A public health nurse is conducting a home safety assessment for a family living in a community with a high incidence of falls among elderly residents. During the visit, the nurse observes that the home has cluttered walkways, poor lighting in the hallways, and loose rugs in several rooms. The family includes an elderly grandmother who uses a walker and is at increased risk for falls. Which of the following actions should the nurse recommend first to improve home safety for the elderly grandmother?

Provide the elderly grandmother with a personal emergency response system for immediate assistance.

Install grab bars in the bathroom and handrails along all stairways.

Remove clutter from walkways and secure loose rugs to prevent tripping hazards.

Suggest that the family modify the grandmother's exercise routine to include balance and strength training.

Answer and Explanation

The Correct Answer is C

A. Providing a personal emergency response system is important but does not address the immediate physical hazards in the home that are likely to cause falls.

B. Installing grab bars and handrails is a good safety measure, but addressing immediate tripping hazards should take precedence to prevent falls.

C. Removing clutter and securing loose rugs is a direct intervention that addresses the immediate risk factors for falls in the home environment. This should be the first step in improving safety.

D. Modifying the exercise routine can be beneficial for long-term fall prevention but does not address the immediate physical hazards present in the home.

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Correct Answer is C

Explanation

A. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.

B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.

C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.

D. Providing general information may not be as effective as directly addressing the issue with the client.

A. Assuming that the client will follow the standard care plan without modification based on their cultural beliefs. B. Requesting that the client conform to the nurse's personal beliefs and practices during their care. C. Avoiding discussion of cultural practices to prevent making the client uncomfortable. D. Inquiring about the client's cultural beliefs and preferences and incorporating them into the care plan.

Correct Answer is D

Explanation

A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.

B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.

C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.

D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is most likely to help a client in the Emergency Department with extensive soft tissue injuries disclose an incident of domestic violence?

Correct Answer is C

Explanation

A nurse is providing care to a client from a cultural background different from their own. Which of the following actions demonstrates culturally competent care?

Correct Answer is D

Explanation

A young woman has just learned of the accidental death of her husband. She begins to cry and states, "It's not fair! How could he do this to me?" This remark is assessed as which of the following?

Based on the research data, which of these children being followed by a pediatric nurse has the highest risk of experiencing fatal abuse?

A client tells the community nurse that her partner has been abusive, but she doesn't want to leave. The client asks the nurse for assistance. Which nursing interventions are appropriate in this situation? Select all that apply

A lifeguard at a community pool is responsible for regulating the chlorine level in the water provided by chlorine gas. To which type of hazard is this individual exposed?

Consultation involves seeking expert advice and is not primarily focused on influencing broad population behaviors or beliefs.