A nurse is presenting to a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

"I should get a longer cord for my telephone."

"I should use chairs without armrests."

"I should place a throw rug over electrical cords."

"It is a good idea to use the handrails in the bathroom."

Answer and Explanation

The Correct Answer is D

A. "I should get a longer cord for my telephone.": Longer cords can create tripping hazards, increasing the risk of falls. It is safer to use shorter cords or secure them properly to minimize risks. Keeping cords neatly organized and out of walkways is essential for maintaining a safe environment.

B. "I should use chairs without armrests.": Chairs with armrests can provide additional support for getting in and out of the chair, which can help prevent falls. Using chairs without armrests may make it more difficult to rise safely and could lead to losing balance during the process.

C. "I should place a throw rug over electrical cords.": Throw rugs can create tripping hazards. Placing rugs over electrical cords does not eliminate the risk and could further increase the likelihood of a fall. It's important to keep the area clear of both rugs and cords to promote safety and prevent accidents.

D. "It is a good idea to use the handrails in the bathroom.": Handrails provide stability and support when navigating potentially slippery areas, such as bathrooms, and can significantly reduce the risk of falls. Utilizing handrails allows individuals to maintain their balance and provides reassurance when moving in and out of the tub or shower.

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Correct Answer is A

Explanation

A. Keep communication simple and concrete: Using simple, straightforward language helps clients who are cognitively impaired to better understand the information being conveyed. Concrete language minimizes confusion and makes it easier for the client to process and respond to what is being said, promoting effective communication.

B. Focus on the client's family: While involving the client's family can be important for support and understanding, the primary focus should be on the client themselves. Communication techniques should prioritize addressing the needs and comprehension of the cognitively impaired client directly.

C. Use open-ended questions: Open-ended questions may be challenging for cognitively impaired clients, as they require more complex processing and can lead to confusion. It is often more effective to use closed questions that allow for simple yes or no responses, making it easier for the client to engage in the conversation.

D. Demonstrate or pantomime ideas: While demonstration can be helpful, it should complement verbal communication rather than replace it. For cognitively impaired clients, combining simple verbal instructions with visual cues or demonstrations can enhance understanding but should not be the sole technique used. It’s important to assess the individual client's abilities and preferences when employing this method.

A. Partial assistance required for daily activities B. Complete dependence on others for daily activities C. Full independence in performing daily activities D. Moderate assistance required for daily activities

Correct Answer is C

Explanation

A. Partial assistance required for daily activities: A score lower than 6 indicates some level of dependence or the need for assistance, which does not apply to a score of 6.

B. Complete dependence on others for daily activities: A score of 0 on the Katz Index would reflect complete dependence. A score of 6 indicates full independence.

C. Full independence in performing daily activities: A score of 6 on the Katz Index signifies that the individual can perform all six activities of daily living independently, demonstrating a high level of functional ability.

D. Moderate assistance required for daily activities: A score of 6 indicates total independence. A score of 3 or lower would suggest moderate assistance is required, making this option incorrect.

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A nurse is presenting to a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Clients with special needs require specific communication techniques. Which specific communication techniques should a nurse utilize when caring for a client who is cognitively impaired?

Correct Answer is A

Explanation

What does a score of 6 on the Katz Index of Independence in Activities of Daily Living (ADLs) indicate?

Correct Answer is C

Explanation

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