What are some strategies you use to combat stress and burnout?

"It's kind of the same mindset as if you're on an airplane that's experiencing trouble, right? You must first put your oxygen mask on and take care of yourself before you can effectively help others. In this sense, I take care of my health by getting enough sleep and exercise and NY maintaining a healthy and balanced diet so that I'm well-rested and have the vitamins and nutrients I need to function properly. Working with patients who are dealing with such intense issues can be emotionally taxing, so I also make sure I take breaks when I'm feeling overwhelmed and I keep in close communication with my manager to discuss the patient caseloads and areas where I may need support. Outside of work, I have a close group of friends and family that I spend time with and talk to if I'm feeling emotionally overwhelmed."

Nursing staff, and addiction nurses, in particular, are prone to burnout due to the natural stressors of the job. Many organizations focus on being proactive in preventing this among their teams, as turnover is a major issue impacting the quality of patient care. Give examples of how you try to maintain a healthy work-life balance and include elements in the workplace and at home. Examples could include taking breaks, shutting off your work phone/email where appropriate, prioritizing health and wellness, exercising, and open communication with your manager.

"Though it's difficult at times, I really try to set boundaries for work and home life. I try to deal with my emotions and stress from the day during my commute home, that way I am not bringing any burdens home to my family. Maintaining that boundary also allows me to focus on my family when I'm at home and prioritize self-care and time to rest and recharge before my next shift. I make time for things I love when I'm not at work, like engaging and participating with my local book club and volunteering in my daughter's classroom."

"Stress is a natural part of the job when you're working with high acuity patients. Working with addiction patients requires a lot of focus, attention to detail, and constant observation, which can take a toll on you mentally and physically. When I'm at work, I'm focused on being the best nurse I can be for my patients, and when I'm at home, I focus on self-care and spending time with my loved ones. This means putting my phone away and being engaged in the moment, whether that's playing with the kids at the park, or going on an evening walk. Taking time to do the things I enjoy helps me recharge and let go of any negative feelings or emotions I have from the day."

"I have worked as a team leader and a healthcare aide for dementia patients and persons with developmental disabilities. It gets so stressful and draining especially when my clients start having behaviours. I try to separate work from my personal life. When I am at work, I am focused on working and when I get home, I turn off my phone and email for work and focus on self-care to recharge and spend time with my loved ones. I also have very supportive family and friends whom I can talk to and whenever I feel so overwhelmed, I talk to my counsellor."

Have you ever been the intake nurse for addiction patients, and what is something common that you find among patients entering treatment?

"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."

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.

"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."

"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."

"I haven’t had an opportunity to work as an intake nurse yet. But as a team Leader at the group home that I used to work at, I do the initial intake before I make their care plan. I find that most of the times, the client or family minimize the severity of the client's behavior or addiction which makes it hard for us to address the issues that they need to face. With time, the client/family opens up more."

Tell me about a time you had to deal with significant changes in your workplace. How did you manage those changes?

"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."

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.

"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."

"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."

"At the group home where I used to work, we had been doing paper charting, and then our management upgraded to computer charting. A lot of workers weren’t too happy as we would have to learn a new system, but knowing that this change would help us do our work more efficiently and chart accurately, it was easy for me to adapt to the new system. I know that in healthcare change happens regularly. I assure you that I am a person who can easily adapt to change and can help lead change among my peers."

What is one of your weaknesses and what do you do to help address/resolve it?

"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."

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.

"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."

"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."

"I think my biggest weakness is that I lack experience but I can address this by reading more as I am a bookworm and watching and learning from other experienced nurses while gaining experience."

What are some characteristics that you think an addiction nurse should have, and why?

"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."

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.

"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."

"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."

"An addition nurse should be compassionate, nonjudgmental, respectful, and sympathetic. Also, maintaining a professional manner is essential. The nurse should have knowledge of addiction, treatments, and intervention indicated for management."

"I believe that an addiction nurse should be professional, compassionate, dedicated, kind, respectful, nonjudgmental, and sympathetic even though we don’t agree with the client’s choices. Addiction is difficult to fight but with the help of many people, it becomes easier to overcome. Being compassionate, kind, and sympathetic are helpful but we must also be firm and professional."

Do you anticipate any significant changes in your life within the next 2-3 years that would impact your employment?May prevent you from continuing employment here if you are offered a position here?

"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."

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.

"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."

"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."

"I do not anticipate any significant changes in my life in the next 2-3 years. Quite the opposite I am looking for stability in an organization (to call home) that I can grow in."

"I do not anticipate any significant changes in my life within the next 2-3 years. I am looking for an organization that I can call home and grow in."

How important is it for an addiction nurse to be a patient person?

"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."

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.

"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."

"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."

"I believe being patient is very important for an addiction nurse especially we are dealing with patients and staff who have various needs. Some need just simple assistance and others need more support so we have to accommodate that. Losing patience is not an effective way to communicate and help others."

Have you ever discovered patients acting in a behavior that is against facility regulations, and if so, how did you/would you handle that?

"I have not yet had a patient who acted outside of facility regulations, although I have heard of instances. I would like to think that, if and when this happens, I can be objective and professional. I would explain to the patient why the behavior is unacceptable and report the occurrence to my team leader or supervisor."

