A community health nurse is performing a home visit for a client and is evaluating the home environment for safety. Which of the following findings would indicate to the nurse that the client has a proper understanding of safety in the home?
A single light fixture hangs along the sidewalk to the house.
The batteries in the smoke alarms are changed annually.
A small area rug is placed at the front door.
Electrical cords are secured under furniture.
The Correct Answer is B
Choice A reason: A single light fixture along the sidewalk provides limited illumination, insufficient for comprehensive safety. Multiple, evenly spaced lights are needed to prevent falls, especially for older adults. Inadequate lighting increases risks of trips or assaults, indicating the client’s understanding of outdoor safety is incomplete and does not fully address home safety needs.
Choice B reason: Changing smoke alarm batteries annually ensures functional alarms, reducing fire-related mortality by 50%. Regular maintenance supports early smoke detection, enabling timely evacuation or response. This action reflects a strong understanding of fire safety, a critical home safety component, making it the best indicator of the client’s safety awareness.
Choice C reason: A small area rug at the front door poses a tripping hazard, particularly for those with mobility issues. Loose rugs can lead to falls, causing injuries like fractures. This finding suggests the client does not fully understand fall prevention, a key aspect of home safety, making it an incorrect indicator of safety awareness.
Choice D reason: Securing electrical cords under furniture risks fire hazards if cords are damaged or pinched, potentially causing electrical shorts. Cords should be secured along walls or with covers to prevent tripping without compromising safety. This indicates a misunderstanding of electrical safety, increasing fire or injury risks, and is not a correct safety measure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Experiencing delusions can contribute to agitation, but it is not the strongest predictor of violence. Delusions may lead to unpredictable behavior, but past actions are more reliable indicators, so this factor is less definitive, making it incorrect.
Choice B reason: A history of being in prison indicates past legal issues but not necessarily violent behavior. Incarceration alone is not a direct predictor of future violence, so this factor is less reliable than actual violent history, making it incorrect.
Choice C reason: A history of violent behavior is the best predictor of future violence, as past actions strongly correlate with recurrence, per evidence-based risk assessments. This reliable indicator guides safety planning, making it the correct factor to emphasize in teaching.
Choice D reason: Substance use disorder increases impulsivity and aggression risk, but it is less predictive than a documented history of violence. Substance use is a contributing factor, not the strongest indicator, so this is incorrect compared to past behavior.
Correct Answer is C
Explanation
Choice A reason: Gluten removal is unrelated to latex allergy, which involves immune responses to latex proteins. Gluten pertains to celiac disease, not latex-fruit syndrome. Avoiding gluten does not prevent allergic reactions to latex, making this an incorrect understanding of latex allergy management.
Choice B reason: Peanuts are linked to peanut allergies, not latex. Latex allergy involves IgE-mediated reactions to rubber proteins, not peanut proteins. While allergies may coexist, peanuts lack cross-reactivity with latex, making avoidance irrelevant for managing latex allergy symptoms or risks.
Choice C reason: Avoiding bananas is correct due to latex-fruit syndrome, where latex proteins cross-react with banana proteins like chitinases, causing allergic reactions (e.g., itching, anaphylaxis). This understanding ensures clients avoid trigger foods, reducing risk of allergic responses in latex-sensitive individuals.
Choice D reason: Dairy products are not linked to latex allergy, as they lack cross-reactive proteins. Latex reactions stem from exposure to rubber or related plant proteins, not milk. Avoidance is unnecessary, as dairy does not trigger the immunological responses associated with latex allergy.
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