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, the young man's presentation suggests hypovolemic shock due to internal bleeding. Prompt surgical intervention to control the source of bleeding is crucial to stabilize the patient's condition. Administering blood (Choice A) may be necessary but addressing the hemorrhage source is the priority. External warming devices (Choice B) and pneumatic anti-shock garments (Choice D) are not appropriate in this situation as the primary concern is controlling the internal bleeding to prevent further deterioration.

Correct Answer: D

Rationale: The correct answer is D because the older patient is less likely to exhibit delayed symptoms compared to a younger patient. This is because older individuals may have reduced sensory perception, leading to immediate symptoms post-injury. Choice A is incorrect as older adults often have decreased circulatory volume. Choice B is incorrect because the elderly are more likely to have pre-existing spinal issues, increasing the risk of cervical spine injury. Choice C is incorrect as older individuals have a higher likelihood of occult fractures due to decreased bone density.

Correct Answer: D

Rationale: Hospice care is the correct answer because it provides specialized care for individuals with a life expectancy of six months or less. It focuses on enhancing quality of life through symptom management and emotional support. Long-term care is for individuals needing assistance with daily activities for an extended period. Outpatient care is for those who do not require hospitalization. Intergenerational care involves integrating different age groups in caregiving settings, not specific 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 is essential in maintaining integrity and transparency during surveying processes. This aligns with ethical standards and ensures accurate data collection. Explanation: 1. Honesty is crucial in professional conduct. 2. Providing answers to the best of one's ability shows dedication and competence. 3. Fosters trust between the surveyor and the nursing assistant. 4. Upholds ethical and professional standards. Incorrect Choices: B: Offering suggestions goes beyond the scope of the question and can potentially lead to misinterpretation. C: Refusing to answer without a supervisor may create a negative impression and hinder the survey process. D: Making up an answer compromises integrity and can lead to misinformation.

Correct Answer: A

Rationale: The correct answer is A because leaning forward to listen shows active engagement and empathy towards the resident, promoting effective communication and building trust. This nonverbal cue conveys attentiveness and respect. Rolling eyes (B) demonstrates disrespect and negative attitude. Tapping foot (C) may indicate impatience and lack of empathy. Shaking head (D) conveys disapproval and can be discouraging for the resident. In summary, positive nonverbal communication involves demonstrating active listening, empathy, and respect towards others.