Any time there are patients in a community-like setting, such as an addiction recovery center, the chances of some of those patients 'pushing the limit' increases. The interviewer wants to know that you are capable of identifying inappropriate behavior and that you will handle the situation professionally. If you have an example of a time this happened, this is a good time to share that experience. Remember, though, do not use names or infer anything that could compromise the confidentiality of the actual event.

"In addiction recovery centers, intimate contact between patients and/or staff is not allowed. At one facility where I worked part time, it was discovered that two patients had been kissing and fondling one another in the dayroom. I notified my supervisor and wrote an incident report. The supervisor met with each patient and explained that non-compliance to rules would be grounds for termination of care."

"Honesty is always the best policy. Often, it is just a matter of how you communicate and deliver your message so managing this with each situation is critical to building honest and trustworthy relationships."

"I haven’t experienced a behavior against facility regulations but if I encounter that, I believe I will be professional and objective. I would talk to my patient and explain that the behavior is unacceptable and report it to my manager."

How do you approach dealing with an angry patient, and why?

"I think it is important to try and find out what has made the patient mad. If it is something such as not being called as quickly as he had expected, a simple explanation regarding what caused the delay may help calm him."

Knowing how you will handle a difficult situation will tell the interviewer if you have the the right attitude for this job. Being a physician means you have to deal with people from very different backgrounds and with varying personalities. Give the interviewer an example of how you would handle an angry patient.

"I believe acting calmly and speaking rationally is a great way to calm someone who is angry and I try to be the voice of reason without making someone feel that I am belittling them."

"There are a couple of different approaches and safety is, of course, the most important thing to consider. A patient who is angry could become combative which could result in injury to him, to me, or to both of us. I feel the best approach is to ask what has made the patient upset and try to resolve the underlying cause, if at all possible."

"I feel the best approach is to ask what has made the client upset. Listen without interruption. Apologize and resolve the underlying cause, if possible."

"I believe that the best approach would be talking to the angry patient calmly and asking what has made the patient upset, listening attentively, and resolving the underlying cause if possible. Talking to them calmly will give them the chance to calm down as well."

What advice would you give to a nurse looking to enter your field of nursing?

"If I were to talk to someone considering the field of nursing, I would encourage them to have confidence in themselves and to go after their dreams passionately."

When you are asked to share advice, remember to always be positive. Anyone can find a negative about something, and true enough, there are some days that are more difficult than others. The interviewer wants to know that you are confident about your decision, confident enough that you can share this with others.

"I would tell someone considering this profession that there is so much more to this job than I ever could have imagined. I would say, the only limit to your potential in nursing is what you believe you can or cannot do. Never sell yourself or your capabilities of bringing value to other's lives short."

"If I were asked to give someone advice regarding the nursing field, I would tell them that knowledge and skills can be learned and developed. Passion, on the other hand, comes from within. I would encourage them to work hard and care just as hard."

"If I were to talk to someone looking to enter in the nursing field, I would tell them how fulfilling it feels to be of help to other people and if it what they want, pursue it and go after their dreams."

If you begin to feel overwhelmed with a situation at work, how do you handle it?

"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."

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.

"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."

"I offer different support based on the patients need. It is important for me to provide emotional, educational and motivational support to patients."

"Although I am not easily overwhelmed, I know that some situations can affect us differently. If I start feeling anxious, stressed, or overwhelmed, I would talk to my manager and let them know as sometimes, a little break and or slight change can help make those feelings go away."

What are some withdrawal symptoms patients might experience?

"While I don't have direct experience working with patients experiencing withdrawal symptoms, I do feel well trained and prepared for this type of situation. For example, I know that patients trying to detox from alcohol, there are many withdrawal symptoms they may experience like headaches, seizures, delirium tremens, cold sweats, vomiting, and mood swings. Safety protocol is important to follow, to prevent the patient from self-harming, falling, or injuring themselves during a seizure. It's also important to provide psychological support and nutritional support to patients, to ensure they are staying well hydrated and receiving care in a holistic way through physical treatment as well as counseling and behavior intervention support if needed."

Patients who are detoxing may experience a wide variety of symptoms in the process. The interviewer would like to better understand your experience and knowledge base of what types of symptoms to look for in this setting. Give an overview of your experience recognizing and treating withdrawal symptoms. Give a well-rounded answer that includes aspects like patient safety, nutritional support, administering appropriate medication, and emotional and psychological support.

"I'm very comfortable working with patients who are experiencing withdrawal symptoms. I know it can be a stressful and uncomfortable time for patients in their treatment. Common withdrawal symptoms include cold sweats, headaches, mood swings, fatigue, insomnia, body pain, and irritability. I always keep a close eye on their symptoms and offer and therapeutic medications the doctor may have ordered for them. I also help them understand the detox process, what they can expect and I reassure and comfort them throughout their care."

"There can be a variety of withdrawal symptoms that a patient experiences during their detox. The most common are changes in appetite, mood swings, sweating, chills, digestion issues and headaches. If a patient is suffering from withdrawal symptoms like nausea or vomiting, I will check to see if they have medications ordered that could help relieve or ease their symptoms. It's important to help them be comfortable, whether that's offering an extra blanket or snacks. It's also important to push fluids to ensure they stay hydrated during this time. Experiencing withdrawal symptoms can cause anxiety and destress, so it's important to closely monitor patients and report any concerns."

