Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

Providing medications to manage pain and discomfort associated with pressure ulcers.

Using an air mattress to reduce pressure on bony prominences.

Applying lotion to dry skin areas twice daily.

Educating family members about proper turning and repositioning techniques.

Answer and Explanation

The Correct Answer is B

A. Providing medications for pain and discomfort helps manage symptoms but does not directly address skin integrity.
B. Using an air mattress is effective in reducing pressure on bony prominences, thereby preventing pressure ulcers and promoting skin integrity.
C. Applying lotion helps with skin hydration but does not address the pressure that can lead to skin breakdown.
D. Educating family members about turning and repositioning is important but does not provide the physical support needed to reduce pressure on the skin as effectively as an air mattress.

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Correct Answer is ["B","D","E"]

Explanation

A. Attending support groups is a positive intervention that helps prevent relapse by providing support and accountability, so it is not associated with preceding a relapse.
B. Decreased motivation is a significant risk factor for relapse, as it can lead to a lack of adherence to recovery strategies and a return to old behaviors.
C. Planning a strategy is a proactive measure that helps prevent relapse rather than contributing to it.
D. A negative emotional state can contribute to relapse by increasing stress and making it harder to maintain recovery efforts.
E. Stressful situations are known to trigger relapse by overwhelming individuals and making them more likely to revert to old coping mechanisms.

A. Poor or inadequate lighting B. Cognitive impairment C. Clutter, throw rugs, electrical cord D. High-gloss floors

Correct Answer is B

Explanation

A. Poor or inadequate lighting is considered an extrinsic risk factor, as it pertains to environmental conditions that contribute to falls.
B. Cognitive impairment is an intrinsic risk factor, as it relates to the individual’s personal health conditions or capabilities that increase their risk of falling.
C. Clutter, throw rugs, and electrical cords are extrinsic risk factors because they involve environmental hazards in the home setting.
D. High-gloss floors are an extrinsic risk factor, as they pertain to the physical characteristics of the home environment that can contribute to falls.

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Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

When evaluating the home for fall risks, which of the following would be classified as intrinsic?

Correct Answer is B

Explanation

The nurse is providing postmortem care to a client who is on home hospice care and has just died. What action should the nurse take?

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

Which nursing action best demonstrates cultural competence in end-of-life care?

The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

The nurse is educating a group of staff nurses about the significance of respecting religious beliefs when providing care to clients nearing the end of life. Which of the following statements would the nurse incorporate? (Select all that apply)

The nurse is discussing palliative care with a client who has stage 3 lung cancer. Which aspect of palliative care would the nurse explain is unique to the specialty?

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?