A 30 year old male is stabbed in the right chest. On arrival in the ED, he is very short of breath. His HR is 120 bpm, BP is 80/50. His neck veins are flat. On auscultation of the chest, there is diminished air entry on the right side, and there is dullness posteriorly on percussion. These findings are most consistent with:

Correct Answer: A

Rationale: The correct answer is A: Hemothorax. In this scenario, the patient presents with signs of respiratory distress, tachycardia, hypotension, flat neck veins, diminished air entry on the right side, and dullness on percussion, which are indicative of a hemothorax. Hemothorax is characterized by the accumulation of blood in the pleural cavity, leading to lung compression and impaired ventilation. The symptoms align with the physical exam findings of decreased breath sounds and dullness due to blood occupying the pleural space. The absence of signs like muffled heart sounds or pulsus paradoxus rules out pericardial tamponade. The lack of tracheal deviation and mediastinal shift discounts tension pneumothorax. Hypovolemia from liver injury may present with similar vital sign abnormalities but would not manifest with specific chest exam findings like dullness on percussion. Therefore, based on the clinical presentation and exam findings, hemothorax is the

Correct Answer: A

Rationale: Step-by-step rationale: 1. Criminal laws aim to protect society from harm caused by individuals or organizations. 2. They define behaviors that are considered harmful or dangerous to society. 3. Punishments are imposed to deter and prevent such behaviors. 4. Choice A is correct as criminal laws focus on safeguarding society. Summary: - Choice B is incorrect as criminal laws are not solely about resolving disputes between individuals. - Choice C is incorrect as criminal laws cover both felonies and misdemeanors, not just non-felonies. - Choice D is incorrect as criminal laws are not about setting codes of behavior and courtesy but rather focus on maintaining order and safety in society.

Correct Answer: B

Rationale: The correct answer is B because restating what the resident is saying in the nursing assistant's own words helps clarify understanding and ensures effective communication. This technique allows the nursing assistant to confirm if they have comprehended the resident correctly and provides an opportunity for the resident to correct any misunderstandings. It demonstrates active listening and empathy towards the resident's communication challenges. Choice A is incorrect as pretending to understand the resident may lead to miscommunication and hinder the resident's ability to express themselves. Choice C is incorrect as avoiding communication with the resident is not a solution to understanding difficulties. Choice D is incorrect as using cliches does not address the root of the communication issue and may further confuse the resident.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates proper telephone etiquette by starting with a polite greeting ("Good afternoon"), identifying the company and oneself ("Hartman Skilled Care Facility, Brenda Johnson speaking"), and inviting the caller to start the conversation. This approach sets a professional tone and shows respect to the caller. Choice A is incorrect because it violates confidentiality by sharing personal information about a resident. Choice C is inappropriate as it is dismissive and unprofessional. Choice D is also incorrect as it discloses negative information about a former employee, which is not professional or relevant to the caller's inquiry.

Correct Answer: C

Rationale: Jenna is helping Mr. Warren meet his need for self-esteem by making him feel good about himself before his daughter's visit. Self-esteem refers to feeling valued and confident, which Jenna's actions promote. This is evident as she compliments him and boosts his self-confidence. It is not a physical need as she is not addressing his basic physical requirements. Safety and security needs relate to feeling safe and protected, which are not directly addressed in this situation. Self-actualization refers to achieving one's full potential, which is not the focus here. Therefore, choice C is the correct answer as Jenna is fulfilling Mr. Warren's need for self-esteem through her supportive actions.