Residents with congestive heart failure may

Correct Answer: D

Rationale: The correct answer is D because range of motion exercises can help improve muscle tone in individuals with congestive heart failure, aiding in overall physical functioning and quality of life. It is important for patients with heart failure to maintain muscle strength to support the heart and enhance exercise tolerance. A: Being on a high-sodium diet is not recommended for individuals with congestive heart failure as it can lead to fluid retention and worsen symptoms. B: Medications that cause a decrease in urinary output can exacerbate fluid retention, which is detrimental for individuals with congestive heart failure. C: Having a force fluids medical order is not typically necessary for individuals with congestive heart failure unless there are specific indications, as excessive fluid intake can worsen symptoms and lead to fluid overload.

Correct Answer: A

Rationale: The correct answer is A because scheduling bathing when the resident is least agitated helps reduce stress and resistance. This approach promotes a more positive bathing experience and ensures safety. Choice B is incorrect as rushing can lead to accidents and increased agitation. Choice C is incorrect as forcing the resident to bathe can lead to further resistance and distress.

Correct Answer: D

Rationale: The correct answer is D because HIV can be transmitted through contaminated needles, as the virus can enter the bloodstream through needle punctures. Healthcare workers are at risk due to needlestick injuries. A is incorrect because HIV is not transmitted through casual contact like touching objects. B is incorrect because HIV is not spread through toilet use. C is incorrect because HIV is not transmitted through hugging, even if the person has a fever.

Correct Answer: D

Rationale: The correct answer is D: Using communication boards. This method is appropriate as it allows the resident to visually communicate by pointing to or indicating words or symbols on the board. It ensures clear and accurate communication, especially for individuals with artificial airways who may have difficulty speaking. A: Playing charades may not be effective for residents with artificial airways as it relies on physical gestures and may not always be clear or understood. B: Shouting at the resident is not appropriate and can be distressing for them. It does not consider the resident's comfort or dignity. C: Asking the resident's family what they think he wants may not always be reliable and may not accurately reflect the resident's own preferences and needs.

Correct Answer: C

Rationale: The correct answer is C because it promotes empathy and understanding in resolving conflicts. By considering possible reasons for the other person's behavior, the nursing assistant can approach the situation with a level head and seek a constructive resolution. Going to management (A) may escalate the conflict unnecessarily. Asking a resident for advice (B) is inappropriate as it puts the resident in a difficult position. Deciding not to speak to the nursing assistant (D) is passive-aggressive and does not address the issue directly.