patient. Be sure to respect patient confidentiality when sharing any examples. Here is an answer example: "When a patient doesn't take responsibility to start making changes that are constructive in their life, I find these cases very difficult. I do my best to empower them, because ultimately they are the ones who can change their own lives. However, if they choose not to do the work, treatment is a whole lot harder." Here is an entry level answer example: "I believe any addiction nurse will tell you, no matter what the diagnosis, if a client is not really ready to face his addiction and become active in a treatment plan, providing care is difficult. Clients make a choice daily whether or not to participate in their addiction or to be proactive in their recovery." Here is an experienced answer example: "I have come across some difficult patients in my career as an addiction nurse. I would say the most challenging patients are those who do not follow their treatment plan yet tell me that they are. It's hard to work around dishonesty so I gently remind these patients that the only person they are hurting is themselves."26. If you were to teach new nurses regarding signs to observe for that may indicate drug abuse, what would you tell them? Anyone who has worked with substance abuse for any length of time will likely tell you that addicts learn to hide or mask signs of substance use. Being able to learn skills that will help detect the use of illegal substances, or relapse, in a client is a vital skill of addiction nurses. The interviewer wants to know that you are familiar with the most common signs and are able to tell someone new in this field what to look for. Here is an answer example: "If I were to spend time with a new addiction nurse and try to educate him on signs of possible drug abuse, I would tell them that anything that seems 'out of character' for the client would be something to pay attention to. For instance, a client who is normally quiet and has a reserved personality, but who is suddenly easily agitated or aggressive would be an example. Also, if the client seems paranoid when he is normally not remarkably wary of others, these are a few signs to be aware of." Here is an entry level answer example: "Some of the easiest signs that I would tell a new addiction nurse to be aware of are when a client seems fearful for no reason or who lacks motivation, especially with regard to things that you used to be of interest to him." Here is an experienced answer example: "While each person abusing drugs may display different signs of using, there are some signs that are commonly seen. Some of the most common are unusual mood swings, poor memory, anxiety and hyperactivity. I always encourage new addiction nurses to trust their judgment. Especially as we get to know our patients, it becomes easier to pick up on things that are not the 'norm' for that client. Further, I like to encourage new nurses to report any suspected slip or relapse right away, so that the care team can evaluate the patient and see if there is validity to the concern."27. What are some major factors that may cause a patient to relapse, and how do you approach preparing clients to cope with or avoid these risk factors? Being able to identify risk factors associated with addiction is a crucial skill for anyone working with patients battling addiction. Further, teaching coping mechanisms to at-risk clients is one of the major goals in the plan of care. The interviewer wants to know that you are able to identify risk factors and that you can demonstrate proper education to assist with prevention of relapse. Here is an answer example: "Patients who have poor coping mechanisms lack skills necessary to divert themselves from substance abuse and, as a result, often resort back to their addictive behaviors. When our team identifies a client who appears to have poor coping mechanisms, we immediately begin to introduce measures to help these clients cope. Helping clients identify stressors or triggers that may cause them to relapse is one of the first steps. When clients can identify triggers, we can then address ways for them to learn to cope, such as having a support system to call on when the stress becomes too much." Here is an entry level answer example: "The ease of availability of an addict's preferred substance is often the trigger that leads to consumption of that substance which results in relapse. One way to help prepare a client to cope with the availability is to keep drugs and alcohol out of the patient's home and to discourage fraternization with people who abuse substances." Here is an experienced answer example: "Feelings like shame, loneliness, guilt or other negative thoughts are common reasons that clients allow themselves to be exposed to drugs or alcohol. It is often an attempt to control those negative feelings. The likelihood of experiencing any of these feelings can push the patient towards a relapse state Developing skills that increase mental strength and a positive attitude often plays an important role in preventing relapse. Because of this, I like to encourage my clients to develop relationships with people who do not have addiction issues so that they can be surrounded by a positive environment which can prevent the patient falling back in the mind frame of substance abuse."28. What is something that is rewarding to you about being an addiction nurse? Working a field where addictions is the focus can often have days that feel very difficult, even heartbreaking. However, there are times that something happens that can give you a feeling of assurance that all that you do is not in vain. Sharing how you feel about your job and something that makes you happy or makes you feel rewarded shows the interviewer that, despite the difficulties the job brings, you can still find the positive in what you do. Here is an answer