A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?
compensation for slowed response to changes in balance
use of an assistive device
use of paths with support devices in case of imbalance
coordination of walking activities when family is present
The Correct Answer is B
A. Compensation for slowed response to changes in balance:
This option refers to techniques or strategies that individuals can use to compensate for changes in balance, such as adopting a wider base of support, taking smaller steps, or using handrails for support. While compensation strategies can be helpful in managing balance issues, they may not be sufficient to prevent falls, especially in individuals at increased risk due to factors like wearing an orthotic boot.
B. Use of an assistive device:
This option involves the use of devices such as canes, walkers, or crutches to provide additional support and stability during ambulation. When someone is at an increased risk for falls, especially after being prescribed an orthotic boot, using an assistive device can significantly reduce the risk of falls by providing extra support and helping to maintain balance. Teaching the client about the proper use of an assistive device is an essential aspect of fall prevention education.
C. Use of paths with support devices in case of imbalance:
This option suggests using paths or routes that have support devices, such as handrails or grab bars, available in case the individual experiences imbalance while walking. While having support devices along walking paths can be helpful, it may not always be feasible or practical. Additionally, relying solely on external support devices may not address the underlying issues contributing to the risk of falls, such as impaired balance or mobility.
D. Coordination of walking activities when family is present:
This option involves coordinating walking activities with the presence of family members. While having family members present during walking activities can provide emotional support and assistance if needed, it may not directly address the client's risk of falls or provide strategies for fall prevention. While family support is valuable, it should complement other fall prevention measures rather than serve as the primary strategy for managing fall risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ensure that medical treatments comply with cultural expectations:
- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.
B. Increase compliance among minority clients:
- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.
C. Provide individualized and culturally sensitive care:
- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.
D. Ensure that clients get the respect customary in their own ethnic group:
- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.
Correct Answer is B
Explanation
A. Wrongful acts against another party:
This situation typically falls under civil law, specifically tort law. Wrongful acts against another party, such as negligence or malpractice by a nurse, result in civil lawsuits where the injured party seeks compensation for damages. It involves private disputes between individuals rather than matters of public law.
B. Licensing of a home health agency:
This situation pertains to public law. Licensing of home health agencies involves governmental regulations and oversight to ensure that these agencies meet specific standards of care and safety. It is a matter of public concern because it involves the protection of the public's health and welfare by regulating healthcare services provided to individuals in their homes.
C. Invasion of a client's privacy:
Invasion of privacy typically falls under civil law, particularly tort law related to privacy violations. It involves individuals' rights to be free from unwarranted intrusion into their personal affairs or private matters. While privacy rights are important and protected by law, they are typically addressed through civil litigation rather than public law.
D. Battery of a client:
Battery is a legal term in civil and criminal law referring to the intentional and unlawful touching of another person without their consent. In the context of nursing practice, battery could occur if a nurse performs a procedure on a patient without obtaining proper consent or against the patient's wishes. Like wrongful acts against another party, battery generally falls under civil law and may result in legal action brought by the injured party.
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