A home health nurse is assessing the home of a client who has Parkinson's disease and recently fell. Which of the following findings should the nurse identify as increasing the client's risk for further falls?
The side table is placed next to the bed.
The electrical cords are taped to the floor.
Stairs are present at the front door entrance.
Chairs in the living room have armrests.
The Correct Answer is C
Rationale:
A. The side table is placed next to the bed: Having a side table within easy reach is generally a safety measure, allowing the client to access essential items without getting out of bed unnecessarily. It does not increase fall risk and can contribute to safe mobility.
B. The electrical cords are taped to the floor: Taping cords down is an appropriate fall-prevention strategy. It reduces the risk of tripping, especially for clients with shuffling gait patterns common in Parkinson’s disease.
C. Stairs are present at the front door entrance: Stairs increase fall risk for clients with Parkinson's disease due to impaired balance, rigidity, and gait disturbances. If the stairs lack proper railings or ramps, they can pose a significant hazard during entry and exit from the home.
D. Chairs in the living room have armrests: Armrests help clients safely sit down and rise from chairs, promoting stability and reducing fall risk. For Parkinson’s patients who may have difficulty with movement initiation, armrests provide valuable support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Review the proposed change against current medication administration guidelines: Before implementing a new practice, the committee must ensure that the change aligns with evidence-based standards and regulatory guidelines. This review helps identify conflicts or risks and confirms that the proposal supports safe, legal, and effective care.
B. Evaluate the results of the change in medication administration practice: Evaluation should occur after the change has been implemented and sufficient data have been collected. Doing this step prematurely would mean there is no outcome data yet to assess.
C. Develop a plan to analyze the data for the new administration practice: While data analysis is crucial, it comes after implementation. Planning how to analyze data is not the immediate next step following the formulation of a proposed change.
D. Implement the proposed change in the facility's medication administration guidelines: Implementation should not occur until the proposal has been reviewed for consistency with current standards and proven to be safe and effective. Jumping to implementation could introduce risk without adequate vetting.
Correct Answer is B
Explanation
Rationale:
A. Competing: This strategy involves one party pursuing their own needs at the expense of others, often leading to a win-lose outcome rather than mutual resolution.
B. Collaborating: Collaborating is a win-win strategy in which both parties actively work together to resolve a conflict by integrating their perspectives and achieving a common goal.
C. Compromising: This involves each party giving up something to reach a middle ground. While it may resolve conflict, it doesn’t fully satisfy both sides like collaboration aims to do.
D. Smoothing: Smoothing minimizes differences to maintain harmony, often by downplaying conflict, but it does not address the root issue or involve mutual goal setting.
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