Cardiac tamponade:

Correct Answer: A

Rationale: The correct answer is A because cardiac tamponade is a life-threatening condition where fluid accumulation in the pericardial sac compresses the heart. Surgical intervention, such as pericardial drainage or pericardiotomy, is often required to relieve the pressure on the heart. Choice B, needle pericardiocentesis, is a temporary measure and may not definitively manage the condition. Choice C, Beck's triad (hypotension, elevated jugular venous pressure, muffled heart sounds), may be present but is not always diagnostic. Choice D, Kussmaul breathing (deep, labored breathing), is indicative of other conditions like metabolic acidosis rather than cardiac tamponade.

Correct Answer: A

Rationale: The correct answer is A because holding oneself accountable involves taking responsibility for one's actions, including admitting mistakes and apologizing for them. This demonstrates honesty, integrity, and a willingness to learn and improve. Choices B, C, and D are incorrect because they do not directly address the concept of accountability. Speaking positively, working with diverse backgrounds, and caring about others are important qualities, but they do not specifically relate to the act of holding oneself accountable.

Correct Answer: C

Rationale: The correct answer is C because negligence refers to the failure to provide reasonable care that results in unintended harm or injury to a person. This involves a breach of duty of care leading to harm. Choice A and B refer to physical contact without permission, which is not directly related to negligence. Choice D is about emotional harm rather than negligence involving a failure to provide proper care.

Correct Answer: B

Rationale: The correct answer is B because accurate documentation is crucial for providing a clear, comprehensive, and current record of a resident's health status and care. This is vital for ensuring continuity of care, effective communication among healthcare team members, and tracking changes in the resident's condition over time. Choice A is incorrect as accurate documentation serves a broader purpose beyond just avoiding trouble. Choice C is incorrect as family members typically review medical charts infrequently and not as the primary reason for accurate documentation. Choice D is incorrect as the NA does not diagnose residents but rather documents observations and care provided.

Correct Answer: B

Rationale: The correct answer is B because it promotes effective communication and empathy. By trying to find out the cause of the resident's anger, the nursing assistant can address the root issue and provide appropriate support. This approach shows respect and understanding towards the resident's emotions. Ignoring the resident (A) can escalate the situation and lead to further frustration. Asking the resident to stop being angry (C) is dismissive and may worsen the resident's feelings. Restraining the resident (D) is never appropriate unless in cases of extreme danger. Overall, choice B stands out as the best way to handle the situation by showing empathy and addressing the resident's concerns effectively.