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.
Pneumonia; administer antibiotics
✓
B.
Pulmonary edema; elevate head of bed, administer oxygen, and notify physician
✓
C.
Asthma attack; administer bronchodilator
✓
D.
Dehydration; increase fluid intake
✓
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
✓
A.
Aspirate for blood return
✓
B.
Flush with medication
✓
D.
Observe for swelling only
✓
B.
Erectile dysfunction or delayed ejaculation
✓
A.
60-80 compressions/minute
✓
B.
80-100 compressions/minute
✓
C.
100-120 compressions/minute
✓
D.
120-140 compressions/minute
✓
A.
Engage in the philosophical discussion indefinitely
✓
B.
Gently bring the conversation back to the client's current concerns and goals
✓
C.
Tell them their thoughts are irrelevant
✓
D.
Terminate the session due to lack of progress
✓
A.
Low; can wait for primary care appointment
✓
B.
Moderate; monitor at home
✓
C.
High; requires immediate emergency medical attention
✓
D.
Routine; schedule for elective imaging
✓
