Healthy young male in a motor vehicle crash has a BP of 84/60 and pulse 123. After fluid resuscitation, the next step is:

Correct Answer: A

Rationale: The correct answer is A: "Placement of a pelvic binder." In a trauma scenario with hypotension and tachycardia, the priority is to stabilize any potential sources of hemorrhage. Pelvic fractures can lead to significant blood loss, causing hypotension. Placing a pelvic binder helps stabilize the pelvis, reducing the risk of further bleeding and improving hemodynamic stability. This intervention should be done early in the management of trauma patients to prevent worsening shock. Transferring to a trauma center (B) can be considered after initial stabilization. Pelvic x-ray (C) may be needed for definitive diagnosis but is not the immediate priority. Inserting a urinary catheter (D) is not the priority in this scenario and can be delayed until after stabilizing the patient's hemodynamic status.

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.

Correct Answer: B

Rationale: The correct answer is B because a sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury. This type of event requires immediate investigation and response to prevent recurrence. Choice A is incorrect because not all incidents requiring an incident report are considered sentinel events. Choice C is incorrect as sentinel events are not normal occurrences. Choice D is incorrect as a complaint is not necessarily a sentinel event unless it involves death or serious injury.