A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Educate the family regarding the progression of dementia.
Engage the family in informal conversation.
Provide the family with information about respite care.
Encourage the family to join a support group.
The Correct Answer is B
During the initial home visit, the nurse should establish rapport and build a trusting relationship with the client and his family.
Engaging the family in informal conversation allows the nurse to learn about the family's dynamics, routines, and preferences, as well as the client's interests and abilities. This information can be helpful in developing a care plan that is tailored to the client's and family's needs and goals.
While educating the family about dementia and providing information about resources such as respite care and support groups is important, these actions should come after the nurse has established a rapport with the family and gained their trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Primary prevention focuses on preventing a problem before it occurs by promoting health and wellness. Providing parenting classes for local parents can help them develop skills to manage their children's behavior effectively, which can reduce the risk of violence in the community.
While the other options are important interventions to address violence, they are considered secondary or tertiary prevention strategies, as they aim to prevent violence from recurring or manage its consequences.
Correct Answer is A
Explanation
According to the fire safety guidelines for hospitals, the nurse’s priority in this situation is to move the client to another location. This is because the client’s safety and well-being are the most important considerations in a fire emergency. The nurse should move the client to a safe area away from the fire, preferably behind a fire door or in another fire compartment. The nurse should also close the door of the room where the fire is to prevent the spread of smoke and flames.
The nurse should then activate the alarm to alert other staff and the fire department. The nurse should also use a fire extinguisher to attempt to extinguish the fire, if it is safe and feasible to do so. However, the nurse should not put themselves or the client at risk by trying to fight the fire. The nurse should follow the RACE acronym for fire response: Rescue, Alarm, Contain, and Extinguish.
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