A home care nurse is inspecting a patient’s house for safety issues. Which findings will cause the nurse to address the safety problems? (Select all that apply)
Bathtub with grab bars
Stairway faintly lit
Low pile carpeting in the living room.
Scatter rugs in the kitchen
Absence of smoke alarms
The Correct Answer is B
Choice A reason: Bathtub grab bars enhance safety by preventing falls during bathing, a common risk area for injuries. This is a positive finding, reducing the likelihood of accidents, and does not require intervention. The nurse would not address this as a safety problem, making it incorrect.
Choice B reason: A faintly lit stairway increases fall risk, especially for older adults or those with visual impairments. Poor lighting obscures steps, leading to missteps or tripping. The nurse must address this by recommending brighter lighting or handrails to ensure safe navigation, making this a correct safety concern.
Choice C reason: Low pile carpeting is safe, as it reduces tripping hazards compared to high pile or loose rugs. It provides stable footing without obstructing mobility. This finding does not pose a safety risk, so the nurse would not address it, making it an incorrect choice.
Choice D reason: Scatter rugs in the kitchen are a tripping hazard, particularly in high-traffic areas. They can slide or bunch, increasing fall risk, especially for elderly patients. The nurse must address this by recommending removal or securing rugs, making this a correct safety concern to mitigate accidents.
Choice E reason: Absence of smoke alarms is a critical safety issue, as it leaves the home vulnerable to undetected fires, endangering the patient. The nurse must address this by recommending installation of smoke detectors, ensuring early warning for emergencies, making this a correct safety concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Depression in Kübler-Ross’s stages involves sadness and withdrawal due to loss. Marital discord suggests conflict, not introspective grief. The patient’s relational tension with her terminally ill spouse aligns with anger, not depression, which would manifest as despair or hopelessness rather than active discord.
Choice B reason: Denial involves refusing to accept the reality of death, often early in the dying process. Marital discord indicates engagement with the situation, not avoidance. The patient’s conflict suggests emotional reaction, aligning with anger, not denial, making this an incorrect stage for her behavior.
Choice C reason: Bargaining involves seeking to delay death through promises or deals, often privately. Marital discord reflects externalized emotion, not negotiation. The patient’s conflict with her spouse points to anger, not bargaining, which is less likely to manifest as relational tension, making this incorrect.
Choice D reason: Anger, per Kübler-Ross, involves frustration and resentment, often directed at loved ones, as the patient grapples with mortality. New marital discord with her terminally ill spouse suggests the patient is expressing anger, a common reaction to the unfairness of death, making this the correct stage.
Correct Answer is A
Explanation
Choice A reason: Culturally competent care for marginalized patients prioritizes individualized care, respecting unique cultural, social, and personal needs. This approach addresses disparities by tailoring interventions to patients’ beliefs, values, and experiences, reducing bias and improving outcomes. Individualization ensures equitable, patient-centered care, meeting the primary goal of cultural competence.
Choice B reason: Restoring relationships is not a primary goal of culturally competent care. While relationships may improve through trust, the focus is on delivering equitable, culturally sensitive care. This choice is too narrow and does not encompass the broader aim of addressing systemic barriers for marginalized groups.
Choice C reason: Providing care to surgical patients is unrelated to cultural competence, as it focuses on a clinical context, not cultural needs. Culturally competent care applies across all settings, prioritizing sensitivity to diverse identities. This choice lacks specificity to marginalized patients’ cultural needs, making it incorrect.
Choice D reason: Caring for transgender patients is part of cultural competence but is too specific. The primary goal is broader, encompassing individualized care for all marginalized groups, not just one population. This choice limits the scope of cultural competence, making it less accurate than individualized care.
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