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 like the liver or spleen. It involves inserting a catheter into the peritoneal cavity to detect the presence of blood or other fluids, indicating internal bleeding. Abdominal x-ray (A) is not specific for solid organ injuries. Abdominal ultrasound (B) is more commonly used for detecting fluid collections or organ abnormalities but may not be as sensitive as DPL for detecting solid organ injuries. Frequent abdominal examination (D) is important for ongoing monitoring but does not provide the same level of specificity as DPL in diagnosing solid organ injuries.

Correct Answer: B

Rationale: The correct answer is B because person-centered care emphasizes promoting a resident's personal preferences and individual choices. This approach focuses on tailoring care to meet the unique needs and preferences of each individual. By prioritizing the resident's autonomy and personal values, person-centered care enhances the quality of life and overall well-being. Choice A is incorrect because person-centered care does not involve nursing staff making unilateral decisions for residents. Choice C is incorrect as person-centered care recognizes the importance of individualized care rather than treating all residents the same way. Choice D is incorrect because person-centered care involves respecting residents' choices and preferences, rather than enforcing uniform activities for everyone.

Correct Answer: C

Rationale: The correct answer is C: To encourage people to make decisions about advance directives. The Patient Self-Determination Act (PSDA) aims to empower individuals to express their healthcare preferences in advance through advance directives such as living wills and healthcare proxies. This helps ensure that patients' wishes regarding medical treatment are known and respected. Choice A is incorrect because the PSDA is not related to in-service training for nursing assistants. Choice B is incorrect as the act primarily focuses on patient autonomy rather than the privacy of health information. Choice D is incorrect because the act does not pertain to detailing how abuse should be reported.

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 important as they are in direct contact with the residents and can provide valuable insights to the healthcare team. Choice A is incorrect as creating the care plan is typically done by licensed healthcare professionals. Choice C is incorrect as making changes to the care plan is also usually done by licensed professionals based on assessments. 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 interactions and connections. Social wellness focuses on building and maintaining positive relationships, which can improve mental health and overall well-being. Playing cards with friends allows for social engagement, communication, and a sense of belonging. Physical wellness (A) pertains to physical health, emotional wellness (C) involves managing emotions, and intellectual wellness (D) focuses on mental stimulation. However, in this scenario, the emphasis is on promoting social interactions, making choice B the most appropriate answer.