B.
Major Depressive Disorder
✓
D.
Borderline Personality Disorder
✓
A.
Try to move the patient back to bed immediately
✓
B.
Assess the patient for injury before moving them
✓
C.
Call their family first
✓
D.
Document the fall before assessment
✓
A.
Stop antibiotics when symptoms improve
✓
B.
Take antibiotics only when feeling unwell
✓
C.
Complete the entire course of antibiotics as prescribed
✓
D.
Share antibiotics with family members
✓
C.
Left lateral (Sims' position)
✓
B.
Abdominal aortic aneurysm (AAA) rupture
✓
A.
Answer honestly to build rapport
✓
B.
Share minimal, professional information and gently redirect focus back to the client
✓
D.
Lie to protect your privacy
✓
A.
Apply a soft wrist restraint immediately
✓
B.
Increase environmental stimuli
✓
C.
Frequent rounding, reorientation, and ensure call light is within reach
✓
D.
Administer sedatives without specific indication
✓
A.
Tell them to forgive the family member
✓
B.
Validate their feelings and explore the source and impact of the anger
✓
C.
Tell them anger is a negative emotion
✓
D.
Advise them to cut off contact with the family member
✓
A.
"It's a secret. Just take it."
✓
B.
"It's for your condition, as prescribed by the doctor. Do you have any concerns?"
✓
C.
"I don't know, I just administer what's ordered."
✓
D.
"It's to make you feel better."
✓
A.
Administering opioids for pain
✓
B.
Providing large amounts of alcohol to taper
✓
C.
Administering benzodiazepines as ordered to manage withdrawal symptoms
✓
A.
Ask them to describe the content of the hallucinations, particularly if they are command hallucinations
✓
B.
Tell them the hallucinations are not real
✓
C.
Ignore the hallucinations to avoid reinforcing them
✓
D.
Suggest they take over-the-counter medication
✓
A.
The sterile field remains sterile
✓
B.
The sterile field is contaminated
✓
C.
Only the area you turned your back on is contaminated
✓
D.
It depends on how long you turned your back
✓
B.
Social Anxiety Disorder
✓
C.
Generalized Anxiety Disorder
✓
C.
Side-lying or semi-Fowler's with head turned to the side
✓
A.
Benign positional vertigo
✓
B.
Stroke or neurological event
✓
A.
Tell them to stop the medication immediately
✓
B.
Suggest taking the medication with food or at a different time, and advise them to discuss with their prescriber
✓
C.
Tell them to double the dose
✓
D.
Inform them that these side effects are unavoidable
✓
C.
Tachycardia and hypotension
✓
A.
Tell them to stand up slowly
✓
B.
Assist them to a sitting or lying position and assess orthostatic vital signs
✓
C.
Ignore their complaint
✓
D.
Encourage them to walk around
✓
A.
Assure them that nothing will ever be shared
✓
B.
Explain the limits of confidentiality, including duty to warn/protect exceptions
✓
C.
Tell them it's not their business
✓
D.
Say that everything is recorded and shared with everyone
✓
