A home health nurse is caring for an older adult client who is immobile. What question should the nurse ask to collect information about the client's safety?

"Who helps cook and clean for you? You don't do it all yourself, do you?"

"How do you get your daily exercise with your immobility limitations?"

"How do you usually get your medications each day?"

"Tell me about a typical day. Do you feel secure in your environment?"

Answer and Explanation

The Correct Answer is D

A. "Who helps cook and clean for you? You don't do it all yourself, do you?": This question assesses support for activities of daily living but does not directly address the client’s safety in their environment.

B. "How do you get your daily exercise with your immobility limitations?": This question explores physical activity and mobility, which can impact health, but it does not fully capture environmental safety or risk for injury at home.

C. "How do you usually get your medications each day?": Understanding medication management is important for adherence and safety, but it focuses on a single aspect of safety rather than the broader home environment.

D. "Tell me about a typical day. Do you feel secure in your environment?": This question directly addresses the client’s perception of safety and allows the nurse to identify potential hazards, falls risks, or other environmental concerns. It provides comprehensive information about the client’s safety and daily functioning.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Determine the health education needs of the group: Assessing the group’s health education needs is the first step in planning a health promotion program. Understanding their knowledge gaps, risk factors, and priorities allows the nurse to develop relevant and effective interventions tailored to the group.

B. Customize the program to the group's strengths: Customizing the program is important but should occur after the needs assessment. Tailoring interventions without first identifying the group’s specific needs may result in ineffective or irrelevant programming.

C. Evaluate the program's effectiveness: Evaluation is a later step that occurs after program implementation. It measures whether the program achieved its goals but cannot be performed before planning and execution.

D. Identify strategies that will enhance the program: Identifying strategies is part of program development and planning but depends on understanding the group’s needs first. Strategies should align with assessed needs to ensure effectiveness.

A. Ask the client to describe the wound care steps to evaluate teaching effectiveness. B. Set goals that the client will be able to perform wound care independently. C. Assess the wound for complications and document the findings in the client's chart. D. Document in the electronic health record the client's risk for deficient knowledge.

Correct Answer is A

Explanation

A. Ask the client to describe the wound care steps to evaluate teaching effectiveness: Evaluating the client’s understanding is the next step after education. Asking the client to verbalize or demonstrate the steps ensures they have correctly learned the procedure and allows the nurse to clarify any misconceptions.

B. Set goals that the client will be able to perform wound care independently: Goal-setting occurs during the planning phase of the nursing process. While important, it should be established before or during teaching rather than immediately after instruction.

C. Assess the wound for complications and document the findings in the client's chart: Wound assessment is an ongoing clinical responsibility but does not directly evaluate the effectiveness of the client’s learning or teaching provided.

D. Document in the electronic health record the client's risk for deficient knowledge: Documentation of teaching and learning outcomes is essential, but it should follow the evaluation of the client’s understanding to reflect accurate progress and identify remaining educational needs.

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A home health nurse is caring for an older adult client who is immobile. What question should the nurse ask to collect information about the client's safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning a health promotion program for a group of clients. What action should the nurse plan to take first when implementing this health promotion plan?

Correct Answer is A

Explanation

A nurse educated a client about how to perform wound care. What action should the nurse take next?

Correct Answer is A

Explanation

The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

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While providing the client with morning medications, the client reports new abdominal pain. What assessment question should the nurse ask next?

A nurse is educating an older adult client about safe medication practices. Which instruction should the nurse include in the education?

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The nurse is caring for a group of clients. Which client should the nurse identify as a third-level priority?

A nurse is reflecting on their implicit bias that may affect client care. Which action should the nurse take to evaluate and manage their implicit bias when caring for clients of different cultures and backgrounds?

The nurse is monitoring for risk for injuries identified in the healthcare environment. Which unsafe healthcare environment finding(s) will require action from the nurse? Select all that apply