During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.
What action should the nurse take?
Suggest that the patient get a walker.
Encourage the patient to acquire a medical alert device.
Ensure the patient’s privacy while in the bathroom.
Identify potential safety hazards in the home.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While suggesting that the patient get a walker might help with mobility, it does not directly address the safety concerns in the home environment.
Choice B rationale
A medical alert device could be beneficial in case of emergencies, but it does not prevent the risk of falls or accidents in the home.
Choice C rationale
Ensuring the patient’s privacy is important, but it does not address the immediate safety concerns observed by the nurse.
Choice D rationale
Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
An increase in requests for pregnancy tests does not necessarily indicate that the objectives of Healthy People 2030 are being met. It could reflect a variety of factors, including changes in sexual behavior, access to contraception, or education about reproductive health.
Choice B rationale
A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 20304.
Choice C rationale
A decrease in student enrollment does not necessarily indicate progress towards Healthy People 2030 objectives. It could be influenced by many factors unrelated to health, such as demographic shifts or changes in school policies.
Choice D rationale
An increase in absenteeism could suggest worsening health outcomes, which would be contrary to the goals of Healthy People 20304.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
A graduate nursing student requesting information, including laboratory findings and chest X- ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Therefore, the charge nurse should obtain written authorization from clients to release the information. This ensures that the privacy and confidentiality of the patients are maintained, which is a fundamental principle in healthcare.
Choice B rationale
While it’s important to verify if permission has been obtained from the research committee, it’s not the first step in this process. The primary concern should be the patients’ rights to privacy and confidentiality. Therefore, obtaining written authorization from the clients to release their information should be the first step.
Choice C rationale
Asking the student to sign a standard waiver form is not sufficient to protect the privacy and confidentiality of the patients. The charge nurse should first obtain written authorization from the clients before releasing any information.
Choice D rationale
Providing the information for research purposes only does not absolve the healthcare provider from the responsibility of obtaining written consent from the patients. The patients’ rights to privacy and confidentiality must be respected, and their consent is necessary before any information can be released.
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