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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. CAGE is a well-validated screening tool for alcohol use disorders, assessing issues related to drinking and its impact on a person’s life.
B. FAST is not as commonly used as CAGE for alcohol addiction screening.
C. STAT is not a recognized tool for alcohol screening.
D. PACE is not specifically known for alcohol addiction screening; it is more related to adolescent substance use assessments.
Correct Answer is B
Explanation
A. Observing the client's communication with family might provide some insight but does not directly address the cultural influences on the client’s behavior.
B. Understanding the cultural background is crucial as cultural norms and traditions can significantly influence communication behaviors, such as eye contact and engagement.
C. Asking the client directly might be appropriate but does not take into account potential cultural factors that could influence their communication.
D. Misdiagnosing shyness as a communication issue could be a concern, but recognizing cultural influences helps to ensure that the diagnosis is culturally appropriate.
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