In which type of nursing care does the registered nurse give much of the daily care to the residents?

Correct Answer: C

Rationale: The correct answer is C: Primary nursing. In primary nursing, the registered nurse takes on the responsibility for the majority of daily care for specific residents. This model promotes continuity of care and allows the nurse to develop a deeper understanding of the residents' needs. Facility nursing (A) refers to care provided by nurses within a healthcare facility without specifying a particular nurse's role. Team nursing (B) involves a team of healthcare providers working together to deliver care, without one nurse taking primary responsibility. Functional nursing (D) assigns specific tasks to different nursing personnel rather than focusing on individualized care by a single nurse.

Correct Answer: B

Rationale: The correct answer is B: Chest pain. Chest pain could be a sign of a serious medical condition like a heart attack, which requires immediate attention. Reporting chest pain to the nurse promptly can lead to timely intervention and potentially save a resident's life. Choices A, C, and D are incorrect as they do not pose immediate life-threatening risks and can be addressed at a later time. Family visiting, watching too much TV, and acting lonely are important aspects of resident care but do not require urgent reporting compared to a potentially critical symptom like chest pain.

Correct Answer: A

Rationale: The correct answer is A: Give the resident time to speak. This is important because individuals with functional barriers may need more time to communicate effectively. By allowing the resident time to speak, the nursing assistant shows respect and promotes effective communication. Removing oxygen (B) or inserting a tracheostomy tube (C) before the resident speaks may hinder communication and potentially harm the resident. Insisting that the resident speak (D) disregards their needs and can lead to frustration and ineffective communication.

Correct Answer: C

Rationale: The correct answer is C: Wash her hands. By washing her hands, the nursing assistant effectively removes any potential pathogens that may be on her hands after handling dirty equipment in the utility room. This step is crucial in preventing the spread of infections to other areas of the facility. Changing gloves (A) may not be sufficient if hands are not washed. Disinfecting equipment (B) is important but does not address potential contamination on hands. Closing the door securely (D) does not directly address the issue of transferring pathogens via hands.

Correct Answer: B

Rationale: Correct Answer: B (Through proper handwashing) Rationale: 1. MRSA is primarily transmitted through direct contact with infected individuals or contaminated surfaces. 2. Proper handwashing is crucial to prevent the spread of MRSA by removing the bacteria from hands. 3. Handwashing is a cost-effective and evidence-based method for infection control. 4. Placing residents in AIIRs is not necessary for MRSA as it is not transmitted through the air. 5. Surgical masks are not effective in preventing MRSA spread through contact. 6. Vancomycin is an antibiotic used to treat MRSA infections, not to prevent its spread.