Nokea
One example of professional behavior by nursing assistants when working with residents is
- A. Keeping all resident information confidential
- B. Sharing funny stories about coworkers with the residents
- C. Giving gifts to favorite residents
- D. Asking residents for advice about personal problems
Correct Answer: A
Rationale: The correct answer is A: Keeping all resident information confidential. Nursing assistants are bound by ethical standards to maintain confidentiality to protect residents' privacy and trust. Sharing resident information violates HIPAA laws and breaches confidentiality. Option B is unprofessional as it can compromise relationships and trust. Option C may create favoritism and bias. Option D blurs professional boundaries and could make residents uncomfortable. Maintaining confidentiality demonstrates professionalism and respect for residents' rights.
You may also like to solve these questions
An adult patient who experiences the loss of his/her gag reflex following a closed-head and suspected spinal injury may have suffered an injury to which of the following cranial nerves?
- A. Cranial nerve X (vagus)
- B. Cranial nerve III (oculomotor)
- C. Cranial nerve XII (hypoglossal)
- D. Cranial nerve IX (glossopharyngeal)
Correct Answer: A
Rationale: The correct answer is A: Cranial nerve X (vagus). The vagus nerve is responsible for the gag reflex, which is a protective mechanism in response to stimuli in the back of the throat. In a closed-head and suspected spinal injury, damage to the vagus nerve can result in the loss of the gag reflex.
Choice B: Cranial nerve III (oculomotor) is involved in eye movements.
Choice C: Cranial nerve XII (hypoglossal) is responsible for tongue movement.
Choice D: Cranial nerve IX (glossopharyngeal) is related to taste sensation and swallowing.
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 after head trauma, CT scanning is crucial to assess for intracranial injuries. It helps identify any hematomas or contusions requiring urgent intervention. Choice A is incorrect as hyperoxia is beneficial in traumatic brain injury. Choice C is not always necessary if the patient maintains airway patency. Choice D is incorrect as a GCS of 10 suggests moderate head injury, not necessarily severe.
Which of the following statements by a patient would alert the nurse to an increased risk for skin cancer?
- A. I take a shower three times a day.
- B. This wart has changed color.
- C. My skin is just so dry and it itches.
- D. My cast is rubbing a blister.
Correct Answer: B
Rationale: Changing lesions (color, size) suggest potential malignancy, warranting further assessment.
A nurse is assessing the urine output of a patient with Parkinsons disease who is on levodopa. Which of the following is a common finding for a patient on this medication?
- A. The urine may be brown or black.
- B. The urine may be blood tinged.
- C. The urine may be green or blue-green.
- D. The urine may be orange or orange-red.
Correct Answer: A
Rationale: Levodopa can darken urine to brown or black as a side effect.
Hypertension following a head injury:
- A. "Should be treated to reduce intracranial pressure"
- B. "Indicates pre-existing hypertension"
- C. "May indicate imminent herniation from critically high intracranial pressure"
- D. "Mandates prompt administration of mannitol"
Correct Answer: C
Rationale: The correct answer is C because hypertension following a head injury may indicate imminent herniation from critically high intracranial pressure. Increased blood pressure can worsen intracranial pressure, leading to herniation and further brain damage. Treating hypertension in this scenario is crucial to prevent worsening intracranial pressure and potential herniation. Choices A, B, and D are incorrect as they do not directly address the urgent concern of impending herniation due to high intracranial pressure. Treating hypertension solely to reduce intracranial pressure (A) or assuming pre-existing hypertension (B) may not address the acute issue. Prompt administration of mannitol (D) may not be appropriate without addressing the underlying cause of hypertension and intracranial pressure elevation.