Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?
Placing a call bell at the bedside for the patient to contact the nurse.
The patient's bed is in a high position with side rails up
A small night-light left on in the bedroom
All clutter is removed between the bed and the bathroom
The Correct Answer is B
A. Placing a call bell at the bedside for the patient to contact the nurse:
This is a safe practice that allows the patient to call for help if needed.
B. The patient's bed is in a high position with side rails up:
This can increase fall risk if the patient tries to get out of bed without assistance. The bed should be in the lowest position.
C. A small night-light left on in the bedroom:
This is a safety measure to prevent disorientation or falls when patients get up during the night.
D. All clutter is removed between the bed and the bathroom:
This is a safe practice that reduces fall risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Caregiver role strain related to the amount and complexity of the patient's health needs
This diagnosis reflects the emotional, physical, and psychological burden experienced by caregivers.
B. Activity intolerance related to fatigue and generalized weakness
Not appropriate for the caregiver; applies more to a client with physical limitations.
C. Readiness for enhanced comfort related to change in personal health status
Indicates a client who is comfortable but seeking higher well-being—not applicable here.
D. Risk for compromised human dignity related to loss of control of bodily functions
More appropriate for a patient, not a caregiver.
Correct Answer is B
Explanation
A. Developmental
This refers to predictable life transitions (e.g., retirement, parenthood).
B. Situational
Situational crises arise from sudden unexpected events, such as a death, job loss, or illness.
C. Adventitious
Adventitious crises result from large-scale disasters, violence, or major accidents.
D. Maturational
Same as developmental – not applicable to unexpected death.
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