One way for a nursing assistant to communicate effectively with a resident who has a visual impairment is to

Correct Answer: B

Rationale: The correct answer is B. By touching the resident on the arm before identifying herself, the nursing assistant can provide a physical cue to alert the resident of her presence. This gesture is important for someone with visual impairment as it helps establish trust and a connection before communication begins. It also respects the resident's personal space and avoids startling them. Choice A is incorrect because waiting for the resident to speak may lead to confusion and frustration, especially if the resident is not aware of the assistant's presence. Choice C is incorrect as it does not promote effective communication and may make the resident feel neglected or isolated. Choice D is incorrect as using an imaginary clock face to explain the position of objects may be confusing and not as effective in establishing immediate communication and connection with the resident.

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Handwashing is the most effective way to prevent the spread of disease. 2. Proper hand hygiene reduces the transmission of pathogens. 3. Nursing assistants have frequent contact with patients, making handwashing crucial. 4. Gloves and PPE are important but handwashing is more effective. 5. Vaccinations protect individuals but do not prevent the spread of disease. 6. Using lotions is important for skin health but does not prevent disease transmission.

Correct Answer: C

Rationale: The correct answer is C, "Giving frequent help with elimination." This is a restraint alternative because it focuses on meeting the resident's needs and ensuring their comfort without restricting their freedom of movement. By providing assistance with elimination, caregivers can address the resident's needs in a non-restrictive manner, promoting dignity and independence. A: Tying the resident to the bed is a form of physical restraint, which is not an alternative to restraint. B: Removing the resident's call light can jeopardize the resident's safety and ability to seek help. D: Locking the resident's door from the outside is a form of environmental restraint, which is not an appropriate alternative.

Correct Answer: D

Rationale: The correct answer is D: Facial droop. Facial droop is a common sign of stroke due to the weakness or paralysis of facial muscles. This occurs because of disruption in blood flow to the brain, affecting nerve function. It is essential to recognize facial droop promptly as it can indicate a stroke, prompting immediate medical attention. The other choices, abdominal pain, gasping for air, and low blood pressure, are not typical signs of a stroke and do not directly relate to the neurological symptoms associated with a stroke.

Correct Answer: A

Rationale: The correct answer is A: Leave the unit tidy. It is important for a nursing assistant to maintain a clean and organized environment for the resident's safety and well-being. Leaving the unit tidy ensures that the resident can move around safely and comfortably. Moving the resident's belongings (B) without permission can be seen as invasive and disrespectful. Leaving spills for the next shift (C) can pose a hazard to the resident and others. Locking the resident's door (D) can impede emergency access and violate the resident's privacy. Therefore, the best practice is to leave the unit tidy to promote a safe and respectful environment.