"Although I don’t have direct experience with a patient having withdrawal symptoms, I believe that I am prepared for these situations. I know that there are many withdrawal symptoms they may experience like headaches, seizures, delirium tremens, cold sweats, vomiting, and mood swings. First, safety is my priority so it is important to follow safety protocols and keep an eye on their symptoms, offer therapeutic medications if ordered by the doctor, explain to them what to expect during the detox process, and comfort them throughout their care."

Tell me about the day-to-day responsibilities of your shift.

"In my current role as an addiction nurse, I work the day shift. My responsibilities include performing initial and ongoing patient assessments, providing education and support to patients and their families, collaborating with other healthcare staff to ensure treatment plans are executed, administering medications, and updating and maintaining patient medical records. These are all duties I'm very comfortable with and would have no problem carrying out if hired as part of your team."

The interviewer would like to discover more about your day-to-day roles, responsibilities, structure, and pace as this allows them to understand your experience and compatibility. Read the job description thoroughly so you have a strong understanding of what you would be doing in this role. Use that as a guide when discussing the areas of responsibility you have experience in and would transfer well into this role. Keep a positive tone as you describe what your current role entails each day, and refrain from complaining about certain duties or feeling overwhelmed by the day-to-day tasks.

"A large part of my job right now as an addiction nurse includes patient and family education and support. I educate patients and their caregivers or loved ones on the disease process and help answer questions about what to expect early on in the treatment process. If a patient is closer to discharge, I provide support and education on community resources that will benefit them as they continue their recovery journey. Twice a week, I lead our various support groups which are offered for our inpatients as well as some that are open to the community. I love this aspect of my role and feel like it's meaningful and impactful to patients that we serve."

"As a recent graduate, I have not worked a formal shift outside of clinicals. In this role, I anticipate the day-to-day duties to include conducting assessments, obtaining specimens for the lab, identifying resources for patients such as behavioral health intervention or trauma counseling, facilitating treatment plans, administering medications, observing patients, obtaining vitals, and more. I have a friend who is an addiction nurse, which is how I initially became interested in this role. She has spent a great deal of time talking to me about the work that she does each day and the impact she has on patients. I feel I have what it takes to be successful in this role, and appreciate the opportunity to learn more about the duties and responsibilities."

"Although I have not worked a formal shift outside of clinical. I anticipate the day-to-day duties to include conducting assessments, obtaining specimens for the lab, and giving support by identifying resources for patients such as behavioral health intervention or trauma counseling, facilitating treatment plans, administering medications, observing patients, obtaining vitals, and more. I believe that I have what it takes to be successful in this role and I appreciate the opportunity to learn more about the duties and responsibilities."

How do you demonstrate professionalism in the workplace?

"I strive to maintain professional communication at all times. For example, I never swear at work or use nicknames or phrases that could come off as unprofessional or even offensive. If a patient is angry or disrespectful, I go above and beyond to maintain a positive attitude and tone and do not let their actions impact my response. I respond in a calm and professional manner, knowing when I need to step away from a situation before it escalates. I also take accountability for my actions, which reduces errors and other adverse impacts on patients."

Nurses can demonstrate professionalism through behaviors, communications, actions, and patient care. Nurses interact not only with patients but also with other staff and visitors in the healthcare setting, so professionalism must be demonstrated in all aspects. When responding to this question, give examples of ways you demonstrate professionalism in your day-to-day work and incorporate some of the organization's core values in your answer.

"As a nurse, I can display professionalism in the workplace in several ways. The first is my conduct. I never engage in gossip or make comments in front of staff that undermine others. I maintain a positive attitude, treat others with respect, and practice effective communication and listening techniques. My uniform is always in good condition, free of stains or rips, and my appearance is tidy. It's important to set an example for others and demonstrate a high level of professionalism to instill trust in our clinical team and staff."

"As an addiction nurse, effective communication is important and is one way I can maintain professionalism. I also strive to have a positive attitude and approachable demeanor, so that patients, families, and other staff feel comfortable coming to me when they need something. I maintain patient/staff boundaries, treat patients with kindness and compassion, and provide the highest quality of care that I can."

"I demonstrate professionalism at work by maintaining confidentiality with my patients, setting boundaries, communicating effectively, and giving the best care I can. I also strive to always be positive and have a good demeanor so that patients, families, and other staff feel comfortable to approach me whenever they need something."

How do you build relationships and gain trust with patients?

"During clinicals, we extensively covered the importance of building trusting and healthy relationships with patients. I would always knock on a patient's door before entering, greet them, and introduce myself. I would make eye contact, so they know that I am focused on them and I would display a positive attitude and professionalism. We often forget that the things we do day-to-day become second nature, but patients may not receive care often and do not know what to expect. This can cause anxiety and stress for patients, so I would make sure I took the time to explain everything as I review their care plan and explain step-by-step if I'm taking their vitals or starting an IV. This helps reduce their stress and builds trust in my nursing abilities. I would also give patients the opportunity to ask questions throughout my time with them as well."

As an addiction nurse, you must be able to build and maintain relationships with your patients. Patients may be anxious or reluctant to get treatment, especially when that requires significant lifestyle changes. Consider soft skills that would be helpful in this role, like actively listening, being empathetic, encouraging, self-aware, collaborative, and compassionate. Demonstrate ways that you go about gaining the trust of your patients and building good rapport.

