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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asking about family reactions may not address the immediate safety needs or emotional support required.
B. Dismissing or questioning the reasons for staying can be judgmental and not supportive.
C. While encouraging safety is important, it is more helpful to collaboratively work on a plan rather than making definitive statements.
D. Discussing a safety plan empowers the client and provides practical steps to ensure their safety, which is crucial for someone in an abusive situation.
Correct Answer is ["A","B","D"]
Explanation
A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.
B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.
C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.
D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.
E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.
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