A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

A 68-year-old client with stage 2 thyroid cancer who takes levothyroxine daily

An 82-year-old client with diabetes mellitus who takes metformin daily

A 78-year-old client with decompensated heart failure who is dyspneic on exertion

A 74-year-old client with hypertension taking lisinopril

Answer and Explanation

The Correct Answer is C

A. Although thyroid cancer and medication use can affect health, they are not the most immediate factors influencing fall risk compared to heart failure symptoms.
B. Diabetes mellitus and metformin use are not directly associated with increased fall risk as much as heart failure and its symptoms.
C. Decompensated heart failure and dyspnea on exertion significantly increase fall risk due to decreased physical stability and balance issues.
D. While hypertension and lisinopril can contribute to fall risk, they are less directly impactful than the symptoms of decompensated heart failure.

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Correct Answer is C

Explanation

A. A health care proxy form does not provide information about financial resources; it is used to designate someone to make health care decisions on the client's behalf if they are unable to do so.
B. The health care proxy form is not a requirement for hospital admission, and this response does not accurately represent its purpose.
C. This response is appropriate as it emphasizes the client's right to make decisions about their own health care and ensures that their preferences are known and respected.
D. While having a health care proxy may ease concerns about family involvement, its primary purpose is to ensure that health care decisions are made according to the client's wishes.

A. Catholics are often anointed by a priest as a prelude to an afterlife. B. Protestants generally are blessed with holy water by their minister in preparation for death. C. Muslims believe in an afterlife and are often positioned facing Mecca. D. Buddhists tend to allow healthcare decisions to be made by family members. E. Judaism supports the concept of organ donation as a preparation for the afterlife.

Correct Answer is ["A","C","D"]

Explanation

A. In Catholicism, the sacrament of Anointing of the Sick is often performed by a priest to prepare the individual spiritually for the afterlife, making this statement accurate.
B. Protestants do not typically have a practice of blessing with holy water in preparation for death; this practice is more specific to other Christian denominations.
C. Muslims do believe in an afterlife and it is common practice to position the deceased facing Mecca, reflecting respect for their religious traditions.
D. In Buddhism, healthcare decisions are often guided by family members, reflecting the importance of family in making decisions, though practices may vary by specific Buddhist traditions.
E. Judaism generally supports organ donation as a mitzvah, or good deed, rather than as preparation for the afterlife. This statement might not fully capture Jewish perspectives on organ donation.

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A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

Correct Answer is C

Explanation

The nurse is educating a group of staff nurses about the significance of respecting religious beliefs when providing care to clients nearing the end of life. Which of the following statements would the nurse incorporate? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

The nurse plans to use pamphlets to teach newly immigrated clients about diabetes mellitus. Prior to initiating this education, what priority information should the nurse obtain?

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