A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

Slippery bathroom surfaces without grab bars

Clutter-free pathways and floors

Adequate lighting in hallways and staircases

Securely fastened area rugs on hardwood floors

Answer and Explanation

The Correct Answer is A

A. Slippery bathroom surfaces without grab bars are a significant risk factor for falls, as they can lead to slips and lack of support while moving.
B. Clutter-free pathways and floors reduce the risk of tripping hazards, which is beneficial for fall prevention.
C. Adequate lighting helps in reducing the risk of falls by making it easier to see potential hazards.
D. Securely fastened area rugs do not pose a risk; rather, they prevent tripping hazards associated with loose rugs.

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Correct Answer is B

Explanation

A. Telehealth does not directly cover the cost of prescriptions, medical equipment, or other health care expenditures; it focuses on providing access to care.
B. Telehealth is beneficial for homebound clients as it facilitates communication with primary care providers, overcoming barriers to accessing in-person care.
C. Telehealth cannot replace all services provided by health care institutions; it complements but does not duplicate every aspect of in-person care.
D. Telehealth is not specifically a supplemental program for gaps in insurance coverage but rather a mode of delivering care that can enhance access.

A. Poor or inadequate lighting B. Cognitive impairment C. Clutter, throw rugs, electrical cord D. High-gloss floors

Correct Answer is B

Explanation

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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A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

Explanation

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