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. Offering spiritual counseling and emotional support aligns with the parish nurse's role in providing holistic care that integrates physical, emotional, and spiritual support within the faith community.
B. Conducting health screenings and providing immunizations are more aligned with public health nurses or community health nurses rather than parish nurses.
C. Administering medications and performing advanced medical procedures fall outside the typical scope of parish nursing, which focuses more on support and counseling rather than clinical procedures.
D. Developing public health policy is beyond the individual role of a parish nurse and is typically handled by public health officials and policymakers.
Correct Answer is A
Explanation
A. Checking with the doctor ensures that the herbal tea does not interact with the client's medications and is safe for their specific health condition. This response shows concern for the client's safety and adheres to clinical guidelines.
B. Filling out forms is not relevant or necessary for this situation; ensuring safety and medical compatibility is more appropriate.
C. Prohibiting herbal tea without considering the client’s preferences or potential benefits is not patient-centered care.
D. Questioning the client's choice without a valid reason dismisses their preferences and does not address potential safety concerns.
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