Chapter 31: Home Care Safety

Chapter 31: Home Care Safety

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is working with a client on her plan of care. Which client behavior does the nurse recognize as most illustrative that the client will cooperate with a plan of care?

a.	Willingness to attempt a return demonstration
b.	Refusal to talk about the needed assistive device
c.	States that a few days of rest are all that is needed for recovery
d.	States the equipment is too complex to learn

 

 

ANS:  A

The client who is willing to perform a return demonstration for the nurse is demonstrating a health-seeking behavior; thus the nurse plans interventions to facilitate client motivation and drive to master the task. The client who refuses to talk about the equipment is angry or in denial. The client who states that resting will solve the problem is in denial. The client who states the task is too difficult has a poor self-image and can benefit from slow, steady teaching and encouragement.

 

DIF:    Cognitive Level: Comprehend          REF:   Page 817

OBJ:   NCLEX: Health Promotion and Maintenance

TOP:   Nursing Process: Assessment

 

2. The nurse plans discharge teaching for several clients. Which client and family are most likely to benefit from the nurse’s teaching plan?

a.	The client’s oxygen saturation ranges from 88% to 90%.
b.	Client is 2 days postoperative after emergency amputation.
c.	The family lacks financial resources for supplies and equipment.
d.	The family looks forward to the therapeutic diet and exercise plan.

 

 

ANS:  D

The family looking forward to the therapeutic diet and exercise plan is most likely to benefit from the nurse’s teaching plan because the members are enthusiastic and positive, providing motivation and energy to succeed. They are willing to change their behavior when change is required. The hypoxic client will most likely have difficulty following directions and retaining information while struggling for oxygen. The client who had an emergency amputation is not ready for discharge because it is unlikely that the client received enough physical therapy; in addition, the client most likely had significant blood loss and could still be unstable. The client and family lacking financial resources for home health care need community resources before the teaching plan can be implemented.

 

DIF:    Cognitive Level: Analyze                REF:   Page 817

OBJ:   NCLEX: Health Promotion and Maintenance

TOP:   Nursing Process: Assessment

 

3. The nurse finishes discharge teaching for the client after a home assessment. Which action by the client requires follow-up information from the home care nurse?

a.	Stores a flashlight next to the bed
b.	Checks batteries in the smoke detector
c.	Stores the area rugs in the basement
d.	Leaves a loaded gun in the nightstand

 

 

ANS:  D

The nurse needs to teach the client to keep the gun unloaded in a locked area and the bullets in a separate area for safety. Storing a flashlight, checking smoke detector batteries, and removing area rugs are suitable safety measures.

 

DIF:    Cognitive Level: Comprehend          REF:   Page 816-817

OBJ:   NCLEX: Health Promotion and Maintenance                    TOP:   Nursing Process: Evaluation

 

4. A client’s family insists that the client live with one of the family members permanently because of a shuffling gait, but the client refuses. Which approach is most effective to provide a safe environment while also acting as a client advocate?

a.	Teach the client to wear shoes with thin, firm soles.
b.	Explain community services for older clients.
c.	Help the client check the fit of his sneakers.
d.	Tell the client that he can do whatever he wants.

 

 

ANS:  A

The shuffling gait is a safety hazard and could cause the client to fall. Shoes with thin, firm soles and moderate traction provide the best stability for him or her. The nurse should avoid having the client who shuffles wear sneakers; the thicker soles can result in tripping because they can stick on the floor during walking. Explaining the community services available will still not provide safety for this client. Telling the client that he or she can do whatever he or she wants ignores the client’s specific safety needs.

 

DIF:    Cognitive Level: Apply                   REF:   Page 817

OBJ:   NCLEX: Health Promotion and Maintenance

TOP:   Nursing Process: Implementation

 

5. The client’s son tells the nurse that his mother is unable to learn about new medications because of her advanced age. Which does the nurse include in family teaching?

a.	Older clients lack the motivation to learn.
b.	Older clients can learn if one speaks loudly.
c.	Visual aids are not helpful for older adults.
d.	The ability to learn remains intact despite aging.

 

 

ANS:  D

The nurse instructs the family that older clients are willing and able to learn new things, including how to self-administer new medication. In fact, nursing research indicates that learning new things is a stimulant for improved cognitive function. Learning can take more time for older clients, but they are capable nonetheless. Lack of motivation is a generalization. Many older clients have a hearing impairment; thus the nurse speaks clearly and directly in front of the client to facilitate hearing. Visual aids are as helpful for older adults as they are for any age-group. Using visual aids is more dependent on the client’s learning style than on age.

 

DIF:    Cognitive Level: Comprehend          REF:   Page 826

OBJ:   NCLEX: Health Promotion and Maintenance

TOP:   Nursing Process: Implementation