A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confuse His pulse is thready and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient is to

Correct Answer: C

Rationale: The correct answer is C: Control internal hemorrhage operatively. In this scenario of a young man with a gunshot wound to the abdomen presenting with cool, diaphoretic skin, confusion, thready pulse, and weak femoral pulse, these are signs of hemorrhagic shock. The definitive treatment for hemorrhagic shock is to control internal bleeding through operative intervention. This is crucial to prevent further blood loss and stabilize the patient's condition. Applying external warming devices (B) or pneumatic anti-shock garment (D) would not address the underlying issue of internal bleeding. Administering blood (A) is important but not the definitive treatment for hemorrhagic shock.

Correct Answer: D

Rationale: The correct answer is D because delayed symptoms are more common in younger patients due to higher resilience and compensatory mechanisms. Choice A is incorrect as elderly individuals often have decreased circulatory volume. Choice B is incorrect as aging increases the risk of cervical spine degeneration but not necessarily injury risk. Choice C is incorrect as older individuals are more prone to occult fractures due to decreased bone density.

Correct Answer: D

Rationale: Hospice care is the correct answer because it is specialized care for individuals with a life expectancy of six months or less. It focuses on providing comfort and quality of life rather than curative treatment. Long-term care (choice A) is for individuals who need assistance with daily activities but do not necessarily have a terminal illness. Outpatient care (choice B) refers to medical services provided outside of a hospital setting and is not specific to end-of-life care. Intergenerational care (choice C) involves bringing different age groups together for mutual benefit and is not related to end-of-life care.

Correct Answer: A

Rationale: The correct answer is A because honesty and providing information to the best of one's ability are crucial in maintaining transparency and credibility. By answering honestly, the nursing assistant follows ethical standards and ensures accurate information is conveyed to the surveyor. Option B is incorrect because the nursing assistant's primary role is to provide accurate information, not suggest improvements. Option C is incorrect as it could be perceived as uncooperative and may reflect poorly on the facility. Option D is incorrect as making up an answer can lead to misinformation and potential consequences.

Correct Answer: A

Rationale: The correct answer is A because leaning forward to listen shows attentiveness and empathy, promoting effective communication and rapport-building. This nonverbal cue demonstrates respect and active engagement with the resident. In contrast, rolling eyes (B) conveys disrespect and negativity, tapping foot (C) displays impatience, and shaking head (D) indicates disapproval or judgment, all of which are counterproductive in a caregiving setting.