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 C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
While an annual health fair can provide valuable health screenings and education, it may not be the most critical resource for a rural community.
Choice B rationale
A family planning center can offer important services, but it may not be the most urgent need for the entire community.
Choice C rationale
Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.
Choice D rationale
While a plan for weather-related disasters is important, it does not address the everyday healthcare needs of the community.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Conducting interviews with community members is a crucial first step when evaluating a community's health promotion needs[^30^]³²³³³?. These interviews can provide valuable insights into the community's health concerns, behaviors, and needs. They can also help
identify barriers to health promotion and potential strategies for overcoming these
barriers[^30^]³²³³³?.
Choice B rationale
Organizing a health fair for the entire community can be a valuable health promotion strategy. However, it would not typically be the first step in evaluating a community's health promotion needs. Before organizing such an event, it would be important to understand the specific health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice C rationale
Forecasting future healthcare needs is an important aspect of health promotion planning. However, it would not typically be the first step in evaluating a community's health promotion needs. Before forecasting future needs, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice D rationale
Assessing the outcomes of previous projects can provide valuable insights for future health promotion efforts. However, it would not typically be the first step in evaluating a community's health promotion needs. Before assessing previous outcomes, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
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