"Communication is key when building a relationship with your patients. I actively listen to patients and empathize with their situation. I also provide feedback throughout the conversation to ensure I understand what they are trying to tell me and I ask probing questions if I need anything to be clarified or better explained. I try to get to know them on a personal level, if they are willing to share details about their life and their family, I demonstrate a genuine interest in learning more about them. Patients love when you ask about a grandchild by name or remember that there was an important life event and you inquire about it later. It really helps strengthen the connection and relationship. When giving instructions or educating a patient, I use simple terms that they will understand and I avoid over-using medical terms or jargon that they may not be familiar with."

"When building a relationship with a patient, I try to mirror their demeanor. I'm an extrovert and tend to be high-energy and bubbly, however, if I notice I have a quiet and reserved patient, I will try to match their tone and volume to make them more comfortable and not be overbearing. If a patient has a good sense of humor, I may tell them a joke as I'm taking their vitals. Being self-aware tends to help form a better connection initially with patients. Another way I build trust is by keeping my word. If I tell a patient I will be back shortly to do something for them, I come back and do it. Demonstrating my reliability over and over helps build that trust and confidence. All of our interactions with patients play a large role in their overall patient experience, so this is an area I focus heavily on in my day-to-day nursing."

"I believe that communication is the key in building trust to patients. I will actively listen to patients and empathize with their situation. I will also provide feedback throughout the conversation to ensure I understand what they are trying to tell me and ask if I need clarification. I will also keep my word so when I tell my patient I will be back to do something I make sure I come back and do it. I will also explain every intervention or care that I am doing to my patient and provide opportunity for the patient to ask any questions."

What techniques do you use to treat a patient who is refusing treatment or medication?

"There can be a variety of reasons a patient may refuse treatment or medication. If this happens, I try to get to the root cause of their refusal. Perhaps they do not understand what the medication is or why it's being given or perhaps they were not well educated on the risk versus benefits. If a patient has a headache for example, and refuses Tylenol, it's their right to do so. I would document the refusal and the reason in their chart, and I would offer alternatives like perhaps an ice pack or turning the lights off to ease the pain. If a patient is refusing medication or treatment that could cause them injury or harm by doing so, I would report it to my supervisor immediately."

As a nurse, you must possess critical thinking and well-developed problem-solving skills to handle these situations. It's not uncommon for a patient to refuse treatment or medication, so it's crucial to demonstrate to the interviewer that you have a strategy to overcome this. Describe how you get to the root cause, how you communicate with patients, show empathy and patience, and persuade your patients to cooperate with treatment plans.

"I always try to "warm up" my patient before presenting a procedure like an injection or a request for them to take medication. If I sense they may be apprehensive, I will engage them in a conversation to help them relax and be more comfortable before approaching them about it. I always make sure I thoroughly explain the medication or treatment, the benefits, and risks, and answer their questions if they have any. With adults, I've found that most times, they are not compliant because they do not understand why the medication or treatment is needed, so taking the time to explain things and answer their questions is usually helpful and reduces the number of refusals. If they still refuse, it's their right, and I document and notify my supervisor of the issue so they or the physician can review for further action."

"I usually take a friendly and open approach, never going to a patient and telling them what they are going to do. By approaching them and educating them on why the doctor has ordered it, it helps them be less defensive and empowers them to take an active part in their treatment. If they refuse, I will talk to their family (if allowed by their privacy forms) and see if they can help persuade the patient. I may also come back in a little while to make another attempt to get them to cooperate. Ultimately, it's the patients right to refuse and if that happens, I document it, notify my supervisor, and make sure to note it in my report to the next shift."

"I usually approach my patients in a friendly manner. I try to explain to my patient what the medication is for and why it’s being given then ask if they have any questions regarding the medication and give them time and come back. If they still refuse to take it, it's their right so I will document it, notify my supervisor, and note it in the report for the next shift."

How do you maintain patient privacy and confidentiality in the workplace?

"As a nurse, one of my top priorities is adhering to patient privacy laws and protecting patient information. I make sure I'm up to date on who patients have authorized us to share their information with. I also protect patient files and records whether they are paper copies that I secure before leaving the area or electronic copies that I secure by locking my computer when I'm away from it. Additionally, anytime I have reason to believe there has been a confidentiality breach, I report it to the appropriate person immediately."

Addiction nurses must be knowledgeable about when and how to protect sensitive or private patient information. Experience and/or knowledge of HIPAA will be desirable. Demonstrate your understanding of the importance of protecting patient information in the workplace and consider ways you ensure patient information is not left in public places or stored inappropriately. Perhaps you speak in a lower voice when relaying confidential information so other patients don't overhear, or maybe you lock your computer when you leave your workstation. When responding, give an overview of your experience in healthcare protecting this type of data and examples of ways you safeguard patient information.

"In nursing school, we spent many course hours going over the importance of protecting patient information and adherence to HIPAA laws. During my clinical rotations anytime I walked away from my workstation or computer used to chart, I logged off so that no one without permission could access the system without my credentials. At the nurse's station, I made sure patient files, prescriptions, lab orders, and even post-it notes that I had written sensitive information on, and test results were secured and not in plain sight to a passerby. When I dealt with a patient's family and friends inquiring about patient statuses, I always checked their file to see who they consented to be given that information."

