Regarding shock in the child, which of the following is FALSE?

Correct Answer: D

Rationale: The correct answer is D because the statement is false. Children have a smaller blood volume than adults, so the absolute volume of blood loss required to produce shock in children is lower than in adults. A: Vital signs are age-related as children have different normal ranges compared to adults. B: Children actually have lesser physiologic reserves than adults. C: Tachycardia is a common response to hypovolemia, not hypervolemia.

Correct Answer: D

Rationale: The correct answer is D. X-ray of the chest and pelvis are important adjuncts in his assessment. This patient's mechanism of injury is indicative of high energy trauma. X-ray of the chest can help identify potential thoracic injuries such as rib fractures or pneumothorax. Pelvic x-ray is crucial to assess for pelvic fractures, which can lead to significant blood loss and hypotension. This patient's hypotension is more likely due to hemorrhagic shock from his open tibial fractures rather than spinal cord injury. Pelvic injury cannot be ruled out solely based on the mechanism of injury as pelvic fractures are common in falls from height. Blood loss from the lower limb alone is not the most likely cause of hypotension in this case.

Correct Answer: B

Rationale: The correct answer is B: Assisted living facilities. These facilities are designed for individuals who require minimal assistance with daily activities and typically provide a more independent living environment. Residents in assisted living facilities are generally more self-sufficient compared to those in acute care facilities, subacute care facilities, or hospice facilities. Acute care facilities are for patients requiring intensive medical care, subacute care facilities provide short-term specialized care, and hospice facilities offer end-of-life care. Therefore, the correct choice is B as residents in assisted living facilities are more independent and do not need skilled care compared to the other options.

Correct Answer: A

Rationale: The correct answer is A because it emphasizes the importance of referring to the procedure manual to review the steps. This ensures accuracy and patient safety. Choice B is incorrect as it risks making mistakes. Choice C is unreliable and may not provide accurate information. Choice D is inappropriate as residents are not responsible for providing procedural guidance. Overall, consulting the procedure manual is the most reliable and professional approach.

Correct Answer: C

Rationale: The correct answer is C: Smiling at a new resident. Non-verbal communication involves expressing messages without words. A smile can convey warmth, friendliness, and reassurance, which are essential in a caregiving role. It helps build rapport and comfort for the resident. Writing a note (A) and giving an oral report (B) involve verbal communication. Speaking in an encouraging tone (D) involves verbal communication as well, even though tone is a non-verbal aspect, the act of speaking makes it verbal.