In the QUEST framework for consultations, which sequence correctly describes the steps?

• A. Quality evaluation; Evaluate self-care; Suggest therapies; Treat patient
• B. Quickly assess pt; Establish whether pt is appropriate for self care; Suggest appropriate self care strat; Talk with pt
• C. Question, Evaluate, Support, Treat
• D. Quickly educate; Establish seriousness; Suggest treatment; Terminate

Answer: (B)

The main idea being tested is guiding a patient toward safe self-care through a concise, patient-centered consult flow. In the QUEST framework, you move quickly to assess the patient, decide if self-care is appropriate, propose specific self-care options, and then have a discussion with the patient to confirm understanding and agreement.

The sequence that fits best starts with a rapid assessment of the patient, then establishes whether self-care is suitable, followed by suggesting appropriate self-care strategies, and finally talking with the patient to ensure they understand and are on board. This order preserves safety by first checking eligibility for self-care, provides concrete guidance tailored to the patient, and ends with clear communication to align on the plan.

Other sequences miss or jumble these essential steps. One option emphasizes treating or evaluating in a way that implies immediate clinician-directed therapy rather than triaging to self-care. Another uses a framework that doesn’t explicitly address eligibility for self-care or the planning conversation with the patient. A different option pushes education or termination, which undermines the collaborative, supportive approach of QUEST and the goal of empowering self-care when appropriate.