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

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason: Caring touch involves physical contact to convey empathy, like holding a hand. The nurse leaves the room without touching the patient or family, overwhelmed by grief. This action does not involve physical contact or comfort, making it unrelated to caring touch in this scenario.

Choice B reason: Therapeutic touch is a healing technique using energy fields, not applicable here. The nurse’s departure due to emotional overwhelm does not involve physical or energetic interaction with the family or patient, focusing instead on self-preservation, making this an incorrect type of touch.

Choice C reason: Task-oriented touch involves physical contact for procedures, like taking a pulse. The nurse’s action of leaving the room is not task-related or physical. It reflects an emotional response to grief, not a clinical task, making this an incorrect description of the nurse’s behavior.

Choice D reason: Protective touch describes actions to shield oneself or others from emotional distress, like withdrawing from overwhelming situations. The nurse, overwhelmed by the family’s grief, leaves the room to cope, demonstrating protective touch by prioritizing emotional self-preservation, making this the correct description.

A. Depression B. Muscle fatigue C. Hypertension D. Hypothyroidism

Correct Answer is A

Explanation

Choice A reason: Depression is strongly linked to insomnia in older adults, causing difficulty falling asleep due to rumination, low mood, or altered sleep architecture. Assessing for depression is critical, as it may underlie the sleep disturbance, requiring targeted interventions like therapy or antidepressants to improve sleep and mental health.

Choice B reason: Muscle fatigue may cause physical discomfort but is not a primary cause of difficulty falling asleep. It is more likely to affect sleep quality than initiation. Depression is a more common and significant contributor to insomnia in older adults, making this an incorrect choice.

Choice C reason: Hypertension can be associated with sleep apnea but is not directly linked to difficulty falling asleep. It may result from poor sleep but is less likely the cause. Depression is a more prevalent cause of insomnia, making this a less relevant condition to assess.

Choice D reason: Hypothyroidism can cause fatigue and sleepiness, not difficulty falling asleep. It is less commonly associated with insomnia compared to depression, which significantly disrupts sleep onset in older adults. This condition is less relevant to the patient’s presentation, making it incorrect.

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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)

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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