When evaluating the home for fall risks, which of the following would be classified as intrinsic?

Poor or inadequate lighting

Cognitive impairment

Clutter, throw rugs, electrical cord

High-gloss floors

Answer and Explanation

The Correct Answer is B

A. Poor or inadequate lighting is considered an extrinsic risk factor, as it pertains to environmental conditions that contribute to falls.
B. Cognitive impairment is an intrinsic risk factor, as it relates to the individual’s personal health conditions or capabilities that increase their risk of falling.
C. Clutter, throw rugs, and electrical cords are extrinsic risk factors because they involve environmental hazards in the home setting.
D. High-gloss floors are an extrinsic risk factor, as they pertain to the physical characteristics of the home environment that can contribute to falls.

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Correct Answer is B

Explanation

A. Macrocultural influences refer to broad cultural and societal contexts, such as policies and cultural norms, rather than individual characteristics.
B. Microsystem influences include immediate environments and relationships affecting an individual, such as marital status, education level, and personal attitudes.
C. Exosystem influences involve broader social systems that indirectly affect the individual, like community resources or workplace policies.
D. Ontogenetic influences focus on personal development and biological factors rather than societal characteristics like education and beliefs.

A. Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus B. Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic C. Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive D. Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg

Correct Answer is D

Explanation

A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.

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When evaluating the home for fall risks, which of the following would be classified as intrinsic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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