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

Correct Answer: A

Rationale: The correct answer is A. This choice demonstrates a holistic approach to care by incorporating physical care (giving a bath) with emotional support (asking about the resident's day and listening). This shows a focus on the resident's overall well-being and not just their physical needs. It acknowledges the importance of the resident's feelings and experiences in addition to their physical health. Summary of other choices: B: This choice shows a rushed and impersonal approach to care, focusing solely on completing tasks quickly rather than connecting with the residents. C: While sharing religious views may provide comfort to some residents, it does not necessarily address their holistic needs and may not be welcomed by all residents. D: Spending excessive time chatting may neglect important tasks and responsibilities, indicating a lack of balance in care provision.

Correct Answer: D

Rationale: The correct answer is D: Before helping with feeding. This is because it is crucial for the nursing assistant to correctly identify the resident before assisting with feeding to ensure they are providing care to the right person and meeting their individual needs. Identifying the resident before feeding helps prevent errors, ensures proper care delivery, and promotes resident safety. A: After giving care - Incorrect. Identifying the resident after giving care can lead to potential mistakes and compromises resident safety. B: When collecting meal trays - Incorrect. Identifying the resident should be done before feeding, not when collecting meal trays. C: When shifts change - Incorrect. Identifying the resident should be done before assisting with feeding, not necessarily when shifts change.

Correct Answer: D

Rationale: The correct response to a nosebleed is to apply pressure near the bridge of the nose. This is done by pinching the soft part of the nose below the bridge, which helps to control and stop the bleeding. Applying pressure constricts the blood vessels and helps clot the blood. Lowering the head of the bed (choice A) can cause blood to flow backward and increase the risk of swallowing blood. Asking the person to lie down (choice B) can also lead to swallowing blood and is not recommended. Applying ice directly to the skin (choice C) can constrict blood vessels too much and may slow down the clotting process. Therefore, choice D is the correct and most effective way to address a nosebleed.

Correct Answer: B

Rationale: The correct answer is B: Parasomnias. Parasomnias refer to abnormal behaviors or movements during sleep, such as sleepwalking or night terrors. This term encompasses a wide range of sleep disorders beyond just difficulties falling or staying asleep (insomnias). Somnambulism (C) specifically refers to sleepwalking, which is only one type of parasomnia. Bruxisms (D) are grinding or clenching of teeth during sleep, which is a specific sleep disorder and not a general term for sleep disorders like parasomnias.

Correct Answer: A

Rationale: The correct answer is A because a geriatric chair is designed to help residents who are mostly bedbound avoid the need to stay in bed all day. This helps prevent issues like pressure sores, improves circulation, and allows for social interaction. Choice B is incorrect because transfer aids like transfer boards or mechanical lifts are used for resident transfers. Choice C is incorrect as positioning residents for personal care is typically done using positioning devices or pillows. Choice D is incorrect as placing residents in the prone position involves lying face down, which is not the purpose of a geriatric chair.