A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?
Loud volume of the television set
Wall-to-wall carpet in the living room
Low chairs without armrests
Use of indirect lighting
The Correct Answer is C
A. Loud volume of the television set. While a loud television may indicate hearing impairment, it does not pose an immediate safety risk. The nurse should assess the client’s hearing and provide recommendations if needed, but addressing environmental hazards that increase the risk of falls takes priority.
B. Wall-to-wall carpet in the living room. Unlike loose rugs, wall-to-wall carpeting reduces the risk of tripping and slipping. It provides better traction for walking, making it a safer flooring option for older adults compared to hard surfaces or throw rugs.
C. Low chairs without armrests. Low chairs make it difficult for older adults to stand up, increasing the risk of falls. The absence of armrests further reduces stability and support when rising from a seated position. Recommending higher chairs with armrests can enhance mobility and prevent injuries.
D. Use of indirect lighting. Soft, indirect lighting can help reduce glare and improve comfort, but it may not necessarily create safety concerns. However, inadequate lighting in critical areas, such as hallways or staircases, should be assessed to prevent falls.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Log out of the computer terminal before leaving: Logging out of the computer terminal is a crucial step in maintaining client confidentiality. It prevents unauthorized individuals from accessing sensitive client information when the nurse is away from the terminal.
B. Share passwords for computer access with colleagues: Sharing passwords compromises the security of client information and violates confidentiality protocols. Each nurse should use their unique login credentials to ensure accountability and protect client data.
C. Change computer access passwords on a regular basis: Regularly changing passwords enhances security and helps protect client confidentiality. This practice reduces the risk of unauthorized access to electronic medical records.
D. Avoid accessing information about clients admitted to other units: Avoiding access to information about clients in other units is an essential practice for maintaining confidentiality. Nurses should only access information relevant to their assigned clients to ensure compliance with privacy regulations.
E. Shred computer-generated client worksheets after use: Shredding printed materials containing client information is vital for protecting confidentiality. Proper disposal of sensitive documents prevents unauthorized access to client data and ensures compliance with privacy policies.
Correct Answer is ["A","B","E"]
Explanation
A. Anesthesiologists: Anesthesiologists have full prescriptive authority as licensed physicians, allowing them to provide telephone medication orders. Their prescribing rights apply in various healthcare settings, following institutional policies and legal guidelines.
B. Physician assistants: Physician assistants have prescriptive authority under physician supervision and can give telephone medication orders where permitted. Their prescribing ability depends on state regulations and facility policies but generally includes routine and emergency prescriptions.
C. Facility pharmacists: Facility pharmacists dispense medications and provide guidance on drug therapy but do not have the legal authority to prescribe. While they collaborate with providers, they cannot issue telephone medication prescriptions.
D. Mental health technicians: Mental health technicians assist with patient care in psychiatric settings but lack the training and licensure required to prescribe medications. Their responsibilities focus on supportive tasks, and they cannot give telephone medication prescriptions.
E. Nurse practitioners: Nurse practitioners have independent or collaborative prescriptive authority depending on state regulations. They can provide telephone medication orders within their scope of practice, ensuring timely medication management for patients.
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