A nurse is assisting with the care of a client.

Exhibits
A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Uses a cane to ambulate.

Macular degeneration.

Grab bar in the bathroom

Electrical cord on floor over walkway.

Throw rugs over tile floors

Answer and Explanation

Correct Answer : B,D,E

Choice A reason : Using a cane to ambulate is generally a measure to improve stability and reduce the risk of falling for individuals who may have balance or mobility issues. It is not inherently a risk factor for falls; rather, it is a compensatory strategy to mitigate the risk of falls1.
Choice B reason : Macular degeneration can significantly impact visual acuity and contrast sensitivity, leading to difficulties in navigation and increasing the risk of tripping or misjudging distances. Poor vision is a well-documented risk factor for falls, especially in unfamiliar or complex environments.
Choice C reason : A grab bar in the bathroom is a safety device installed to provide stability and support for individuals while they are using the bathroom facilities. It is a preventive measure against falls and does not increase the risk of falling.
Choice D reason : An electrical cord on the floor over a walkway is a tripping hazard. It is a common home hazard that can cause falls, especially in the elderly or those with mobility and visual impairments78.
Choice E reason : Unsecured throw rugs over tile floors are a recognized fall hazard. They can easily slip underfoot or cause tripping if the edges are not secured, which is particularly dangerous in areas like the kitchen where spills can make the floor even more slippery.

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Correct Answer is B

Explanation

Choice A reason : Cultural bias can negatively impact data collection by causing healthcare providers to make assumptions based on stereotypes rather than individual assessments. This can lead to incomplete or inaccurate data, as certain symptoms or health issues may be overlooked or misattributed to cultural factors.

Choice B reason : Cultural bias can significantly impair the therapeutic relationship between healthcare providers and clients. When providers have preconceived notions about a patient's culture, they may communicate less effectively, make incorrect assumptions, or fail to build trust. This can result in a lack of adherence to treatment plans and decreased patient satisfaction.

Choice C reason : While spending more time with each client could be seen as beneficial, cultural bias does not inherently lead to this outcome. In fact, bias may cause providers to spend less time with clients from certain backgrounds due to misconceptions or communication barriers.

Choice D reason : Cultural bias is a known contributor to healthcare disparities, not a solution to them. Biases can lead to unequal treatment, access, and outcomes across different cultural groups.

A. I will go to bed at the same time, even if I am not tired. B. I will stop exercising at least 2 hours before bedtime. C. I will watch television in my bedroom before I go to sleep. D. I will take a short nap each day.

Correct Answer is B

Explanation

Choice A reason : Going to bed at the same time every night, even when not feeling tired, can help regulate the body's clock and aid in falling asleep at a regular time. However, lying in bed awake can lead to frustration and should be avoided. If sleep does not come within 20 minutes, it's recommended to get up and do something relaxing until feeling sleepy.

Choice B reason : Exercising can increase alertness and endorphin levels which can make it difficult to fall asleep if done too close to bedtime. Stopping exercise at least 2 hours before bedtime allows the body to wind down and prepare for sleep, making this statement correct and indicative of an understanding of good sleep hygiene practices.

Choice C reason : Watching television or engaging in other stimulating activities in the bedroom can associate the space with wakefulness rather than sleep. The light from screens can also suppress melatonin production, making it harder to fall asleep. Therefore, this statement does not reflect an understanding of the teaching on good sleep practices.

Choice D reason : Taking long naps, especially in the late afternoon or evening, can interfere with nighttime sleep. If naps are necessary, they should be limited to 20-30 minutes and taken earlier in the day. This statement suggests a misunderstanding of the impact of napping on sleep quality at night.

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A nurse is assisting with the care of a client. Exhibits A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias?

Correct Answer is B

Explanation

A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is assisting with teaching a class about physiological changes that occur during sleep. The nurse should include that which of the following changes occur during non-rapid eye movement (NREM) sleep?

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A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

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A nurse is assisting with teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?

A nurse is assisting with teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that a client who lives in a crowded apartment building is at risk for which of the following conditions?

A nurse is assisting with teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias?

A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client.

Exhibits
A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.