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: Touch the resident on the arm before identifying herself to let her know the NA is there. This approach is effective because it helps the visually impaired resident to be aware of the nursing assistant's presence before verbal communication. By gently touching the resident's arm, the nursing assistant establishes physical contact and ensures the resident is prepared for interaction. This gesture shows respect for the resident's personal space and helps build trust and rapport. A: Waiting until the resident speaks is not proactive and may lead to confusion or frustration for the visually impaired resident. C: Speaking as little as possible is not helpful as communication is essential for providing care and addressing the resident's needs. D: Using the face of an imaginary clock may be confusing and unnecessary for the resident, as simple and direct communication through touch and verbal cues is more effective.

Correct Answer: C

Rationale: The correct answer is C: Wash her hands. Hand hygiene is the most effective way to prevent the spread of infection in healthcare settings. It helps remove and kill germs that can cause diseases. Gloves and PPE are important, but proper handwashing is crucial. Getting vaccinated is important for personal protection, not necessarily for preventing the spread of disease. Using lotions to reduce the risk of broken skin is not directly related to preventing the spread of disease.

Correct Answer: C

Rationale: The correct answer is C: Giving frequent help with elimination. This is an example of a restraint alternative as it promotes independence while ensuring the resident's safety. Providing assistance with elimination helps prevent falls and accidents without restricting the resident's movement. A: Tying the resident to the bed is incorrect as it is a form of physical restraint that limits the resident's freedom of movement. B: Removing the resident's call light is incorrect as it can jeopardize the resident's ability to seek help when needed. D: Locking the resident's door from the outside is incorrect as it restricts the resident's freedom and can be dangerous in case of an emergency.

Correct Answer: D

Rationale: The correct answer is D: Facial droop. Facial droop is a common sign of a stroke, indicating weakness or paralysis on one side of the face. This occurs due to damage in the brain affecting facial muscles. It is a classic symptom of a stroke and requires immediate medical attention for prompt treatment. Incorrect choices: A: Abdominal pain is not a typical sign of a stroke. Strokes usually present with neurological symptoms. B: Gasping for air is not a common symptom of a stroke. It may indicate a respiratory issue. C: Low blood pressure is not a specific sign of a stroke. Strokes can lead to fluctuations in blood pressure, but it is not a defining symptom.

Correct Answer: A

Rationale: The correct answer is A because leaving the unit tidy ensures a safe and comfortable environment for the resident. Moving the resident's belongings without permission violates their privacy and autonomy. Leaving spills for the next shift is a safety hazard. Locking the resident's door may restrict their freedom and access to help in case of an emergency. In summary, choice A promotes resident safety and privacy, while the other choices may compromise these principles.