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One guideline for a nursing assistant who is caring for a resident who has a mental health disorder is to
- A. Take any suicide threat seriously
- B. Disregard a loss of appetite
- C. Avoid talking to the resident
- D. Ignore dilated pupils
Correct Answer: A
Rationale: Step-by-step rationale for correct answer (A):
1. Taking suicide threats seriously is crucial as it can indicate a serious mental health crisis.
2. Prompt intervention can prevent harm or loss of life.
3. Nursing assistants must report any suicide threats to ensure the resident's safety.
4. It is essential to provide appropriate support and resources to address suicidal ideation.
Summary of incorrect choices:
B: Disregarding loss of appetite can overlook potential signs of mental health issues.
C: Avoiding talking to the resident can worsen feelings of isolation and neglect.
D: Ignoring dilated pupils may miss important physical or psychological symptoms.
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A 23 year old construction worker is brought to the ED after falling more than 9 meters from scaffolding. He is complaining bitterly of lower abdominal and lower limb pain, and has obvious deformity of both lower legs with bilateral open tibial fractures. Which one of the following statements concerning this patient is true?
- A. Pelvic injury can be ruled out based on the mechanism of injury
- B. Blood loss from the lower limb is most likely cause of his hypotension
- C. Spinal cord injury is the most likely cause of his hypotension
- D. X-ray of the chest and pelvis are important adjuncts in his assessment
Correct Answer: D
Rationale: The correct answer is D. X-ray of the chest and pelvis are important adjuncts in his assessment. This patient's mechanism of injury is indicative of high energy trauma. X-ray of the chest can help identify potential thoracic injuries such as rib fractures or pneumothorax. Pelvic x-ray is crucial to assess for pelvic fractures, which can lead to significant blood loss and hypotension. This patient's hypotension is more likely due to hemorrhagic shock from his open tibial fractures rather than spinal cord injury. Pelvic injury cannot be ruled out solely based on the mechanism of injury as pelvic fractures are common in falls from height. Blood loss from the lower limb alone is not the most likely cause of hypotension in this case.
The prevention and control of healthcare associated infection is whose responsibility?
- A. The responsibility of the Chief Executive and the executive Team
- B. The responsibility of the Infection Prevention and Control Team - that is what they are there for
- C. The ward manager's responsibility - he or she has 24 hour responsibility for the ward
- D. Every individual working in any healthcare setting
Correct Answer: D
Rationale: The correct answer is D, as infection prevention and control is the responsibility of every individual working in healthcare settings.
Residents in _____ are usually more independent and do not need skilled care.
- A. Acute care facilities
- B. Assisted living facilities
- C. Subacute care facilities
- D. Hospice facilities
Correct Answer: B
Rationale: The correct answer is B: Assisted living facilities. Residents in assisted living facilities typically require minimal assistance with daily activities and are more independent compared to those in acute care, subacute care, and hospice facilities. Assisted living facilities provide a level of care that promotes independence while still offering support when needed. Acute care facilities (A) provide medical care for short-term conditions, subacute care facilities (C) offer more intensive care than assisted living, and hospice facilities (D) provide end-of-life care which involves more specialized and intensive support.
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
- A. Major
- B. Urgent
- C. Elective
- D. Emergency
Correct Answer: D
Rationale: The correct answer is D: Emergency. This classification is appropriate because the situation involves unexpected, life-threatening bleeding requiring immediate intervention to prevent serious harm or death. In an emergency, prompt action is crucial. The other options are not as fitting: A (Major) refers to a significant but planned procedure, B (Urgent) implies a serious but non-life-threatening situation that requires prompt attention, and C (Elective) indicates a non-urgent, planned surgery.
Regarding shock in the child, which of the following is FALSE?
- A. "Vital signs are age-related"
- B. Children have greater physiologic reserves than do adults
- C. Tachycardia is the primary physiologic response to hypervolemia
- D. The absolute volume of blood loss required to produce shock is the same as in adults
Correct Answer: D
Rationale: The correct answer is D because the statement is false. Children have a smaller blood volume than adults, so the absolute volume of blood loss required to produce shock in children is lower than in adults. A: Vital signs are age-related as children have different normal ranges compared to adults. B: Children actually have lesser physiologic reserves than adults. C: Tachycardia is a common response to hypovolemia, not hypervolemia.