A nurse is caring for an older adult client. Which of the following instructions should the nurse provide to decrease the risk of falls?
Ensure railings are available on both sides of the stairways at home
If a medication causes dizziness, immediately stop taking the medication without consulting the provider
Use throw rugs around the house to prevent slipping on the floor
Use a step stool to reach items that are too far out of reach
The Correct Answer is A
Choice A reason: Ensuring that railings are available on both sides of stairways provides stable support for the client while ascending or descending stairs, significantly reducing the risk of falls. This is a proven safety intervention for older adults.
Choice B reason: Stopping a medication without consulting a healthcare provider can be dangerous, as it may lead to withdrawal symptoms or exacerbate underlying conditions. Instead, clients should report dizziness to the provider for appropriate management.
Choice C reason: Throw rugs increase the risk of slipping and tripping, especially for older adults. They should be removed or replaced with non-slip mats to ensure safety.
Choice D reason: Using a step stool is only safe if the stool is stable and has anti-slip features. Older adults should be cautioned because unstable stools can lead to falls. Providing proper safety equipment is essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The formal operational stage, beginning around age 12, involves abstract thinking, hypothetical reasoning, and problem-solving, which aligns with the scenario described.
Choice B reason: Post-conventional operations are part of Kohlberg’s moral development, not Piaget’s cognitive stages.
Choice C reason: Latent operations is not a recognized Piagetian stage.
Choice D reason: Concrete operations involve logical thinking about tangible objects but do not include abstract or hypothetical reasoning.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
Choice A reason: Mentoring younger colleagues reflects generativity because it demonstrates a concern for guiding the next generation and contributing meaningfully to others’ development.
Choice B reason: Expressing pride in a child’s accomplishments shows generativity by investing in the growth and success of the next generation, reflecting a sense of purpose beyond oneself.
Choice C reason: Stating “I have nothing left to offer” reflects stagnation, which is characterized by a lack of personal growth, feelings of unproductiveness, and self-absorption during middle adulthood.
Choice D reason: Volunteering weekly at a literacy program demonstrates generativity because it involves actively contributing to the community and supporting the development of others, reflecting care and productivity.
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