A good way for a nursing assistant to help a new resident adjust to life in the facility is to
- A. Think about how it would feel to have to move into a facility
- B. Tell the resident how much work it is to care for him
- C. Cover up any mistakes to make the resident feel more confident about the facility's care
- D. Push the resident to join in activities even if he says he does not want to
Correct Answer: A
Rationale: The correct answer is A. By putting oneself in the resident's shoes, the nursing assistant can empathize with their feelings and provide personalized support. This approach shows understanding and compassion, fostering trust and comfort.
B: This choice is incorrect because it may create anxiety or guilt in the resident, leading to a negative adjustment experience.
C: Covering up mistakes can erode trust and credibility, causing the resident to feel insecure and uneasy about the care provided.
D: Forcing the resident to participate in activities goes against their autonomy and may result in resistance or resentment, hindering the adjustment process.
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Why is it important for a resident with TB to take all of the prescribed medication?
- A. The medication is very expensive.
- B. The healthcare facility loses Medicare funding if all of the medication is not taken.
- C. Failure to finish the medication makes the person more likely to spread the disease to others.
- D. Failure to take all of the medication prescribed can weaken the person's musculoskeletal system.
Correct Answer: C
Rationale: The correct answer is C because completing the prescribed medication for TB is crucial to prevent the development of drug-resistant strains which can be more difficult to treat and can spread to others. Failure to finish the medication regimen increases the likelihood of spreading the disease to others, contributing to the public health concern. Options A, B, and D are incorrect as they do not directly address the impact on disease transmission and drug resistance. Option A focuses on cost, which is not the primary reason for completing the medication, option B relates to funding rather than public health, and option D mentions musculoskeletal issues, which are not directly related to TB treatment compliance.
Which of the following is the best example of how a nursing assistant should communicate with a resident who is anxious?
- A. The NA should gently ask the resident what is bothering him.
- B. The NA should speak more loudly.
- C. The NA should suggest medication that is commonly used for anxiety.
- D. The NA should tell the resident that it is best to stop worrying so much.
Correct Answer: A
Rationale: The correct answer is A because asking the resident what is bothering them shows empathy and allows the resident to express their concerns. It promotes open communication and helps the nursing assistant understand the root cause of the anxiety. Speaking more loudly (B) can escalate anxiety. Suggesting medication (C) should be left to the nurse or doctor. Telling the resident to stop worrying (D) is dismissive and not helpful in addressing the underlying issue.
A 25-year-old male presents after a bar fight with altered consciousness and a GCS of 10. Which statement is true?
- A. "Hyperoxia should be avoided"
- B. CT scanning is an important part of neurological assessment
- C. Mandatory intubation to protect his airway is required
- D. His GCS suggests severe head injury
Correct Answer: B
Rationale: The correct answer is B because in a patient with altered consciousness and head trauma, CT scanning is crucial to assess for any intracranial injuries that may require immediate intervention. This helps in guiding further management and determining the severity of the head injury. Option A is incorrect as hyperoxia is actually beneficial in traumatic brain injury. Option C is premature without a proper assessment. Option D is not definitive based solely on the GCS score.
________ is a natural sugar that is used for energy.
- A. Sodium
- B. Cholesterol
- C. Glucose
- D. Gluten
Correct Answer: C
Rationale: The correct answer is C: Glucose. Glucose is a natural sugar that serves as the primary source of energy for the body's cells. It is derived from the foods we eat and is essential for various physiological functions. Sodium (A) is an electrolyte, not a sugar. Cholesterol (B) is a type of lipid, not a sugar. Gluten (D) is a protein found in wheat and other grains, not a sugar used for energy. Therefore, the correct choice is glucose, as it directly relates to being a natural sugar used by the body for energy.
Empathetic understanding of the client's problem is stresses in which type of counselling?
- A. Rational-problem analysis based counselling
- B. Person-centred humanistic approach dominated counselling
- C. Reality based directive counselling
- D. Behaviouristic - modification based counselling
Correct Answer: B
Rationale: Empathetic understanding is a key feature of the person-centred humanistic approach, where the counsellor tries to understand the client's point of view without judgment.
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