Which of the following examples demonstrates a holistic approach to care?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates a holistic approach by considering the physical (giving a bath), emotional (asking about her day), and social (listening carefully) aspects of care. This approach shows a focus on the whole person, not just the task. Choice B is incorrect as rushing through meals without communication neglects the emotional and social needs of the residents. Choice C is incorrect as sharing religious views may not align with the residents' beliefs and could infringe on their autonomy. Choice D is incorrect as spending excessive time chatting may compromise completing necessary tasks, which is not ideal for effective care provision.

Correct Answer: D

Rationale: The correct answer is D: Before helping with feeding. This is because it is crucial for a nursing assistant to properly identify a resident before assisting with feeding to ensure they are providing care to the correct individual and addressing any specific dietary needs or restrictions. Identifying the resident before feeding helps prevent errors and promotes patient safety. A: After giving care - This is incorrect because identification should be done before providing care to ensure the correct resident is receiving the care. B: When collecting meal trays - This is incorrect as identification should occur before feeding, not during the meal collection process. C: When shifts change - This is incorrect as identification should be consistent and not dependent on shift changes.

Correct Answer: D

Rationale: The correct response to a nosebleed is to apply pressure near the bridge of the nose. This helps to stop the bleeding by compressing the blood vessels and promoting clotting. Lowering the head of the bed (Choice A) can lead to swallowing blood and potentially cause nausea. Asking the person to lie down (Choice B) can increase blood flow to the head, worsening the bleeding. Applying ice directly to the skin (Choice C) can constrict blood vessels, but it is not recommended for nosebleeds as it may cause tissue damage. Thus, applying pressure near the bridge of the nose (Choice D) is the most effective and safe method to stop a nosebleed.

Correct Answer: B

Rationale: The correct answer is B: Parasomnias. Parasomnias refer to abnormal behaviors or physiological events that occur during sleep, such as sleepwalking or night terrors. Insomnias (choice A) are characterized by difficulty falling asleep or staying asleep. Somnambulism (choice C) is another term for sleepwalking specifically. Bruxisms (choice D) refer to teeth grinding during sleep. Therefore, the correct term for sleep disorders that encompass various abnormal behaviors during sleep is Parasomnias.

Correct Answer: A

Rationale: The correct answer is A because a geriatric chair helps residents who are mostly bedbound to avoid staying in bed all day, promoting mobility and preventing pressure sores. Choice B is incorrect because transfer assistance is typically provided by a different type of equipment such as a transfer belt. Choice C is incorrect as positioning for personal care can be done using other aids like bedrails or adjustable beds. Choice D is incorrect as a geriatric chair does not place residents in the prone position; it helps them sit comfortably and safely.