A home health nurse is providing teaching to an older adult client who is at risk for falls.
Which of the following statements by the client indicates a need for further teaching?

"I will have my vision checked."

"I will put socks on when I get out of bed."

"I will put a safety bar near my toilet."

"I will put a night-light in the hallway."

Answer and Explanation

The Correct Answer is B

A.   Having vision checked is a positive step to prevent falls by addressing potential visual impairments.
B.   Wearing socks when getting out of bed increases the risk of slipping, indicating a need for further teaching.
C.   Placing a safety bar near the toilet is a preventive measure against falls.
D.   Putting a night-light in the hallway helps improve visibility and reduce the risk of tripping

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Correct Answer is B

Explanation

A. The frequency of previous vital sign measurements may be important but is not the most critical information to communicate during a transfer.
B. The effectiveness of the last dose of pain medication is crucial information for the receiving facility to manage the client's pain appropriately.
C. The number of family members who have visited is important for emotional support but may not be the priority for the receiving facility.
D. The time of the client's last bath is relevant but may not be as critical as information related to pain management during the hand-off report.

A. "I am trying to understand why this had to happen to me." B. "I dread going to therapy, but I am getting comfortable with my prosthesis." C. "My leg looks a little red, but my doctor says it's healing well." D. "I may be ready to talk about my leg in a week or so."

Correct Answer is B

Explanation

A. Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance.
B. Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation.
C. Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance.
D. Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.

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A home health nurse is providing teaching to an older adult client who is at risk for falls. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?

Correct Answer is B

Explanation

A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?

Correct Answer is B

Explanation

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A home health nurse is providing teaching to an older adult client who is at risk for falls.
Which of the following statements by the client indicates a need for further teaching?