A 22 year old male is assaulted in a bar. A semi-rigid cervical collar is applied and he is immobilized on a spine boar On initial examination, his vital signs are normal, and his GCS is 15. Which of the following is an indication for CT in this patient with possible minor traumatic brain injury?

Correct Answer: D

Rationale: The correct answer is D: Presence of hemotympanum. Hemotympanum is indicative of a basilar skull fracture, which can lead to intracranial bleeding and brain injury. CT scan is necessary to evaluate for intracranial injuries in this case. A: Blood alcohol concentration is not an indication for CT in this scenario. B: A scalp laceration alone does not warrant a CT scan for traumatic brain injury. C: Mandibular fracture does not directly indicate traumatic brain injury and is not a reason for CT in this case.

Correct Answer: A

Rationale: The correct answer is A: The nurse. Nurses are trained to assess residents, monitor their progress, and administer treatments and medication. They have the expertise and knowledge to provide comprehensive care. Nursing assistants (B) assist with daily living activities but do not have the same scope of practice. Medical social workers (C) focus on social and emotional aspects of care. Registered dietitians (D) specialize in nutrition management, not direct patient care like assessing and administering treatments. Thus, the nurse is the most appropriate member of the care team for these responsibilities.

Correct Answer: C

Rationale: The correct answer is C: Investigating and resolving resident complaints. An ombudsman's primary responsibility is to advocate for residents in long-term care facilities, ensuring their rights are upheld and addressing any concerns or complaints they may have. Ombudsmen investigate complaints, mediate disputes, and work towards resolving issues to improve the quality of care for residents. Choices A, B, and D are incorrect because they do not align with the core duties of an ombudsman, which focus on protecting residents' rights and addressing complaints rather than specific care procedures, staff disputes, or recreational activities.

Correct Answer: C

Rationale: The correct answer is C because it provides measurable and verifiable data - Mr. Castillo's blood pressure is 5/6. This information is objective as it can be confirmed through a physical measurement. Option A is subjective as it is based on perception. Option B is also subjective as it relies on Mr. Castillo's self-reporting. Option D is subjective as it is based on personal relationships and interactions. In contrast, option C stands out as the only choice that presents factual, quantifiable information, making it the correct example of objective information.

Correct Answer: A

Rationale: The correct answer is A because distracting the resident or directing them to a private area is the most appropriate and professional way to address inappropriate sexual behavior. This response respects the resident's privacy, maintains their dignity, and prevents further escalation. Ignoring the behavior (B) may lead to normalization or reinforcement. Informing the resident that others are upset (C) may cause embarrassment and worsen the situation. Discussing the behavior with other residents (D) violates the resident's privacy and confidentiality.