Residents with congestive heart failure may

Correct Answer: D

Rationale: The correct answer is D because range of motion exercises help improve muscle tone, strength, and flexibility in patients with congestive heart failure. This can help prevent muscle wasting and improve overall physical function. Choice A is incorrect as high-sodium diet can worsen fluid retention and exacerbate heart failure symptoms. Choice B is incorrect as medications causing a decrease in urinary output can lead to fluid retention and worsen heart failure. Choice C is incorrect as forcing fluids can increase fluid overload in patients with heart failure, putting extra strain on the heart.

Correct Answer: A

Rationale: Step-by-step rationale for choice A: 1. Scheduling bathing when the resident is least agitated promotes cooperation. 2. It reduces stress and resistance, making the bathing experience more pleasant. 3. It respects the resident's feelings and autonomy. 4. It ensures safety and quality care. Summary of incorrect choices: B: Rushing the resident through the bath can lead to agitation and resistance. C: Forcing the resident to bathe violates their autonomy and can cause distress.

Correct Answer: D

Rationale: The correct answer is D because HIV can be transmitted through direct contact with contaminated blood, such as through needlestick injuries. Healthcare workers are at risk due to their exposure to blood and bodily fluids. Choices A, B, and C are incorrect because HIV is not transmitted through casual contact like touching objects, sharing toilets, or hugging. HIV is primarily transmitted through blood, semen, vaginal fluids, and breast milk.

Correct Answer: D

Rationale: The correct answer is D: Using communication boards. This method allows the resident to express themselves visually when they cannot speak due to an artificial airway. Communication boards provide a range of options for the resident to point to communicate their needs effectively. Playing charades (A) may be challenging for the resident to participate in, shouting (B) can be distressing and ineffective, and asking the resident's family (C) may not always accurately represent the resident's wishes. Communication boards offer a structured and reliable means of communication in this scenario.

Correct Answer: C

Rationale: The correct answer is C. When faced with a conflict, it's important to first understand the underlying reasons for the behavior. This helps in addressing the root cause and finding a constructive solution. Going to management (A) may escalate the issue unnecessarily. Asking a resident for advice (B) is unprofessional and may not lead to a resolution. Deciding not to speak to the other nursing assistant (D) is passive and can worsen the conflict. Thinking about possible reasons (C) promotes empathy, communication, and problem-solving.