Mental or physical exhaustion due to prolonged stress and frustration is called

Correct Answer: D

Rationale: The correct answer is D: Burnout. Burnout is the result of prolonged stress and frustration, leading to mental and physical exhaustion. It specifically occurs in response to chronic work-related stress. Agitation (A) refers to a state of anxiety or nervousness. Social anxiety disorder (B) is a mental health condition characterized by intense fear of social situations. Sundowning (C) is a phenomenon associated with confusion and agitation in the late afternoon or evening, commonly seen in individuals with dementia. Therefore, only burnout accurately describes the condition of mental or physical exhaustion due to prolonged stress and frustration.

Correct Answer: A

Rationale: The correct answer is A because it involves providing physical guidance to assist the resident in performing a task independently. By placing her hand around the resident's hand to help with bringing the spoonful of food to her mouth, the NA is offering direct physical support without taking over the task completely. This method promotes the resident's independence by allowing her to actively participate in the action with assistance. Option B simply instructs the resident to take a sip of water, which does not involve physical cueing. Option C involves verbal instruction, which is not a physical cue. Option D lists steps for the resident to complete, which may be helpful but does not involve physical guidance.

Correct Answer: A

Rationale: The correct answer is A because the dying person's right to be free from pain is a fundamental aspect of palliative care. Providing pain medication when needed is essential to ensure comfort and dignity at the end of life. Choice B is incorrect as ignoring a request for pain pills goes against the person's right to pain relief. Choice C is incorrect as advising against pain medication disregards the person's autonomy and right to comfort. Choice D is incorrect as telling the person they are asking for pain medication too often is dismissive of their legitimate need for pain relief.

Correct Answer: C

Rationale: The correct answer is C: Ascertain that the surgical site has been correctly marked. This is important to ensure that the surgery is performed on the correct site, preventing errors. Placing the patient in a clean gown (A) is important for infection prevention, but not as crucial as verifying the surgical site. Asking the patient to remove hairpins and cosmetics (B) is important for safety during surgery, but not as critical as ensuring the correct site. Determining the family's location (D) is not as important for the patient's preparation as confirming the surgical site.

Correct Answer: D

Rationale: The correct answer is D because the patient presenting with polymorphic ventricular tachycardia is at high risk of progressing into ventricular fibrillation, a life-threatening rhythm requiring immediate unsynchronized shock. In contrast, choices A, B, and C involve stable rhythms or atrial arrhythmias that do not require immediate unsynchronized shock. Choice A describes monomorphic ventricular tachycardia, which can be managed with synchronized cardioversion. Choice B and C describe unstable atrial fibrillation and flutter, respectively, which can be treated with medications or synchronized cardioversion. Therefore, the patient with polymorphic ventricular tachycardia is the only one among the options who requires an unsynchronized shock due to the high risk of deterioration into a more dangerous rhythm.