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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The client is using this as a means of going home.

While this could be a possibility, it is not the primary concern in this scenario. Assuming this without further evidence may lead to misunderstanding the client's needs and preferences.

B. The food served may violate religious beliefs.

While this could be a concern, the client's statement, "I just do not like the food here," suggests a personal preference rather than a religious restriction. It's important to consider religious beliefs, but it's not the immediate issue raised by the client.

C. The food served may not be culturally appropriate.

This option directly addresses the client's statement about not liking the food. It suggests that the food may not align with the client's cultural preferences, which is a significant factor to consider in understanding the client's refusal to eat. Exploring cultural preferences and providing culturally appropriate meals can help address the client's concerns.

D. The client does not like to eat with other residents of the home.

While social factors may contribute to the client's reluctance to eat, the primary concern expressed by the client is dissatisfaction with the food itself, not with the dining environment or social interactions. While social factors may also need to be addressed, they are not the immediate focus based on the information provided.

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely. B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized. C. Developing new techniques for the wound care of venous ulcers in an older adult. D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation.

Correct Answer is A

Explanation

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely: Advocacy involves supporting and empowering individuals to make informed decisions about their care and well-being. In this scenario, the nurse is advocating for the older adult's autonomy and rights by providing guidance on navigating a potentially challenging situation involving family dynamics and legal matters.

B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized: Advocacy can also involve creating conducive environments for clients to achieve their health goals. In this case, the nurse is advocating for the client's recovery and functional independence by ensuring access to resources and interventions that support mobility rehabilitation post-stroke.

C. Developing new techniques for the wound care of venous ulcers in an older adult: This action is more aligned with innovation and research rather than advocacy. While it may ultimately benefit older adults with venous ulcers, advocacy typically involves more direct support or action on behalf of individual clients or groups to address their immediate needs or rights.

D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation: This action is focused on education and skill development among healthcare staff rather than advocacy for individual clients. It aims to improve the quality of care provided to older adults but does not directly involve advocating for their rights or needs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?

Correct Answer is C

Explanation

A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?

Correct Answer is A

Explanation

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?

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