A female resident's perineal area should be cleaned
- A. Without using soap
- B. With a special oil
- C. From front to back
- D. From the anal area to the meatus
Correct Answer: C
Rationale: The correct answer is C: From front to back. This method prevents contamination of the urinary tract with bacteria from the anal area, reducing the risk of urinary tract infections. Cleaning from back to front (choice D) can introduce harmful bacteria to the urethra. Using soap (choice A) can disrupt the natural pH and flora of the perineal area. Using a special oil (choice B) is not necessary and may not effectively remove bacteria. Therefore, choice C is the most appropriate and hygienic method for perineal care.
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If a nursing assistant encourages a resident to play cards with friends, what kind of wellness is she promoting?
- A. Physical wellness
- B. Social wellness
- C. Emotional wellness
- D. Intellectual wellness
Correct Answer: B
Rationale: The correct answer is B: Social wellness. By encouraging the resident to play cards with friends, the nursing assistant is promoting social interactions and connections. Social wellness focuses on building and maintaining positive relationships, which can improve mental health and overall well-being. Playing cards with friends allows for social engagement, communication, and a sense of belonging. Physical wellness (A) pertains to physical health, emotional wellness (C) involves managing emotions, and intellectual wellness (D) focuses on mental stimulation. However, in this scenario, the emphasis is on promoting social interactions, making choice B the most appropriate answer.
What is the minimum number of employees in an organisation that requires risk assessments to be recorded?
- A. 1
- B. 2
- C. 5
- D. 10
Correct Answer: C
Rationale: Risk assessments must be recorded if an organization employs five or more employees.
A disorder that is related to the absorption of vitamin B12 is ___________.
- A. Pulmonary edema
- B. Congestive heart failure
- C. Pernicious anemia
- D. Phlebitis
Correct Answer: C
Rationale: The correct answer is C: Pernicious anemia. Pernicious anemia is a condition where the body cannot absorb vitamin B12 properly, leading to a deficiency. Vitamin B12 is essential for red blood cell production, and its deficiency can result in anemia. Pulmonary edema (A) is excess fluid in the lungs, not related to vitamin B12. Congestive heart failure (B) is a condition where the heart cannot pump blood effectively, not related to vitamin B12. Phlebitis (D) is inflammation of a vein, also not related to vitamin B12 absorption issues. Therefore, pernicious anemia is the correct answer as it directly relates to the absorption of vitamin B12.
2 What is the purpose of the Patient Self-Determination Act (PSDA)?
- A. To offer in-service training for nursing assistants
- B. To keep protected health information (PHI) private
- C. To encourage people to make decisions about advance directives
- D. To detail how abuse should be reported
Correct Answer: C
Rationale: The correct answer is C: To encourage people to make decisions about advance directives. The Patient Self-Determination Act (PSDA) aims to empower individuals to express their healthcare preferences in advance through advance directives such as living wills and healthcare proxies. This helps ensure that patients' wishes regarding medical treatment are known and respected.
Choice A is incorrect because the PSDA is not related to in-service training for nursing assistants. Choice B is incorrect as the act primarily focuses on patient autonomy rather than the privacy of health information. Choice D is incorrect because the act does not pertain to detailing how abuse should be reported.
Under what condition is wearing artificial nails in a long-term care facility acceptable?
- A. They may be worn as long as the nails are clean, short, and filed.
- B. They should not be worn in care facilities.
- C. They should be worn only at special events at facilities.
- D. They may be worn as long as hands are washed frequently.
Correct Answer: B
Rationale: The correct answer is B: They should not be worn in care facilities. Artificial nails can harbor bacteria and pose infection risks in long-term care settings. They may also interfere with proper hand hygiene practices. Choice A is incorrect because clean, short, and filed artificial nails still pose infection risks. Choice C is incorrect because wearing artificial nails only at special events does not address the overall infection risk. Choice D is incorrect as frequent hand washing alone may not eliminate the risks associated with artificial nails.
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