A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

A 68-year-old client with stage 2 thyroid cancer who takes levothyroxine daily

An 82-year-old client with diabetes mellitus who takes metformin daily

A 78-year-old client with decompensated heart failure who is dyspneic on exertion

A 74-year-old client with hypertension taking lisinopril

Answer and Explanation

The Correct Answer is C

A. Although thyroid cancer and medication use can affect health, they are not the most immediate factors influencing fall risk compared to heart failure symptoms.
B. Diabetes mellitus and metformin use are not directly associated with increased fall risk as much as heart failure and its symptoms.
C. Decompensated heart failure and dyspnea on exertion significantly increase fall risk due to decreased physical stability and balance issues.
D. While hypertension and lisinopril can contribute to fall risk, they are less directly impactful than the symptoms of decompensated heart failure.

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Correct Answer is ["A","B","D"]

Explanation

A. Being over 65 years of age can be associated with lower health literacy due to a variety of factors, including less familiarity with digital health information and potential cognitive decline.
B. Working full-time in a factory job may correlate with lower health literacy due to lower levels of formal education and limited access to health education resources.
C. Having a chronic disease does not necessarily indicate low health literacy; in fact, managing a chronic condition may require higher health literacy to effectively engage in self-care.
D. Speaking English as a second language can be a significant risk factor for low health literacy due to language barriers that affect the ability to understand health information and navigate the healthcare system.
E. Taking part-time post-secondary classes typically indicates higher educational attainment and is less likely to be associated with low health literacy.

A. Requiring skilled care needs B. Living alone C. Having a defined plan of care D. Being homebound E. Having available supplemental insurance

Correct Answer is ["A","C","D"]

Explanation

A. Medicare home care services require that the client has skilled care needs, such as nursing or therapy.
B. Living alone is not a Medicare criterion for home care qualification.
C. A defined plan of care is necessary for Medicare home care to ensure that the care provided meets specific needs.
D. Being homebound is a key criterion for qualifying for Medicare home care, meaning the individual is unable to leave the home without significant difficulty.
E. Supplemental insurance is not a criterion for Medicare home care eligibility, though it may cover additional costs.

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A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning health promotion programs for a community-based health center and is concerned about the health literacy of the community. Which of the factors would the nurse identify as being risk factors for low health literacy? (Select all that Apply)

Correct Answer is ["A","B","D"]

Explanation

The nurse is conducting a class on Medicare qualifications for home care. Which of the following criteria would the nurse discuss? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

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