A.
Administer a sedative without physician order
✓
B.
Assess for potential causes (e.g., pain, tube dislodgement, anxiety) and notify physician
✓
C.
Silence the alarms and leave the room
✓
D.
Increase the ventilator settings
✓
A.
Leave the bed in the highest position
✓
B.
Keep pathways clear, use non-slip socks, and ensure adequate lighting
✓
C.
Apply restraints at all times
✓
D.
Allow the patient to wander freely
✓
C.
The patient's self-report
✓
A.
Acute Stress Disorder
✓
C.
Post-Traumatic Stress Disorder (PTSD)
✓
D.
Generalized Anxiety Disorder
✓
A.
Call the patient's family
✓
B.
Begin chest compressions and call for a defibrillator
✓
C.
Monitor the rhythm for a few minutes
✓
D.
Document the rhythm change only
✓
B.
A safe area for non-sterile items
✓
C.
Part of the sterile field
✓
D.
An area for discarded supplies
✓
A.
Oral glucose administration
✓
B.
IV insulin and fluid replacement
✓
D.
High-carbohydrate meal
✓
C.
Verbal de-escalation and offering PRN medication
✓
D.
Yelling at the patient
✓
A.
Allow smoking in the room
✓
B.
Ensure no open flames or smoking is near the oxygen
✓
C.
Keep oxygen tanks upright and unsecured
✓
D.
Store oxygen in direct sunlight
✓
A.
Palpation, inspection, percussion, auscultation
✓
B.
Inspection, palpation, percussion, auscultation
✓
C.
Auscultation, percussion, palpation, inspection
✓
D.
Percussion, auscultation, inspection, palpation
✓
A.
Generalized Anxiety Disorder
✓
C.
Obsessive-Compulsive Disorder (OCD)
✓
D.
Social Anxiety Disorder
✓
A.
Deep Vein Thrombosis (DVT)
✓
A.
Disconnect the IV and restart it
✓
B.
Increase the infusion rate
✓
C.
Check the IV line for kinks, clamps, or infiltration
✓
D.
Administer a bolus of IV fluid
✓
C.
Non-maleficence (do no harm)
✓
D.
Beneficence (do good)
✓
A.
The obligation to report all client secrets
✓
B.
The obligation to warn an identifiable third party if a client expresses a serious threat of violence against them
✓
C.
The obligation to warn clients about the risks of therapy
✓
D.
The obligation to warn families about client's financial issues
✓
A.
It is a rescue inhaler for acute attacks
✓
B.
It should be used for immediate symptom relief
✓
C.
It is a preventative medication and should be taken daily, even without symptoms
✓
D.
It can be discontinued once symptoms improve
✓
A.
Force the medication
✓
B.
Respect their autonomy and engage in shared decision-making, exploring alternatives and concerns
✓
C.
Tell them their religious beliefs are wrong
✓
D.
Document refusal and take no further action
✓
A.
Select site, apply tourniquet, clean skin, insert catheter
✓
B.
Clean skin, select site, apply tourniquet, insert catheter
✓
C.
Apply tourniquet, clean skin, select site, insert catheter
✓
D.
Insert catheter, apply tourniquet, clean skin, select site
✓
