A nursing assistant can respond to sundowning by

Correct Answer: B

Rationale: The correct answer is B: Setting a bedtime routine. This is because establishing a consistent bedtime routine can help regulate the individual's sleep-wake cycle and reduce the symptoms of sundowning. By creating a calming environment and promoting relaxation before bedtime, the nursing assistant can help the individual transition to sleep more smoothly. Other choices are incorrect because: A: Adding more caffeine to the diet can exacerbate symptoms of sundowning by disrupting sleep patterns and increasing agitation. C: Restricting exercise during the day can lead to restlessness and pent-up energy, potentially worsening sundowning symptoms. D: Scheduling activities during this time may be overwhelming for the individual and can increase confusion and agitation.

Correct Answer: B

Rationale: The correct answer is B: Giving tube feedings. Nursing assistants are responsible for administering tube feedings to residents as directed by the healthcare team. This involves setting up the feeding, checking the placement of the tube, monitoring the resident during feeding, and documenting intake accurately. A: Inserting tubes - Nursing assistants do not insert tubes; this is typically done by nurses or other trained healthcare professionals. C: Positioning the resident - While important for comfort and safety, positioning the resident is not specifically related to tube feedings. D: Cleaning or suctioning the tubes - While maintaining cleanliness of the tubes is important, this task is usually performed by nurses or trained staff. Nursing assistants may assist with cleaning, but it is not their primary responsibility for tube feedings.

Correct Answer: C

Rationale: The correct answer is C because failing to provide a resident with the proper amount of daily calories directly relates to the surveyor's responsibility to ensure the facility is meeting the nutritional needs of the residents. This is crucial for maintaining the health and well-being of the residents. Providing counseling (A) and ensuring access to religious services (B) are important aspects of care but not directly related to the surveyor's role. Meeting social and emotional needs (D) is also important but not the primary focus of a surveyor's evaluation, which is primarily concerned with the physical well-being of the residents.

Correct Answer: A

Rationale: The correct answer is A because sharing information from a resident's medical chart violates the resident's legal right to privacy. This action breaches confidentiality and exposes sensitive information without consent. Choice B respects privacy by documenting care discreetly. Choice C maintains privacy by physically shielding the resident. Choice D also respects privacy rights by not disclosing medical information to someone not authorized to receive it.

Correct Answer: D

Rationale: The proper conversion of 1445 to regular time involves dividing 1445 by 60 to get the hours and minutes. 1445 ÷ 60 = 24 hours and 5 minutes. Since regular time is based on the 12-hour clock, we subtract 12 hours to get 12 hours and 5 minutes. Therefore, 1445 is equal to 12:05 p.m., making choice D the correct answer. Choices A, B, and C are incorrect because they do not reflect the accurate conversion of 1445 into regular time. Choice A represents 2:15 a.m., choice B represents 2:15 p.m., and choice C represents 2:45 a.m., none of which is the correct conversion for 1445.