Which one of the following brain stem reflexes is not assessed when assessing for brain death?

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 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.

Correct Answer: A

Rationale: The correct answer is A because using an interpreter ensures accurate communication and understanding between the nursing assistant and the resident. This approach respects the resident's language and cultural differences, promoting effective care. Choice B is incorrect as ignoring the resident impedes communication and does not promote learning. Choice C is incorrect as communicating in a different language in front of the resident may make them feel isolated and excluded. Choice D is incorrect as limiting communication to yes/no questions hinders the resident's ability to express their needs and preferences effectively.

Correct Answer: C

Rationale: The correct answer is C because "3 Rounds" refer to a method of reporting where staff members make scheduled visits to each resident's room to assess their needs, monitor their condition, and provide care. This helps ensure that residents receive timely and individualized care. The other choices are incorrect because A refers to the concept of resident assignment, B is about task lists, and D pertains to care plan meetings, which are not specifically related to the term "3 Rounds."