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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Acute stress disorder occurs within one month of trauma, with symptoms like nightmares and dissociation. However, symptoms persisting beyond one month, as in this case, indicate PTSD. The patient’s presentation aligns with chronic trauma effects, making PTSD the more likely diagnosis over acute stress disorder.
Choice B reason: General adaptation syndrome describes the body’s physiological response to stress (alarm, resistance, exhaustion). It is not a psychiatric diagnosis and does not account for trauma-specific symptoms like nightmares or emotional numbing. This is unrelated to the patient’s psychological response, making it incorrect.
Choice C reason: PTSD is characterized by persistent symptoms beyond one month post-trauma, including nightmares, intrusive memories, avoidance, and emotional numbing, matching the patient’s presentation. Sexual assault is a common trigger, and the nurse would expect this diagnosis documented due to the chronicity and specificity of symptoms.
Choice D reason: Alarm reaction is the initial phase of general adaptation syndrome, involving acute stress response like fight-or-flight. It is not a diagnosis and does not explain chronic psychological symptoms like recurrent memories or emotional detachment, making it irrelevant to the patient’s trauma-related condition.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Cultural knowledge involves understanding diverse cultural beliefs, values, and practices, a core component of Campinha-Bacote’s model. This knowledge enables the nurse to provide informed, sensitive care, reducing misunderstandings and improving outcomes, making it a critical focus for achieving cultural competency.
Choice B reason: Cultural encounters involve direct interactions with diverse patients, fostering experiential learning and reducing stereotypes. In Campinha-Bacote’s model, these encounters build confidence in cross-cultural care, making it an essential area for the nurse to develop competency through real-world application.
Choice C reason: Cultural skills include the ability to assess and communicate effectively with diverse patients, a key element of Campinha-Bacote’s model. Skills like culturally sensitive interviewing ensure tailored care, making this a vital focus for the nurse to achieve competency in delivering equitable healthcare.
Choice D reason: Cultural desire reflects the nurse’s genuine motivation to engage in culturally competent care, a foundational aspect of Campinha-Bacote’s model. This intrinsic drive fuels learning and practice, making it a critical area for the nurse to cultivate to achieve and sustain cultural competency.
Choice E reason: Cultural transition is not part of Campinha-Bacote’s model, which includes knowledge, encounters, skills, desire, and awareness. This term is unrelated to the framework’s components, making it an incorrect focus for the nurse aiming to achieve cultural competency.
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