Nokea
2 What is the nursing assistant's role in care planning?
- A. The nursing assistant creates the care plan.
- B. The nursing assistant shares observations that may affect the care plan.
- C. The nursing assistant makes changes to the care plan.
- D. The nursing assistant discusses the diagnosis with the resident's friends and family.
Correct Answer: B
Rationale: The correct answer is B because the nursing assistant plays a crucial role in care planning by sharing observations that may impact the care plan. This is important as they are in direct contact with the residents and can provide valuable insights to the healthcare team. Choice A is incorrect as creating the care plan is typically done by licensed healthcare professionals. Choice C is incorrect as making changes to the care plan is also usually done by licensed professionals based on assessments. Choice D is incorrect as discussing the diagnosis with the resident's friends and family is not within the scope of the nursing assistant's role in care planning.
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One method substance abusers use to try to hide their addiction is to
- A. Avoid brushing their teeth
- B. Use room fresheners
- C. Consistently make eye contact
- D. Have strong social relationships
Correct Answer: B
Rationale: The correct answer is B: Use room fresheners. Substance abusers may use room fresheners to mask the smell of drugs or alcohol. This can help them hide their addiction from others by creating a more pleasant environment. Avoiding brushing their teeth (A) would not effectively hide their addiction, making eye contact (C) is unrelated to hiding addiction, and having strong social relationships (D) may not necessarily conceal their substance abuse. Using room fresheners is a direct method to cover up the scent associated with substance abuse.
The most specific test to evaluate for injuries of solid abdominal organs is:
- A. Abdominal x-ray
- B. Abdominal ultrasound
- C. DPL
- D. Frequent abdominal examination
Correct Answer: C
Rationale: The correct answer is C: DPL (Diagnostic Peritoneal Lavage). DPL is the most specific test for evaluating injuries of solid abdominal organs due to its ability to detect even small amounts of intra-abdominal bleeding. It involves inserting a catheter into the peritoneal cavity to obtain fluid for analysis, providing direct evidence of internal bleeding. Abdominal x-ray and ultrasound are not as specific for detecting solid organ injuries. Frequent abdominal examination may help monitor the patient's condition but does not provide definitive diagnostic information like DPL.
A person is likely to have stools that are hard and difficult to pass when:
- A. They eat natural foods that have not been processed
- B. They drink fluids that are heavy in consistency
- C. They eat a lot of carbohydrates
- D. When they do not answer the call of nature in time
Correct Answer: D
Rationale: Delaying bowel movements can lead to water absorption in the colon, resulting in hard stools.
How can manual handling be minimized?
- A. By providing personal protective equipment to all employees when using mechanical aids.
- B. By ensuring there is enough staff to help with very heavy manual handling tasks.
- C. By buying items in bulk so that mechanical machinery can be used at all times.
- D. By ensuring suitable mechanical aids and training are available to employees.
Correct Answer: D
Rationale: Mechanical aids and training reduce the need for manual handling.
The most important risk factor(s) for the development of a healthcare associated infection in the older person is which of the following?
- A. The length of time they are in hospital for and the number of times that they move wards
- B. The presence of an invasive indwelling device and the degree of any underlying illness
- C. Whether they are exposed to other patients with infections
- D. If they are bed bound and can't cough properly
Correct Answer: B
Rationale: The correct answer is B, as the presence of invasive devices and underlying illnesses are significant risk factors for healthcare-associated infections in older patients.