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 C
Explanation
A. Assist the client to acknowledge that he has a distorted body image:
This may be important later, but first the nurse must assess the client’s current perception of his body image to guide interventions.
B. Encourage the client to talk about his feelings regarding his body image:
While therapeutic communication is crucial, assessment comes before intervention. Understanding the client’s perception helps tailor the discussion.
C. Determine the client's perception of his body image:
According to the nursing process, assessment is the first step. This helps guide individualized care for disturbed body image.
D. Discuss alternative coping strategies to relieve the stress he feels about his body image:
Coping strategies are appropriate after assessing the client’s emotional and psychological needs.
Correct Answer is A
Explanation
A. Compassion fatigue
Compassion fatigue is emotional exhaustion from caring for suffering individuals, leading to a loss of empathy or burnout.
B. Adventitious stress
Refers to stress caused by external events such as natural disasters or violence—not ongoing patient care.
C. Prolonged grief disorder
Involves persistent, disabling grief following a personal loss—not secondary trauma from caregiving.
D. Post-traumatic stress disorder (PTSD)
PTSD is triggered by experiencing or witnessing life-threatening trauma; while similar, it doesn’t fit the chronic caregiving context here.
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