A nursing assistant can respond to sundowning by

Correct Answer: B

Rationale: Correct Answer: B - Setting a bedtime routine Rationale: 1. Consistent bedtime routine helps regulate sleep patterns, reducing sundowning behavior. 2. Predictable routine promotes relaxation and signals the body it's time to rest. 3. Establishing a calming atmosphere can minimize agitation during sundowning hours. Summary of Incorrect Choices: A. Adding more caffeine can worsen sleep disturbances. C. Restricting exercise may lead to increased restlessness and agitation. D. Scheduling activities during sundowning can be overwhelming and exacerbate confusion.

Correct Answer: B

Rationale: The correct answer is B: Giving tube feedings. Nursing assistants are responsible for administering tube feedings to residents under the supervision of a licensed nurse. This includes tasks such as setting up the feeding, checking the placement of the tube, monitoring the flow rate, and documenting intake. Inserting tubes (A) should only be done by a licensed nurse. Positioning the resident (C) is important for comfort but not directly related to tube feedings. Cleaning or suctioning the tubes (D) is typically done by the nursing staff or a specialized team.

Correct Answer: C

Rationale: The correct answer is C because failing to provide a resident with the proper amount of daily calories is a violation of basic human needs, leading to malnutrition and health issues. Surveyors focus on ensuring residents' physical well-being, including adequate nutrition. Providing counseling (A) and addressing social and emotional needs (D) are important but not the primary role of a surveyor. Access to religious services (B) is a personal preference and not a requirement for facility citations.

Correct Answer: A

Rationale: The correct answer is A because sharing a resident's medical information with a friend violates the resident's legal right to privacy. This act breaches confidentiality and exposes sensitive personal details without consent. Choice B documents care, maintaining confidentiality. Choice C respects privacy by providing physical boundaries during care. Choice D protects privacy by following HIPAA regulations. Sharing with a friend is a clear violation of privacy rights.

Correct Answer: D

Rationale: The proper conversion of 1445 to regular time is 2:45 p.m. To convert military time to regular time, we subtract 12 from the hours if it's past 12 p.m. In this case, 14 - 12 = 2, so it's 2 p.m. The minutes remain the same, so it's 2:45 p.m. A: 2:15 a.m. - Incorrect, as the military time 1445 corresponds to p.m. not a.m. B: 2:15 p.m. - Incorrect, as the military time 1445 corresponds to 2:45 p.m. C: 2:45 a.m. - Incorrect, as the military time 1445 corresponds to p.m. not a.m.