"HIPAA requires us to comply with rules to protect the personal health information of patients. One example of how I protect patient information is by keeping my voice at a reasonable level during conversations and reducing my volume if I'm discussing a sensitive matter so that others who should not be hearing that information do not overhear my conversation. I do not gossip on the unit and I do not share patient information with other healthcare staff who do not have a need to know. When I use office equipment, I make sure I'm sending patient files to the correct location and I use a cover sheet when sending documents via fax. I maintain patient files and charts for the required amount of time comply with all hospital policies regarding the protection of patient information."

"As a nurse, it is important to adhere to patient privacy laws and protect patient records. I make sure that I am up to date on who is authorized by the patient to have access to their information, make sure that I secure any copies of information both electronically and on paper before leaving the area, and make sure that I log out on the computer before stepping away. Also, if I believe there is a breach of confidentiality, I report it to the appropriate person immediately."

Describe how you address concerns or complaints from a patient or their caregiver.

"I would always acknowledge the concern or complaint and listen carefully to better understand the situation and their perspective. I never dismiss a complaint or concern, but rather work to make sure the patient and their caregiver are satisfied and feel comfortable with their care. I would always provide education or explanation if there was a concern or question about the treatment plan and if they still felt concerned, I would escalate it to my supervisor for support."

As an addiction nurse, you will have to interact with patients, their friends, caregivers, and family. Patients or their loved ones may have questions, concerns, or complaints about the patient's treatment plan, the healthcare staff, their room conditions, etc., and they may come to you for answers. Often, a family member may become agitated or frustrated, so it's crucial to demonstrate that you can handle these situations with compassion and professionalism. Describe how you would go about addressing the concern or complaint and use this opportunity to highlight your communication, problem-solving, and customer service skills.

"Families tend to have a lot of questions during their loved one's treatment and care. I'm always happy to provide education, thorough explanations, or write down instructions for them to reference later. If they have questions, I take the time to answer them, and if I can't answer them, I make sure I send their question or concern to my nurse manager on duty or doctor. If it's a complaint, I typically try to get to the root cause of the issue by listening and asking probing questions to help me better understand what is going on. If it's something I can resolve or help with, I will do so, but if it's a complaint about a staff member, the patient's care, or something similar, I will always escalate that to my supervisor."

"I never dismiss their complaints or concerns, but rather give them my full attention to investigate the situation further. This helps me determine if there was a breakdown in communication and if it's something that I can fix by providing education or explaining what to expect. If there is a more serious concern with the patient's care or condition, I will escalate that to my nursing supervisor. It's important to take all concerns and complaints seriously, actively listen and better understand the problem, and assure the person that you're going to follow up and take action."

"I would definitely acknowledge their concern or complaints and listen carefully to better understand their perspective, take it into consideration, and come up with a solution that would work while prioritizing patient care and if it is beyond my scope, I would escalate it to my supervisor."

Tell me about your experience using computers and other forms of technology in the workplace.

"In my current role, I use the computer every day in my duties and use them to complete a variety of tasks. I frequently do my charting electronically and access medical records on the computer. Other technology I use in the workplace includes portable monitors, wearable devices like holter monitors, smart beds, and multi-line phone systems. I enjoy using state-of-the-art equipment and am very open to learning to use new tools or platforms that allow me to provide a higher quality of care for my patients."

With most healthcare charting and records, diagnostic and treatment techniques, and patient/provider communications being digital nowadays, addiction nurses must be proficient and continually keep up to date with technology in the workplace. Describe your experience with computers and other technology in the workplace and give specific examples of what you've used and in what setting. If you're a new grad or unfamiliar with these resources, be honest but demonstrate your desire and ability to learn.

"I'm very tech savvy and comfortable working with computers and other technology in the workplace. I'm an expert with PointClickCare and have been using that EHR system for about six years. I'm also experienced in using automated IV pumps, portable monitors, and telemetry monitors."

"As a new grad nurse, I know there will be a lot of company-specific technology I will need to be trained on. I catch on quickly and know I would have no trouble learning. I am competent with Microsoft Office Suite and instant messaging applications like Teams. I've also used Oracle a little during clinicals and feel comfortable using the computer to chart and dynamaps to collect vital sign information."

"As a first-time nurse, I know there will be a lot of company-specific technology that I will need to be trained on but I assure you that I catch on quickly and will have no trouble learning. I’ve also done the Documentation Learning module under CRNA."

Why do you want to work for our organization?

"As a recent graduate, this would be my first professional nursing position. I'm passionate about serving patients who are going through recovery. I have done a lot of research on employers in this area, and I was impressed with your organization's awards and recognition, both locally and nationally. I'm excited to learn more and be considered for the opportunity to be considered."

Nurses have many employer options to choose from, so the interviewer is trying to learn more about what attracted you to their organization in particular. Check out the company website and familiarize yourself with its mission, vision, core values, and any specific awards or accomplishments that impressed you. Give an honest answer about why you want to work at their facility.

"Your facility is so well known in this area, and I'm impressed by the company consistently being rated as the #1 healthcare system in the state. I want to join an organization focused on patient care with the most modern technology and equipment available. I align with the core values of your organization of quality and safety, empathy, inclusion, integrity, teamwork, and innovation, and I feel it would be a great cultural fit for me."

"I have specialized as an addiction nurse for the last ten years and it's truly my passion. I recently relocated and am eager to find a position within a reasonable commute of my new apartment. I've read a lot of positive employee and patient reviews for your facility and it sounds like a high-quality team! I'm interested in learning more about your mission and values and how I could add value to your facility."