example: "This job is rewarding to me in so many ways. More than anything, I am happy and thankful when I see someone who has been my patient who actually follows through with a rehab path after detox, and begins counseling and then chooses to stay in a life of sobriety free from drugs and alcohol. There have been times when some of my previous clients have stopped by just to tell me that they are ok and that they are living a clean life and how their lives have changed. This is one of the most rewarding feelings I have ever experienced." Here is an entry level answer example: "I love being an addiction nurse. I don't love the fact that we are needed, but because we are, I pour everything into my job. One of the most rewarding things for me is seeing someone who graduates from rehab and decides to initiate counseling or some type of 12-step program for himself. Taking personal initiative to continue with therapy and make a conscious effort to get sober and clean and to stay that way takes a lot of effort for the addict, and seeing that is more rewarding than I can even explain." Here is an experienced answer example: "There are so many rewarding things about being an addiction nurse. When a patient is admitted for detox or rehab, they are often angry and/or feel very broken. Many of them have lost all sense of themselves as they were once known. Seeing them begin to break through the heartache and the difficulties that their addiction has caused and work toward recovery is very rewarding. Seeing a glimmer in someone's eye who had seemed to have lost all hope is worth every difficult day."29. Have you or a loved one ever been directly affected by an addiction? Many times an interviewer will ask a question related to your career choice like this. Having been affected by an addiction is not a disqualifier for employment, so don't be alarmed if you have a personal history of addiction. The rationale behind this kind of question is to see how well you relate to someone who is suffering from a condition for which you are providing treatment. If you've never been affected, that's fine. You have the qualifications to help those who are, or you wouldn't be in this interview. If you have, however, this would be a good opportunity for you to share your thoughts and to display an attitude of true empathy for those who are struggling. Either way, just be honest and show a true desire to help others. Here is an answer example: "While I have never personally been affected by addiction, I do have loved ones who have been. In fact, my brother is part of the reason I decided to become an addiction counselor. He has battled with addictions of one kind or another for years. From alcohol to methamphetamine, the effects that these addictions have had, have been far reaching." Here is an entry level answer example: "I have a family history of alcoholism. I have had a few glasses of wine in my life, but never allowed myself the indulgence of anything more than that. I think, in the back of my mind, I always had this fear that I may be one of the ones who couldn't stop if I ever started drinking. Seeing the effects of the use of alcohol on those I love has been a big reason for my desire to help others with addictions." Here is an experienced answer example: "I am actually a recovering addict. I have been clean and sober for over 15 years now, but that does not mean that I have forgotten what it feels like to have to fight the urge to use. I believe knowing what I lived through, and what I put my loved ones through, is a very big part of why I have such a desire to help others who are lost in addiction. One does not have to be a recovering addict to be a good addiction nurse, but for me, the fact that I could have died and didn't is why I push so hard to try and save others."30. Has there ever been a time when you felt threatened by a patient? If so, how did you handle the situation? Healthcare providers work with risks daily. Whether it's the risk of being exposed to an illness, possible injury from lifting heavy patients or equipment, or the risk of being hurt by a patient who is angry or aggressive. For nurses and other healthcare providers who work with patients who suffer from addictions, this risk is increased, especially during the detox period when patients are agitated and feel more 'on edge.' The interviewer wants to know that you are capable of handling a stressful, potentially threatening situation. Remember to exhibit signs of professionalism, even in the most tense situation. Here is an answer example: "There have been a few times that I have felt threatened. Unfortunately, drugs make people act completely out of character at times. I have learned when I feel threatened to try to remain calm and talk with a level tone. Screaming and shouting does nothing but makes a situation worse. If a patient acts aggressive or threatening, I ask him to calm down so that we both are safe and so that I can help him. Usually, once boundaries are established, most patients will calm down. However, as a precaution, I still make sure that a supervisor is aware of the threatening behavior. We can't take care of our patients if we are being threatened or are hurt by an aggressive patient." Here is an entry level answer example: "So far, I am thankful to say that I have never been threatened by a patient. There are times when tensions are high, especially when a client is going through the detoxification period. I always try to stay aware of my surroundings and if I do feel like things are getting tense, I like to notify my team leader so that we can work together to make sure patients and staff are all safe." Here is an experienced answer example: "I believe that I am the best fit for this position because I bring a dual degree in nursing as well as addiction counseling. My specialty in both areas makes me an expert in your area of focus."