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, "Tracheobronchial injury." In this scenario, the persistent pneumothorax despite chest tube placement suggests air leakage from a larger airway, indicating tracheobronchial injury. Rib fractures (B) would not cause persistent pneumothorax. Pulmonary contusion (C) would present differently on imaging. Cardiac tamponade (D) involves blood accumulation in the pericardial sac, not air in the pleural space.

Correct Answer: A

Rationale: The correct answer is A: Medicare. Medicare is specifically designed as a federal health insurance program for individuals who are 65 years of age or older, individuals with permanent kidney failure, and certain disabilities. It provides coverage for hospital care, medical services, and prescription drugs for eligible individuals. Choice B: Medicaid is a separate federal and state program that provides health coverage for low-income individuals and families. Choice C: Occupational Safety and Health Administration (OSHA) is a federal agency responsible for ensuring safe and healthy working conditions. Choice D: Health and Human Services (HHS) is a federal department that oversees various health and human services programs, but it is not a health insurance program specifically for the mentioned groups.

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 fundamental to understanding and applying ethics. Step 3: This aligns with the definition and concept of ethics. Step 4: Other choices are incorrect: - A: Ethics are not solely government-imposed rules. - C: Misdemeanors are legal terms, not directly related to ethics. - D: Ethics are crucial in healthcare for making ethical decisions.

Correct Answer: C

Rationale: The correct answer is C because active listening involves focusing on the speaker and providing feedback to show understanding. By actively engaging with the resident, the NA demonstrates empathy and respect. A is incorrect as it shows distraction, B disrupts the resident's autonomy, and D hinders effective communication by not allowing the resident to speak freely. Active listening fosters a positive relationship and enhances communication skills.

Correct Answer: D

Rationale: The correct answer is D, as the nursing assistant should always complete an incident report when injured on the job. This is important for documenting the injury, ensuring proper medical treatment, and addressing any safety concerns in the workplace. Choice A is incorrect because all injuries, regardless of severity, should be reported. Choice B is incorrect as fault is not the determining factor for reporting. Choice C is incorrect because the involvement of another employee is not a prerequisite for reporting injuries. Completing an incident report for any work-related injury is essential for maintaining a safe work environment and protecting the well-being of all staff members.