The most specific test to evaluate for injuries of solid abdominal organs is:

Correct Answer: C

Rationale: The correct answer is C: DPL (Diagnostic Peritoneal Lavage). DPL is the most specific test for evaluating injuries of solid abdominal organs due to its ability to detect even small amounts of intra-abdominal bleeding. It involves inserting a catheter into the peritoneal cavity to obtain fluid for analysis, providing direct evidence of internal bleeding. Abdominal x-ray and ultrasound are not as specific for detecting solid organ injuries. Frequent abdominal examination may help monitor the patient's condition but does not provide definitive diagnostic information like DPL.

Correct Answer: B

Rationale: Person-centered care focuses on respecting and honoring an individual's preferences and choices. Choice B is correct because it emphasizes promoting a resident's personal preferences and individual choices, aligning with the principles of person-centered care. Nursing staff deciding what a resident needs (Choice A) goes against the core concept of individual autonomy. Treating all residents the same way (Choice C) disregards the uniqueness of each individual. Ensuring all residents participate in the same activities (Choice D) does not consider their individual interests and preferences. In summary, the correct answer, Choice B, stands out as it reflects the essence of person-centered care by prioritizing individual needs and choices.

Correct Answer: C

Rationale: The correct answer is C: To encourage people to make decisions about advance directives. The Patient Self-Determination Act (PSDA) requires healthcare facilities to inform patients about their rights to make decisions about their medical care, including the right to create advance directives. This law empowers individuals to communicate their healthcare wishes in advance, ensuring their preferences are respected even if they are unable to make decisions later. Choice A is incorrect because the PSDA is not specifically focused on training nursing assistants. Choice B is incorrect as the PSDA does not pertain to the privacy of protected health information, which is covered under HIPAA. Choice D is incorrect as the PSDA is not related to reporting abuse, which is typically governed by state laws and facility policies.

Correct Answer: B

Rationale: The correct answer is B because the nursing assistant plays a crucial role in care planning by sharing observations that may impact the care plan. This is essential as they are in direct contact with the residents and can provide valuable insights to the care team. Choice A is incorrect because nursing assistants typically do not create care plans, that is the responsibility of licensed healthcare professionals. Choice C is incorrect as nursing assistants do not have the authority to make changes to care plans. Choice D is incorrect as discussing the diagnosis with the resident's friends and family is not within the scope of the nursing assistant's role in care planning.

Correct Answer: B

Rationale: The correct answer is B: Social wellness. By encouraging the resident to play cards with friends, the nursing assistant is promoting social wellness. Social wellness focuses on building and maintaining healthy relationships and connections with others. Playing cards with friends fosters social interaction, communication, and a sense of belonging, which are all essential aspects of social wellness. Physical wellness (A) pertains to the physical health and fitness of an individual. Emotional wellness (C) relates to managing emotions and mental health. Intellectual wellness (D) involves stimulating the mind through learning and problem-solving. However, in this scenario, the main focus is on promoting social connections and relationships, making social wellness the most appropriate choice.