A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? Select all that apply.

Place cleaning supplies under the sink

Install extra locks at the top of the exit doors

Install lighting above the stairs

Place the client’s mattress on the floor

Place rugs over electrical cords

Answer and Explanation

Correct Answer : B,C,D

A: Placing cleaning supplies under the sink is not safe as it makes them accessible to the client, increasing the risk of accidental poisoning. Cleaning supplies should be stored in locked cabinets.

B: Installing extra locks at the top of the exit doors can prevent the client from wandering outside unsupervised, which is a common safety concern for individuals with Alzheimer’s disease.

C: Installing lighting above the stairs improves visibility and reduces the risk of falls, which is crucial for maintaining safety in the home environment.

D: Placing the client’s mattress on the floor can prevent injuries from falls out of bed, which is a practical safety measure for clients with Alzheimer’s disease who may be prone to wandering or disorientation at night.

E: Placing rugs over electrical cords is not recommended as it can create tripping hazards. Instead, electrical cords should be secured along walls or under furniture to prevent falls.

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Correct Answer is A

Explanation

A: Placing the difficulty in understanding on yourself by saying, “I’m having trouble following you,” is a therapeutic communication technique. It helps to reduce the patient’s anxiety and encourages them to clarify their thoughts without feeling judged. This approach fosters a supportive environment and can help the patient organize their thoughts better.

B: Letting the patient think you understand to minimize their anxiety is not an effective strategy. It can lead to further confusion and does not help the patient improve their communication. Honesty and clarity are important in therapeutic interactions.

C: Using reality testing to help the patient clarify their statements can be useful, but it may not be the best initial approach. It requires the patient to have some level of insight and ability to engage in reality testing, which may not be possible in severe cases of associative looseness.

D: Telling the patient they are not making any sense can be perceived as judgmental and may increase the patient’s anxiety and frustration. It is not a supportive or therapeutic approach and can hinder effective communication.

A. A unit that is completely full and has patients crowded in the dining room. B. A unit made up of nurses with less than one year of experience. C. A unit that maintains a quiet atmosphere and has private rooms for all patients. D. A unit that has strict rules that all patients are forced to follow.

Correct Answer is C

Explanation

A: Overcrowding can increase stress and the potential for violence among patients.

B: Inexperienced staff may not be as effective in managing violent behaviors and de-escalating situations.

C: A quiet atmosphere and private rooms help reduce stress and agitation among patients, lowering the risk of violence.

D: Strict rules can lead to frustration and rebellion among patients, potentially increasing the risk of violence. A balanced approach with clear guidelines and flexibility is more effective.

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A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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