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: Jumping in to provide patient comfort, while well-intentioned, implies reactive or task-oriented actions rather than the intentional, empathetic engagement of presence. Presence involves being emotionally available, fostering trust and connection, not just addressing immediate physical needs. This choice risks misrepresenting the holistic, relational aspect of presence critical for patient and family support.

Choice B reason: Being there without an identified goal does not fully capture presence, which is purposeful in fostering emotional and spiritual support. Presence involves intentional closeness and caring, not aimless attendance. This choice underestimates the nurse’s role in creating a therapeutic environment, potentially diminishing the impact of presence on patient and family well-being.

Choice C reason: Focusing on tasks prioritizes technical care over emotional connection, contrary to presence, which emphasizes being with the patient holistically. Task-oriented care may address physical needs but neglects the relational support central to presence. This choice misaligns with the concept, risking a purely functional approach that overlooks emotional and spiritual care needs.

Choice D reason: Providing closeness and a sense of caring defines presence, a nursing action rooted in Watson’s caring theory. It involves empathetic engagement, active listening, and emotional availability, fostering trust and comfort for patients and families. This intentional connection supports holistic care, enhancing psychological well-being and coping during challenging moments like illness or end-of-life care.

A. Delegate complex nursing tasks to nursing assistive personnel. B. Write for 10 minutes in a journal every day. C. Use progressive muscle relaxation. D. Strengthen friendships outside the workplace.

Correct Answer is C

Explanation

Choice A reason: Delegating complex tasks to assistive personnel is inappropriate, as it may compromise patient safety and violate scope of practice. While delegation reduces workload, it does not address emotional or physiological stress directly. This strategy is less effective for burnout prevention compared to relaxation techniques.

Choice B reason: Journaling for 10 minutes daily can help process emotions but is less immediate in reducing physiological stress. Burnout involves physical and emotional exhaustion, and while reflective writing is beneficial, it is not as effective as progressive muscle relaxation in directly alleviating stress-related tension.

Choice C reason: Progressive muscle relaxation reduces burnout by systematically tensing and relaxing muscles, lowering cortisol and promoting calmness. This evidence-based technique directly addresses the physical and emotional toll of a stressful nursing unit, making it the best strategy for a new nurse to prevent burnout effectively.

Choice D reason: Strengthening friendships outside work supports social well-being but does not directly alleviate acute stress or physical exhaustion from extra shifts. While valuable, it is less immediate than progressive muscle relaxation in addressing burnout’s physiological effects, making it a less optimal strategy.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing presence to a patient and the family. Which nursing action does this involve?

Correct Answer is D

Explanation

Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse has a strategy to prevent burnout. Which strategy will be best for the nurse to use?

Correct Answer is C

Explanation

A parent is discussing the sleep needs of a preschooler with the nurse. Which information will the nurse share with the parent?

The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing?

A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply)

The nurse caring for a terminally ill patient sits down and lightly touches the patient’s hand. Which technique is the nurse using?

The home health nurse is caring for a patient with tactile and visual deficits. The nurse is concerned about injury related to inability to feel harmful stimuli and teaches the patient safety strategies to maintain independence. Which action by the patient indicates successful learning?