"As a new nurse, this would be my first professional nursing position. I'm passionate about serving patients who are going through recovery. I have heard a lot of good reviews from someone whose husband has been admitted here and said that it was the best decision her husband made and helped them fix their marriage and other problems. I want to be of help to other people as well. I want to be a part of making a difference in other people's lives."

What are some aspects of being an addiction nurse that make the career different from other nursing careers?

"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."

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.

"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."

"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."

"As a nurse, we focus on all patients holistically. Nursing works in areas where management concentrates on things you can interpret and analyze visually, like vital signs and physical assessments. The difference with Addiction is a disease of the brain and focuses more on psycho-social aspects of their life."

"As a new nurse, I may not be qualified to make comparisons. I feel comfortable saying that being an addiction nurse, we take care of our patients holistically but also more on psychosocial aspects of life."

Has there ever been a time when you felt threatened by a patient? If so, how did you handle the situation?

"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."

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.

"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."

"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."

"There are times that tensions are high especially when clients are on detox. I have learned that whenever I feel threatened by my patient to try to remain calm and talk in a level tone and ask my client to calm down as well so that we can work together and help each other. Once everything is settled, as a precaution, I still have to notify my supervisor."

Have you or a loved one ever been directly affected by an addiction?

"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."

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.

"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."

"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."

"While I have never personally been affected by addiction, I do have loved ones who have been. My uncle who was like a father to me suffered from Alcoholism. I have witnessed him suffer from it, which nearly cost him to lose his family."

What would you do if a patient complained to you about a coworker's conduct toward him/her?

"I've never had a patient complain to me about one of my coworkers. If I were to be faced with this situation, I would assure the patient that I will talk to my supervisor so that he can help address the situation. I believe it is important to let a patient know that any concerns will be addressed, but to not 'choose sides,' as this can make the situation worse. I believe that leaving the responsibility of investigating the complaint with my supervisor is the most appropriate action to take."

This question aims to test your knowledge of internal procedures used within healthcare establishments. While the exact protocol for this may be specific to the place you're applying, there are general rules that should be followed by all healthcare providers, no matter which facility you work in. It is important to explain that all complaints must be handled seriously and be directed to the appropriate member of staff so that appropriate action can be taken. Emphasise that patient concerns should never be ignored.

"It is unfortunate that situations like this ever occur. However, when they do, patient safety and concerns should always be acknowledged. If a patient presented a complaint to me, I would notify my immediate supervisor and give him whatever information I have so that he can investigate the validity of any allegations and act accordingly."

"I would listen to the patient's complaint. Thank them for informing me of the situation and let them know we take all complaints seriously. And ensure them someone will follow up immediately about the situation. I would follow up with my immediate supervisor or MAT coordinator, depending on the claim."

"If a patient complained to me about a coworker's conduct, I would acknowledge the complaint and listen attentively. I would assure them that we take complaints seriously and ensure that someone would follow up immediately about the situation. I would notify my supervisor about it with all the information I have for my supervisor to investigate the validity of the allegations and act on it."

What is something that is rewarding to you about being an addiction nurse?

"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."

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.

"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."

"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."

"The most rewarding part for me is seeing someone overcome his/her addiction and knowing that I am part of his recovery and that I was able to help him through it."

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?

"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."

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.

"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."

"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."

"I believe that some of the major factors that cause a patient to relapse are first of all lack of coping mechanism skills and availability of the substance. As I nurse, I should help my client develop strong coping mechanism skills and to have a positive attitude. I would encourage my client to develop relationships with people who don’t have addiction issues and surround himself with a positive environment."

If you were to teach new nurses regarding signs to observe for that may indicate drug abuse, what would you tell them?

"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."

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.

"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."

"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."

"I would tell the new addiction nurse to watch out for paranoid behaviors, out-of-character behaviors, unusual mood swings, and no motivation in the things he/she used to have an interest with."

Is there a type of patient or specific diagnosis that you find it more difficult to work with?

"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."

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.

"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."

"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."

"I think it would be really hard to work with a patient who is not ready to face his/her addiction and is not willing to take responsibility and work towards recovery as no matter what I do, it’s his choice of whether he will follow the treatment plan or not."

Give me an example of a workplace challenge you encountered, and how you handled it?

"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."

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.

"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."

"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."

"I prioritize, make a plan, and delegate when work gets challenging. For example: when we have a tight schedule, during the daily meetings, I come up with a plan to give clients that are late the option to reschedule, or we will fit them in. I also pitch in to take vital signs, complete drug screenings, etc."

"There are always new challenges each day like shortage of staff, supplies, etc. I have learned to adapt by prioritizing what needs to be done first and plan accordingly. Then if possible, delegate tasks to others and do my best as I can."

Being an addiction care nurse can be very stressful. What are some ways you manage stress on the job?

"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."

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.

"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."

"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."

"I know that being an addiction nurse can be very stressful so I try my best to separate work from my personal life. I channel stress by doing meditation after my shift. I have a strong support system at home and I have learned that It is okay to reach out to other people and ask for help when needed."

What made you choose a career as an Addiction Nurse?

"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."

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.

"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."

"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."

"I have always wanted to help people. I had some experience with patients in withdrawal in the ICU. Also, I have family members who struggle with addiction. I have always wanted a deeper understanding of addiction and psychiatry. When the recruiter contacted me, that allowed me to manage patients medically, and through recovery, I was all for it."

