A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

Place the bedside table 2 feet away from the bed.

Move the client's bed to the main floor of the house.

Keep lighting in the home dim.

Place area rugs on slick floor surfaces.

Answer and Explanation

The Correct Answer is B

A.   Incorrect. The bedside table should be within easy reach of the bed to prevent the client from attempting to reach for items and potentially falling.
B.   Correct. Moving the client's bed to the main floor of the house reduces the need for using stairs, which can be a fall risk for clients at risk for falls.
C.   Incorrect. Keeping the lighting dim increases the risk of falls. Adequate lighting is important to prevent falls.
D.   Incorrect. Area rugs on slick floor surfaces can be hazardous and increase the risk of falls.
They should be removed or secured properly.

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Correct Answer is D

Explanation

A.This belief is more common in preschool-age children who may not fully understand the permanence of death. School-age children generally have a better grasp of the concept of death being final.

B.Regression can occur in children of any age dealing with significant stress or trauma, but it is more typically seen in younger children. Older children might exhibit other forms of stress responses.

C.While alienation can happen, it is not the most typical response for a school-age child. They are more likely to seek support from peers or blame themselves through magical thinking, as they are still developing their understanding of complex emotional and social dynamics.

D.This choice reflects the magical thinking common in school-age children, where they might believe that their actions or thoughts can influence events. This can lead to feelings of guilt and responsibility for their sibling's illness or death.

A. Insomnia B. Diarrhea C. Weight loss D. Diaphoresis

Correct Answer is A

Explanation

A. Correct. Insomnia, or difficulty falling asleep or staying asleep, is a common manifestation of nicotine withdrawal.
B. Diarrhea is not a typical manifestation of nicotine withdrawal.
C. Weight gain, not weight loss, is more commonly associated with nicotine withdrawal.
D. Diaphoresis (excessive sweating. can be associated with nicotine withdrawal, but insomnia is a more direct withdrawal symptom.

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A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

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