Which statement best describes a RASS score of +1?

• A. Restless, anxious, apprehensive but not yet agitated
• B. Alert and calm
• C. Combative, violent, immediate danger to self or others
• D. Very agitated, aggressive, concern for future violence

Answer: (A)

Understanding the Richmond Agitation-Sedation Scale (RASS) is key here. RASS ranges from -5 to +4: negative values mean sedation, 0 is alert and calm, and positive values indicate increasing agitation. A score of +1 describes someone who is restless and anxious or apprehensive but not yet agitated, which matches the description of being restless and anxious without active agitation. The other states describe either calmness (0) or more severe agitation (which would map to higher positive numbers, including combative or violent behavior). So the statement about being restless and anxious but not yet agitated best fits a +1.