2 What is the purpose of the Patient Self-Determination Act (PSDA)?

Correct Answer: C

Rationale: The correct answer is C: To encourage people to make decisions about advance directives. The Patient Self-Determination Act (PSDA) requires healthcare facilities to inform patients about their rights to make decisions about their medical care, including the right to create advance directives. This law empowers individuals to communicate their healthcare wishes in advance, ensuring their preferences are respected even if they are unable to make decisions later. Choice A is incorrect because the PSDA is not specifically focused on training nursing assistants. Choice B is incorrect as the PSDA does not pertain to the privacy of protected health information, which is covered under HIPAA. Choice D is incorrect as the PSDA is not related to reporting abuse, which is typically governed by state laws and facility policies.

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 wellness. Social wellness focuses on building and maintaining healthy relationships and connections with others. Playing cards with friends fosters social interaction, communication, and a sense of belonging, which are all essential aspects of social wellness. Physical wellness (A) pertains to the physical health and fitness of an individual. Emotional wellness (C) relates to managing emotions and mental health. Intellectual wellness (D) involves stimulating the mind through learning and problem-solving. However, in this scenario, the main focus is on promoting social connections and relationships, making social wellness the most appropriate choice.

Correct Answer: B

Rationale: The correct answer is B because a causative agent is specifically a pathogen or microorganism that causes disease in the body. Pathogens are infectious agents that can lead to illness or disease. The other choices are incorrect because: A) Any microorganism in the body does not necessarily cause disease, C) Normal flora are beneficial bacteria and do not always cause disease, and D) The waiting period between pathogen entry and infection is known as the incubation period, not the causative agent.

Correct Answer: A

Rationale: The correct answer is A: Clear walkways of clutter. This is the best way a nursing assistant can help prevent falls because clutter-free walkways reduce tripping hazards, promoting safety. Leaving walkways clear allows residents to move around safely. B: Keeping lights low can actually increase the risk of falls, as dim lighting can impair visibility. C: Moving call lights further away from residents can delay response times in case of emergencies and does not directly address fall prevention. D: Leaving spills for housekeeping to clean can lead to immediate hazards and accidents.

Correct Answer: B

Rationale: The correct answer is B because having the resident lean forward and place her head between her knees can help increase blood flow to the brain, potentially preventing a full faint. This position promotes better circulation and oxygenation to the brain, helping the resident feel better. Choice A is incorrect as it can worsen the situation by causing the resident to fall and potentially get hurt. Choice C is incorrect as tightening clothing can restrict blood flow and exacerbate the fainting episode. Choice D is incorrect as leaving the resident alone may lead to a dangerous situation if the symptoms worsen.