Guidelines for caring for a resident with multiple sclerosis include

Correct Answer: C

Rationale: The correct answer is C: Preventing falls. This is because individuals with multiple sclerosis often experience mobility issues and are at a higher risk of falling. By implementing fall prevention strategies, such as removing trip hazards and providing assistive devices, caregivers can help ensure the safety of the resident. Rushing residents through tasks (A) is not recommended as it can increase stress and anxiety, which may exacerbate symptoms of multiple sclerosis. Administering medications (B) is important but not specific to caring for someone with multiple sclerosis. Encouraging the resident to speak faster (D) is not relevant to the care of individuals with multiple sclerosis and may even be detrimental to effective communication.

Correct Answer: C

Rationale: The correct answer is C: To provide stability when a person is unsteady or has some weakness. A cane is used to support individuals who have difficulty with balance or weakness in their legs. It helps distribute weight and provide stability while walking. Choice A is incorrect because while a cane can help with balance, it is not its primary purpose. Choice B is incorrect as it refers to a different assistive device like a walker. Choice D is incorrect because a cane is used for walking assistance, not for getting out of bed.

Correct Answer: A

Rationale: Step 1: Low blood pressure is a common sign of approaching death due to the body's decreased ability to maintain normal blood flow. Step 2: As organs fail, blood pressure drops, leading to decreased perfusion and oxygen delivery. Step 3: This can result in cold, clammy skin, confusion, and decreased consciousness as the body shuts down. Step 4: Sharper vision (B), being warm (C), and having dry skin (D) are not specific signs of approaching death and do not directly relate to the body's physiological changes in the same way low blood pressure does. Summary: Low blood pressure is a significant indicator of approaching death due to its direct impact on organ perfusion and oxygen delivery, unlike the other choices which lack this direct physiological connection.

Correct Answer: D

Rationale: The correct answer is D because the Joint Commission's primary goal is to improve the quality and safety of care in healthcare facilities through accreditation and certification programs. This is evident in their standards and guidelines that focus on patient safety, quality improvement, and performance measurement. A: The Joint Commission is a not-for-profit organization, not a for-profit organization, as it operates as an independent, non-governmental entity. B: The Joint Commission is not a state inspection agency; it is a private accrediting organization that sets standards for healthcare facilities. C: Membership with the Joint Commission is voluntary, not mandatory for skilled nursing facilities. In summary, the Joint Commission's core mission is to enhance healthcare quality and safety, making choice D the correct answer.

Correct Answer: A

Rationale: The correct answer is A because assault is the threat of bodily harm to another person. In this scenario, the nursing assistant is threatening the resident with harm if they disclose information, which constitutes assault. Choice B is incorrect as it describes a resident reporting abuse, which is not an example of assault. Choice C is incorrect as it describes coercion for money, which is more aligned with extortion or theft, not assault. Choice D is incorrect as it describes unprofessional behavior but does not involve a threat of bodily harm, which is necessary for an act to be considered assault.