ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Does asking a patient directly about suicidal thoughts increase their risk?

1. AYes; asking about it may give the patient the idea
2. BOnly when the question is asked in writing
3. CNo; asking directly is safe and helps assess the risk
4. DOnly if the patient is over 65 years old

For a patient who does not take an anticoagulant, which INR is normal?

1. A1,0
2. B4,0
3. C6,0
4. D2,5

Which finding meets the usual definition of orthostatic hypotension?

1. AHeart rate falls by 5/min after lying down
2. BBlood pressure is the same lying and standing
3. CSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
4. DSystolic pressure falls by 20 mmHg or more within 3 minutes of standing

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AKeep everyone safe and tell the team, as the risk of harm is high
2. BTell him the voices are not real and leave him alone
3. CIgnore the comment, because voices are part of his illness
4. DAsk the roommate to stay in the room with him and help calm him down

أثناء فرز START، بالغ لا يستطيع المشي يتنفس 22 مرة في الدقيقة، لديه نبض كعبري ويتبع الأوامر البسيطة، لكن لديه كسر واضح في الساق. أي فئة يُعطاها؟

1. Aأخضر (طفيف)
2. Bأسود (متوقَّع)
3. Cأحمر (فوري)
4. Dأصفر (مؤجَّل)

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“The pump has limits set by the nurse so she cannot get too much at once.”
3. C“Only she should press the button when she needs pain relief.”
4. D“I will tell the nurse if she becomes very sleepy or hard to wake.”

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AAsk a family member to sign on the patient’s behalf
2. BWitness it quickly before the sedative takes full effect
3. CWitness it and write “sedated” beside the signature
4. DNot witness the consent and inform the surgeon

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AGive prescribed opioids and use positioning and a fan to relieve breathlessness
2. BWithhold all opioids because they may slow breathing
3. CStart a series of aggressive tests to find the exact cause of the breathlessness
4. DLeave the patient alone so they can rest