Which of the following would be the best response by a nursing assistant when a resident becomes angry?

Correct Answer: A

Rationale: The correct answer is A because active listening helps the nursing assistant understand the resident's feelings and address the root cause of anger effectively. By listening closely, the NA can empathize, validate the resident's emotions, and provide appropriate support. This approach promotes trust and communication, leading to a more positive interaction. Choice B is incorrect because sharing personal problems can be unprofessional and may not effectively address the resident's anger. Choice C is inappropriate as joking may trivialize the resident's emotions and not address the underlying issue. Choice D is not suitable as it does not acknowledge or address the resident's feelings, and suggesting leaving the facility may not be in the resident's best interest.

Correct Answer: B

Rationale: The correct answer is B because consciousness indicates that the victim's brain is functioning and they are responsive. Breathing is a vital sign of life, and the ability to breathe signifies that oxygen is being supplied to the body. A: If the victim has no pulse, it indicates a lack of circulation, not consciousness. C: An irregular heartbeat does not necessarily indicate consciousness. D: Losing the ability to speak does not necessarily mean the person is unconscious.

Correct Answer: A

Rationale: The correct answer is A because placing the wheelchair on the resident's left side allows for easier transfer of the resident from bed to wheelchair, utilizing the stronger leg for support. Placing the wheelchair on the resident's weaker side (choice B) may cause imbalance and increase risk of falls. Placing it on the resident's right side (choice C) may obstruct the transfer. Placing it on the affected side (choice D) could potentially cause discomfort or injury to the weaker leg.

Correct Answer: D

Rationale: The correct answer is D: Tachycardia. Tachycardia refers to a rapid heartbeat, typically over 100 beats per minute. Bradycardia (A) is the opposite, which is a slow heartbeat. Hypertension (B) is high blood pressure, not related to heart rate. Arrhythmia (C) is a general term for any irregular heartbeat rhythm, not specifically rapid heartbeat. Tachycardia is the most appropriate medical term for a rapid heartbeat due to its specific definition.

Correct Answer: B

Rationale: The correct answer is B because observing skin closely for changes and answering call lights promptly are essential aspects of bowel retraining. By observing the skin, the nursing assistant can detect any signs of skin breakdown due to incontinence and take necessary actions. Answering call lights promptly ensures timely assistance with toileting needs, which is crucial for successful bowel retraining. Choice A is incorrect as offering praise sparingly and restricting fluids after dinner are not relevant to bowel retraining. Choice C is incorrect as using gloves is necessary for hygiene, and offering foods not included in the diet order can disrupt the retraining process. Choice D is incorrect as ignoring episodes of incontinence and pushing independent perineal care can hinder the retraining progress and potentially lead to complications.