"I have always wanted to help other people that is why I chose to become a nurse. It is truly rewarding to see clients overcome addiction knowing that I have been a part of their success. Also, I have an uncle who struggled with addiction so I have always wanted to have a deeper understanding of addiction and psychiatry."

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?

"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."

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.

"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."

"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."

"I would ask the nurse if it reported to the pharmacy and supervisor. I would also contact them to have the situation corrected immediately."

"I would first ask the nurse for us to do a recount to verify if there is any discrepancy with the narcotic count. If there is a discrepancy, I would immediately report it to my supervisor and assist in rectifying the situation."

"In any instance that the medication count does not match the record book, I would immediately notify my supervisor regarding the incident to protect me from any liability."

If you suspected that one of your co-workers was abusing drugs, how would you handle the situation?

"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."

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.

"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."

"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."

"I had this situation happen. I monitored a coworkers' behavior to make sure I had a valid reason to be concerned as I did not want to jeopardize patient safety or his job. I reported my suspicions to the nursing supervisor. Who also observed him then sent him to the emergency department for drug screening."

If you felt threatened by a patient, what would your response be?

"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."

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.

"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."

"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."

"If I feel threatened by my patient, I will speak to my patient calmly and firmly. I would ask him/her to calm down and ask what made my patient upset and would tell him/her that it is my responsibility to provide care for him/her in a safe environment. If he/she doesn’t calm down, I would"

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?

"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."

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.

"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."

"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."

"Despite my personal opinion, it is the client’s choice of what he/she is going to do when he/she finishes the treatment. However, while he/she is under my care, we still have to address what could result from continued use and the possibility of what life could be like without drugs. Hopefully, with support and encouragement, they will change their minds."

Many times, when people hear the word 'addiction' they think of the abuse of prescription drugs. What are some other addictions you have worked with?

"I have actually spent some time working with clients with gambling addictions. It is really quite devastating to see the effect that lack of control over this addiction can bring to the lives of those who are addicted. I once had a client who lost his family's home because he used the deed for the home to fund his gambling addiction and he lost it all. When he finally hit rock bottom, he checked himself into rehab so that he could be separated from any triggers and start to learn some coping mechanisms."

When addictions are mentioned, many people automatically think of the misuse of prescription drugs. In America today, the opioid epidemic is one of the greatest risks for drug abuse related deaths. However, there are many different addictions that addiction nurses help patients deal with. The interviewer wants to know that you are prepared to work with a variety of people who suffer from addiction. If you have a personal story, this is a good time to share it. Remember, do not use any information in your reference that may cause you to compromise patient confidentiality.

"I have worked with people who have battled several different addictions. One common addiction that many people are not familiar with is food addiction. Unfortunately, it is almost as difficult to overcome that addiction is it is to overcome substances such as meth. Additionally, many people who are overcoming substance addictions often develop food addiction as a way of coping with their craving for drugs."

"In my career, I have had an opportunity to work with people who are fighting several addiction disorders. One of the most common addictions in society today is that of methamphetamine. Meth is highly addictive and one of the most difficult addictions to overcome. With continued use, a meth addict can appear to be many years older than he/she really is because of the physical effects that are a result of the addiction. Their hair thins and they lose weight. Teeth rot resulting in what is referred to as 'meth mouth.' Also, because meth often causes hallucinations where the user thinks that there are bugs in their skin, they often have sores on their body from picking at the skin to get rid of the bugs. This is referred to as 'meth mites.' A common saying among addiction counselors and providers is 'Meth is death.' This is because many people who become addicted to this dangerous drug often feel they cannot live without it. Their use goes from smoking to shooting up and many of them die."

"I have work with people struggling with several different addictions; alcoholism, heroin, stimulates, and benzodiazepines. Addiction is a chronic relapsing disease of the brain. Generally, people do not understand addiction is not due to lack of "will power," there are other factors that predispose some to dependence."

"I have worked with people suffering from several addictions like alcoholism, gambling, substance abuse, smoking, etc. Addiction is any uncontrollable behavior There are a lot of factors that predispose a person to dependence."

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?

"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."

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.

"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."

"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."

"I would tell my 15-year-old patient that I understand that she/he wouldn’t want her/his parents to know but because he/she is a minor, I cannot withhold the results to his/her parents."

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?

"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."

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.

"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."

"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."

"I think it is important that I explain well to the patient that in recovery there will be ups and downs and his/her main focus should be on SELF first and relationships 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 as they are also struggling themselves."

If a patient were to exhibit feelings of affection or infatuation with you, how would you address the situation?

"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."

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.

"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."

"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."

"If I suspect that my patient is exhibiting feelings of affection or infatuation with me, I would make sure that I establish boundaries with my patient and not allow myself to be in a position that may be misinterpreted."

Tell me about a time you may have had a disagreement with a team member and how you handled it.

"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."

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.

"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."

"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."

"I enjoy working in a multidisciplinary team environment. We may not always agree on the approach, but we have the same goal in mind -the patient. I had a disagreement with a nurse when a patient said, "he didn't feel right," and she ignored him. I asked her what his complaint was. She stated, "it doesn't matter; he's always complaining about something." I explained to her the importance of addressing each concern; It may be a valid issue. She did not follow up, so I did; his chest tube was kinked."

"I have experienced a disagreement with my coworker in my previous position. Mostly it’s about miscommunication. So, I talked to my coworker and tried to resolve and work through things."

