A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?
"I am not able to walk for very long so I ride the stationary exercise bike at the gym."
"I enjoy having lunch with my grandchildren every other Sunday."
"I have a few friends over for coffee a couple of times a week."
"I have a lot of arthritis pain, so I only leave my house to get the mail."
The Correct Answer is D
A. Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B. This client has regular social interactions with family members, suggesting they are not socially isolated.
C. Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D. Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This gait involves both crutches advancing simultaneously followed by both legs.
B. This gait involves swinging both legs and crutches forward at the same time.
C. This gait involves alternating movement of each crutch and leg, providing more stability but may be difficult for a client with limited weight-bearing on one leg.
D. In this gait, the client advances both crutches and the affected leg simultaneously, followed by the unaffected leg.

Correct Answer is C
Explanation
A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Footplates should be raised during transfer to prevent tripping, then lowered once the client is seated.
C. This ensures safety, as the larger rear wheels enter first, preventing the smaller front wheels from catching on the elevator threshold.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.
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