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

Correct Answer: D

Rationale: The correct answer is D, Argyll Robertson pupil, because it is a sign of neurosyphilis and not directly related to brain stem reflexes. "Dolls eyes" (A), oculovestibular reflex (B), and gag reflex (C) are all brain stem reflexes commonly assessed in evaluating brain death. "Dolls eyes" assesses the oculocephalic reflex, oculovestibular reflex evaluates the response to ice water irrigation in the ear, and gag reflex assesses the glossopharyngeal and vagus nerves' function.

Correct Answer: B

Rationale: The correct answer is B because Medicare and Medicaid payments to long-term care facilities are determined by the resident's need for services, as assessed upon admission and throughout their stay. This is based on the level of care required by the resident, such as medical needs, assistance with activities of daily living, and specialized care. The payments are not influenced by the resident's background (A), the size of the facility (C), or the financial contributions from the resident's family (D). These factors do not dictate the reimbursement rates set by Medicare and Medicaid, which are primarily focused on the level of care needed by the resident.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, blur professional boundaries, and compromise the nursing assistant's objectivity. Accepting gifts may also be against the facility's policies and ethical guidelines. Incorrect choices: B: Reporting abuse is a professional duty. C: Being punctual is a professional behavior. D: Maintaining a positive attitude and being pleasant are attributes of professionalism.

Correct Answer: A

Rationale: The correct answer is A because using an interpreter ensures effective communication, respecting the resident's language and promoting understanding. Option B is incorrect as it disregards the resident's needs. Option C is incorrect as it excludes the resident and may be perceived as disrespectful. Option D is incorrect as it limits communication and may not provide the necessary information. In summary, using an interpreter is essential for effective communication and respectful care.

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 check on their well-being, address any needs, and ensure proper care. This proactive approach allows for regular monitoring and early intervention if issues arise. A is incorrect as it refers to the assignment of residents to nursing assistants, not the concept of 3 rounds. B is incorrect as it describes a list of tasks to be completed, not the process of making rounds. D is incorrect as it pertains to meetings for care planning, not the routine practice of conducting rounds.