A 30 year old female is brought to the ED after being injured in a motor vehicle crash. Her initial BP is 90/60 mmHg, and her HR is 122 bpm. She responds to rapid infusion of 1L crystalloid solution with a rise in her BP to 118/88 and decrease in her HR to 90 bpm. Her pressure suddenly decreased to 96/66. The least likely cause of her hemodynamic change is:

Correct Answer: C

Rationale: The correct answer is C: Traumatic brain injury. In this scenario, the patient's hemodynamic changes are primarily related to fluid resuscitation, as evidenced by the initial response to crystalloid infusion. Traumatic brain injury typically does not cause such acute and direct hemodynamic changes. Ongoing blood loss (choice A) is a common cause of hemodynamic instability and should be considered. Blunt cardiac injury (choice B) can lead to hemodynamic compromise, especially with changes in blood pressure. Inadequate resuscitation (choice D) can also contribute to hemodynamic instability. However, in this case, traumatic brain injury is the least likely cause given the patient's response to fluid infusion and the nature of the presentation.

Correct Answer: A

Rationale: The correct answer is A because keeping a resident's information confidential is a fundamental ethical principle in healthcare. This protects the resident's privacy and builds trust. Choice B is incorrect as it goes against transparency and accountability. Choice C is incorrect as it involves deception and impersonation, which is unethical and could harm the resident's trust. Choice D is incorrect as it is unprofessional and could burden the resident with unnecessary information. Overall, maintaining confidentiality demonstrates respect for the resident's autonomy and upholds ethical standards in nursing practice.

Correct Answer: D

Rationale: The correct answer is D because responding immediately when the resident calls for help shows attentiveness and care for the resident's well-being. It establishes trust and a sense of security for both the resident and their family and friends. A is incorrect as it neglects the resident's needs during important interactions. B is incorrect because it undermines the NA's role in providing care. C is incorrect as it may not be appropriate or respectful to share personal stories without the resident's consent.

Correct Answer: C

Rationale: The correct answer is C because checking if any assigned residents require immediate help or care is crucial for prioritizing tasks based on urgency and ensuring residents' safety. This step ensures that any emergencies or urgent needs are addressed promptly, aligning with the nursing assistant's role in providing immediate care. Setting up residents for mealtime (A) and taking vital signs on all residents (D) are important tasks but should follow the assessment of immediate needs. Attempting to change daily assignments (B) should not be the first action as it does not address the residents' immediate care requirements.

Correct Answer: D

Rationale: The correct answer is D because as a nursing assistant, it is important to listen actively to the family's concerns and fears to provide emotional support. By responding with a meaningful message, the nursing assistant shows empathy and understanding, fostering a trusting and supportive relationship with the family. This behavior promotes effective communication and collaboration in the care of the resident. A: Giving medical advice is not within the scope of a nursing assistant's role. B: Providing false reassurance may not address the family's legitimate concerns and can lead to distrust. C: Sharing detailed medical information without the resident's consent violates confidentiality and privacy regulations.