A 22-year-old male fell from 2m and has a large right pneumothorax. Chest tube placed but x-rays show persistent pneumothorax. The diagnosis is likely:

Correct Answer: A

Rationale: The correct answer is A, "Tracheobronchal injury," because the scenario of a large right pneumothorax following a fall from a height suggests a significant chest trauma. The persistence of the pneumothorax despite chest tube placement indicates an ongoing source of air leak, which is commonly seen with tracheobronchial injuries. Rib fractures (B) would not cause persistent pneumothorax. Pulmonary contusion (C) typically presents with diffuse alveolar damage. Cardiac tamponade (D) is unlikely in this case as there are no indications of cardiac injury.

Correct Answer: A

Rationale: Medicare is the correct answer because it specifically caters to individuals who are 65 years old or older, those with permanent kidney failure, or certain disabilities. Medicaid, on the other hand, is a state and federally funded program that provides health coverage for low-income individuals of all ages. Occupational Safety and Health Administration focuses on workplace safety regulations, not health insurance. Health and Human Services is a government department that oversees various health and human services programs, but it is not a health insurance program like Medicare.

Correct Answer: B

Rationale: Step 1: Ethics refer to moral principles that govern a person's behavior. Step 2: Knowledge of what is right and wrong is essential to understanding ethics. Step 3: This knowledge guides individuals in making ethical decisions. Step 4: Choice B correctly defines ethics as the knowledge of what is right and wrong. Summary: Choice A is incorrect because ethics are not solely government rules. Choice C is incorrect as misdemeanors are legal violations, not ethical principles. Choice D is incorrect as ethics are crucial in healthcare for making moral decisions.

Correct Answer: C

Rationale: The correct answer is C because active listening involves focusing on the speaker and providing feedback to show understanding. This helps build rapport and trust with the resident. Choice A is incorrect as it shows lack of attention. Choice B is incorrect as it hinders the resident's ability to express themselves. Choice D is incorrect as it does not allow for effective communication due to lack of listening. Active listening is essential in healthcare settings to ensure residents feel heard and understood.

Correct Answer: D

Rationale: The correct answer is D because completing an incident report after any on-the-job injury is crucial for documentation, regardless of the severity or fault. This process ensures proper record-keeping, aids in identifying safety hazards, and helps in providing necessary medical care and support to the injured individual. Choices A, B, and C are incorrect because they impose unnecessary restrictions on when to report an injury, which can hinder the overall safety and well-being of the nursing assistant and others in the facility.