A public health nurse is conducting a home safety assessment for a family living in a community with a high incidence of falls among elderly residents. During the visit, the nurse observes that the home has cluttered walkways, poor lighting in the hallways, and loose rugs in several rooms. The family includes an elderly grandmother who uses a walker and is at increased risk for falls. Which of the following actions should the nurse recommend first to improve home safety for the elderly grandmother?
Provide the elderly grandmother with a personal emergency response system for immediate assistance.
Install grab bars in the bathroom and handrails along all stairways.
Remove clutter from walkways and secure loose rugs to prevent tripping hazards.
Suggest that the family modify the grandmother's exercise routine to include balance and strength training.
The Correct Answer is C
A. Providing a personal emergency response system is important but does not address the immediate physical hazards in the home that are likely to cause falls.
B. Installing grab bars and handrails is a good safety measure, but addressing immediate tripping hazards should take precedence to prevent falls.
C. Removing clutter and securing loose rugs is a direct intervention that addresses the immediate risk factors for falls in the home environment. This should be the first step in improving safety.
D. Modifying the exercise routine can be beneficial for long-term fall prevention but does not address the immediate physical hazards present in the home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nurses are mandated reporters and must report suspicions of abuse or neglect, regardless of concrete evidence or verbal admission.
B. A verbal admission from the victim is not required; suspicions alone are sufficient to make a report.
C. While notifying a supervisor may be part of internal protocols, it is not a legal requirement for making a report.
D. Notifying the parents may not be safe or appropriate in cases of abuse, and it is not a requirement for reporting abuse or neglect.
Correct Answer is C
Explanation
A. While knowing previous knowledge and interest is useful, the priority is to ensure that the client can understand the educational materials.
B. Willingness to participate is important but secondary to ensuring that the material is accessible to the client.
C. Determining the client's ability to read and understand English is crucial as it affects their ability to comprehend pamphlets. If they cannot read or understand English, alternative methods of education should be used.
D. Readiness to learn is important but presupposes that the material can be understood; therefore, assessing language comprehension is a priority.
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