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 a significant finding that suggests a basilar skull fracture, which can lead to intracranial injury. CT is indicated to assess for potential brain injury in this case, despite the patient's initial normal vital signs and GCS score. A: Blood alcohol concentration is not an indication for CT in this scenario unless it affects the patient's mental status. B: An isolated scalp laceration does not necessarily indicate a need for CT unless there is suspicion of underlying skull fracture. C: A mandibular fracture is not directly related to the need for CT in this case, as it primarily affects the facial bones.

Correct Answer: A

Rationale: The correct answer is A: The nurse. Nurses have the education and training to assess residents, monitor progress, administer treatments, and medication. They play a crucial role in coordinating care and ensuring the well-being of residents. Nursing assistants provide hands-on care but do not assess or administer medications. Medical social workers focus on psychosocial needs, not direct medical care. Registered dietitians specialize in nutrition and dietary needs, not direct patient assessment or medication administration.

Correct Answer: C

Rationale: The correct answer is C: Investigating and resolving resident complaints. Ombudsmen are designated to address concerns and complaints from residents in a fair and unbiased manner. They advocate for residents' rights and work to resolve issues within long-term care facilities. Choice A and B are incorrect as they involve tasks typically handled by staff members or managers, not ombudsmen. Choice D is incorrect as organizing outings and activities is not a primary responsibility of an ombudsman, whose focus is on addressing complaints and ensuring quality of care.

Correct Answer: C

Rationale: The correct answer is C because stating Mr. Castillo's blood pressure as 5/6 is an objective fact that can be measured and verified. It is not influenced by personal opinions or interpretations. Option A involves a subjective judgment of his mood, B relies on his verbal report which may not be accurate, and D is a subjective assessment of his relationship with others. Objective information is factual, measurable, and impartial, making C the most suitable choice.

Correct Answer: A

Rationale: The correct answer is A because distracting the resident or directing them to a private area is the best response to inappropriate sexual behavior. This approach respects the resident's dignity and privacy while also preventing further disturbance. Ignoring the behavior (choice B) may not address the issue or prevent it from reoccurring. Letting the resident know others are upset (choice C) could shame or embarrass them, leading to further negative outcomes. Discussing the behavior with other residents (choice D) violates the resident's privacy and confidentiality.