Addiction Nurse Interview Questions

Go Back

1. What are some strategies you use to combat stress and burnout?
2. Have you ever been the intake nurse for addiction patients, and what is something common that you find among patients entering treatment?
3. Tell me about a time you had to deal with significant changes in your workplace. How did you manage those changes?
4. What is one of your weaknesses and what do you do to help address/resolve it?
5. What are some characteristics that you think an addiction nurse should have, and why?
6. Do you anticipate any significant changes in your life within the next 2-3 years that would impact your employment?May prevent you from continuing employment here if you are offered a position here?
7. How important is it for an addiction nurse to be a patient person?
8. Have you ever discovered patients acting in a behavior that is against facility regulations, and if so, how did you/would you handle that?
9. How do you approach dealing with an angry patient, and why?
10. What advice would you give to a nurse looking to enter your field of nursing?
11. If you begin to feel overwhelmed with a situation at work, how do you handle it?
12. What are some withdrawal symptoms patients might experience?
13. Tell me about the day-to-day responsibilities of your shift.
14. How do you demonstrate professionalism in the workplace?
15. How do you build relationships and gain trust with patients?
16. What techniques do you use to treat a patient who is refusing treatment or medication?
17. How do you maintain patient privacy and confidentiality in the workplace?
18. Describe how you address concerns or complaints from a patient or their caregiver.
19. Tell me about your experience using computers and other forms of technology in the workplace.
20. Why do you want to work for our organization?
21. What are some aspects of being an addiction nurse that make the career different from other nursing careers?
22. Has there ever been a time when you felt threatened by a patient? If so, how did you handle the situation?
23. Have you or a loved one ever been directly affected by an addiction?
24. What would you do if a patient complained to you about a coworker's conduct toward him/her?
25. What is something that is rewarding to you about being an addiction nurse?
26. 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?
27. If you were to teach new nurses regarding signs to observe for that may indicate drug abuse, what would you tell them?
28. Is there a type of patient or specific diagnosis that you find it more difficult to work with?
29. Give me an example of a workplace challenge you encountered, and how you handled it?
30. Being an addiction care nurse can be very stressful. What are some ways you manage stress on the job?
31. What made you choose a career as an Addiction Nurse?
32. 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?
33. If you suspected that one of your co-workers was abusing drugs, how would you handle the situation?
34. If you felt threatened by a patient, what would your response be?
35. 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?
36. Many times, when people hear the word 'addiction' they think of the abuse of prescription drugs. What are some other addictions you have worked with?
37. 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?
38. 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?
39. If a patient were to exhibit feelings of affection or infatuation with you, how would you address the situation?
40. Tell me about a time you may have had a disagreement with a team member and how you handled it.

Addiction Nurse Interview Questions

1. What are some strategies you use to combat stress and burnout?

2. Have you ever been the intake nurse for addiction patients, and what is something common that you find among patients entering treatment?

3. Tell me about a time you had to deal with significant changes in your workplace. How did you manage those changes?

4. What is one of your weaknesses and what do you do to help address/resolve it?

5. What are some characteristics that you think an addiction nurse should have, and why?

6. Do you anticipate any significant changes in your life within the next 2-3 years that would impact your employment?May prevent you from continuing employment here if you are offered a position here?

7. How important is it for an addiction nurse to be a patient person?

8. Have you ever discovered patients acting in a behavior that is against facility regulations, and if so, how did you/would you handle that?

9. How do you approach dealing with an angry patient, and why?

10. What advice would you give to a nurse looking to enter your field of nursing?

11. If you begin to feel overwhelmed with a situation at work, how do you handle it?

12. What are some withdrawal symptoms patients might experience?

13. Tell me about the day-to-day responsibilities of your shift.

14. How do you demonstrate professionalism in the workplace?

15. How do you build relationships and gain trust with patients?

16. What techniques do you use to treat a patient who is refusing treatment or medication?

17. How do you maintain patient privacy and confidentiality in the workplace?

18. Describe how you address concerns or complaints from a patient or their caregiver.

19. Tell me about your experience using computers and other forms of technology in the workplace.

20. Why do you want to work for our organization?

21. What are some aspects of being an addiction nurse that make the career different from other nursing careers?

22. Has there ever been a time when you felt threatened by a patient? If so, how did you handle the situation?

23. Have you or a loved one ever been directly affected by an addiction?

24. What would you do if a patient complained to you about a coworker's conduct toward him/her?

25. What is something that is rewarding to you about being an addiction nurse?

26. 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?

27. If you were to teach new nurses regarding signs to observe for that may indicate drug abuse, what would you tell them?

28. Is there a type of patient or specific diagnosis that you find it more difficult to work with?

29. Give me an example of a workplace challenge you encountered, and how you handled it?

30. Being an addiction care nurse can be very stressful. What are some ways you manage stress on the job?

31. What made you choose a career as an Addiction Nurse?

32. 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?

33. If you suspected that one of your co-workers was abusing drugs, how would you handle the situation?

34. If you felt threatened by a patient, what would your response be?

35. 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?

36. Many times, when people hear the word 'addiction' they think of the abuse of prescription drugs. What are some other addictions you have worked with?

37. 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?

38. 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?

39. If a patient were to exhibit feelings of affection or infatuation with you, how would you address the situation?

40. Tell me about a time you may have had a disagreement with a team member and how you handled it.