Which of the following statements regarding patients with thoracic spine injuries is TRUE?

Correct Answer: A

Rationale: The correct answer is A: Log-rolling may be destabilizing to fractures from T12 to L1. This is true because log-rolling involves rotating a patient to prevent movement of the spine, but in thoracic spine injuries from T12 to L1, this maneuver can cause further damage and destabilize the fractures. Choice B is incorrect because a scoop stretcher does not provide sufficient immobilization for thoracic spine injuries. Choice C is incorrect as spinal cord injury below T10 can still affect bowel and bladder function due to the autonomic nervous system involvement. Choice D is incorrect because hyperflexion fractures in the upper thoracic spine are typically stable, not inherently unstable.

Correct Answer: D

Rationale: The correct answer, D: Argyll Robertson pupil, is not assessed when assessing for brain death because this reflex is associated with neurosyphilis and not with brainstem function. When assessing for brain death, the absence of pupillary reflexes is a key indicator, but the Argyll Robertson pupil is a specific type of pupillary abnormality that is not typically observed in brain death. A: "Dolls eyes" and B: Oculovestibular reflex are assessed in brain death determination by testing for eye movement in response to head movement and cold water caloric stimulation, respectively. C: Gag reflex is also assessed, as it is a cranial nerve reflex involving the glossopharyngeal and vagus nerves.

Correct Answer: B

Rationale: The correct answer is B: Reassess the position of the endotracheal tube. This is the next step because the patient has decreased breath sounds on the left side, indicating a potential issue with the endotracheal tube placement. Reassessing the position ensures proper oxygenation and ventilation. Immediate needle cricothyroidotomy (A) is not indicated as the patient is already intubated. Chest tube insertion (C) is not the immediate priority as the decreased breath sounds are likely due to endotracheal tube misplacement. Immediate needle thoracentesis (D) is not the correct step as there is no indication of a tension pneumothorax based on the patient's vital signs.

Correct Answer: B

Rationale: The correct answer is B because Medicare and Medicaid reimburse long-term care facilities based on the resident's need for services upon admission and throughout their stay. This is determined through assessments of the resident's health condition, functional status, and care requirements. The reimbursement is directly tied to the level of care provided to ensure that residents receive appropriate services. Choice A (The resident's background) is incorrect because reimbursement is not based on the resident's personal history but on their current health and care needs. Choice C (The size of the facility) is incorrect as reimbursement is not determined by the facility's size but by the individual resident's care requirements. Choice D (The financial contributions from the resident's family) is incorrect as Medicare and Medicaid payments are not influenced by the resident's family contributions but are solely based on the resident's care needs.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, compromise professionalism, and potentially lead to ethical concerns. Accepting gifts from residents may blur boundaries and impact the nursing assistant's objectivity and impartiality in providing care. B: Reporting abuse is a professional responsibility. C: Being punctual is a professional behavior. D: Maintaining a positive, pleasant, and tactful demeanor is also a professional behavior.