A.
Only the pain intensity
✓
B.
Location, intensity, quality, onset, duration, aggravating/alleviating factors
✓
C.
Only the medication administered
✓
D.
Only the patient's emotional response
✓
A.
Begin chest compressions and call for help
✓
B.
Call the physician only
✓
C.
Wait for the code team
✓
B.
PHQ-9 or Beck Depression Inventory
✓
A.
Stop the primary infusion, flush, administer medication, flush, and restart infusion
✓
B.
Administer the medication directly into the primary infusion bag
✓
C.
Administer the medication without flushing
✓
D.
Administer the medication very slowly
✓
A.
Discontinue the medication if seizures stop
✓
B.
Take the medication only when a seizure is felt coming on
✓
C.
Take the medication consistently as prescribed to maintain therapeutic levels
✓
D.
Double the dose if a seizure occurs
✓
A.
Aesthetic appearance of the foot
✓
B.
Risk of infection and potential amputation
✓
C.
Minor skin irritation
✓
A.
Provide thin liquids
✓
B.
Place the patient in a supine position
✓
C.
Ensure the patient is upright and offer small, frequent bites, checking for pockets of food
✓
D.
Rush the feeding process
✓
A.
Explore the content of the voices, specifically if they are commanding harm to self or others
✓
B.
Tell them the voices are not real
✓
D.
Document the voices and proceed as usual
✓
A.
Administer a bronchodilator (if ordered/protocol), apply oxygen, and elevate head of bed
✓
B.
Place the patient supine
✓
D.
Encourage deep coughing
✓
D.
Antidepressants (e.g., SSRIs)
✓
B.
Urine, emesis, liquid stool, wound drainage
✓
A.
Ignoring self-harm behaviors
✓
B.
Maintaining strict boundaries and consistency, while validating their distress
✓
C.
Encouraging dependence on the therapist
✓
D.
Focusing solely on past trauma
✓
A.
Walk several steps ahead of the patient
✓
B.
Walk behind the patient, holding their arm
✓
C.
Walk slightly behind and to the side of the patient, providing support with a gait belt
✓
D.
Walk alongside them, texting on your phone
✓
C.
Sedation and risk of dependence
✓
A.
Surgical mask and gloves
✓
B.
N95 respirator mask and gown
✓
C.
N95 respirator mask, gown, and gloves
✓
D.
Standard procedure mask only
✓
A.
Offer a glass of water
✓
B.
Take their blood pressure only
✓
C.
Obtain an ECG and notify the physician immediately
✓
A.
Tell them they are not a failure
✓
B.
Challenge the negative thought and explore evidence for/against it
✓
C.
Agree with the thought
✓
D.
Ignore the self-talk
✓
A.
Hyperkalemia; administer potassium binders
✓
B.
Hypokalemia; administer potassium replacement (as ordered) and monitor cardiac rhythm
✓
C.
Normal potassium level; no action needed
✓
D.
Hyponatremia; administer sodium
✓
