Cervical spine injury:

Correct Answer: A

Rationale: The correct answer is A because a cervical spine injury can present with delayed neurologic deficits after neck movement due to spinal cord compression. This highlights the importance of assessing neurologic function in addition to physical examination findings. Choices B and C are incorrect because normal range of motion and physical examination maneuvers may not rule out a cervical spine injury. Choice D is incorrect as a crosstable lateral x-ray may miss certain types of cervical spine injuries, making it insufficient to exclude them definitively.

Correct Answer: D

Rationale: Correct Answer: D - "Ensuring adequate oxygenation and ventilation" Rationale: Ensuring adequate oxygenation and ventilation is crucial in any patient with potential multiple closed extremity fractures to address any immediate life-threatening issues like hypoxia or respiratory distress. Without proper oxygenation and ventilation, the patient's condition can deteriorate rapidly. It is the top priority in the ABCs of trauma care (Airway, Breathing, Circulation). Once the patient's respiratory status is stable, further assessment and management of limb perfusion, prevention of skin necrosis, and evaluation for compartment syndrome can be carried out. Summary of other choices: A: "A thorough assessment of four limb perfusion" - While limb perfusion assessment is important, ensuring adequate oxygenation and ventilation takes precedence due to its immediate life-saving implications. B: "Maneuvers to prevent necrosis of the skin" - Preventing skin necrosis is important, but addressing respiratory concerns is critical for the patient's overall

Correct Answer: B

Rationale: Person-centered care focuses on respecting and honoring an individual's preferences and choices. Choice B is correct because it emphasizes promoting a resident's personal preferences and individual choices, aligning with the principles of person-centered care. Nursing staff deciding what a resident needs (Choice A) goes against the core concept of individual autonomy. Treating all residents the same way (Choice C) disregards the uniqueness of each individual. Ensuring all residents participate in the same activities (Choice D) does not consider their individual interests and preferences. In summary, the correct answer, Choice B, stands out as it reflects the essence of person-centered care by prioritizing individual needs and choices.

Correct Answer: C

Rationale: The correct answer is C: To encourage people to make decisions about advance directives. The Patient Self-Determination Act (PSDA) requires healthcare facilities to inform patients about their rights to make decisions about their medical care, including the right to create advance directives. This law empowers individuals to communicate their healthcare wishes in advance, ensuring their preferences are respected even if they are unable to make decisions later. Choice A is incorrect because the PSDA is not specifically focused on training nursing assistants. Choice B is incorrect as the PSDA does not pertain to the privacy of protected health information, which is covered under HIPAA. Choice D is incorrect as the PSDA is not related to reporting abuse, which is typically governed by state laws and facility policies.

Correct Answer: B

Rationale: The correct answer is B because the nursing assistant plays a crucial role in care planning by sharing observations that may impact the care plan. This is essential as they are in direct contact with the residents and can provide valuable insights to the care team. Choice A is incorrect because nursing assistants typically do not create care plans, that is the responsibility of licensed healthcare professionals. Choice C is incorrect as nursing assistants do not have the authority to make changes to care plans. Choice D is incorrect as discussing the diagnosis with the resident's friends and family is not within the scope of the nursing assistant's role in care planning.