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Free NCLEX-PN Exam Braindumps (page: 21)

Page 21 of 254
PDF with 1015 Questions

The home health nurse has made a visit to an 85-year-old female client’s home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention.

What should the nurse include in this teaching plan?

  1. The client should remove all scatter rugs from the floor and minimize clutter.
  2. The client should not get up and move around the house.
  3. The client does not need to install a raised toilet and grab bar because she is able to walk on her own.
  4. The client should wear a robe and socks while walking in the house.

Answer(s): A

Explanation:

Rugs and clutter are a primary cause of falls in the home and should be eliminated if possible to decrease the risk of a fall. The elderly and those with gait issues are at an increased risk for a fall at home.
The client should have a raised toilet seat and grab bars available in the bathroom to aid in movement in this potential slippery area of the home. Some clients find it difficult to rise up and down from the toilet and to get in and out of the shower. These items are all important in maintaining safety in the home.
The client should not limit her movement within the home unless ordered by the physician. This decreases the ability of the client to perform activities of daily living and hinders the client’s return to a normal lifestyle after surgery.
The client should not wear baggy clothing such as long robes, and the client should not wear socks on slippery floors. These items can cause the client to trip, slip, or fall.



Which of the following substances need to be assessed when completing a family health assessment?

  1. coffee, tea, cola, and cocoa
  2. alcohol, tobacco, and illegal substances
  3. medicines prescribed by a physician
  4. all of the above

Answer(s): D

Explanation:

When assessing drug, alcohol, and tobacco practices among family members, a thorough investigation of prescribed, over-the-counter and illegal substance-use practices should be made.
Assessment of dietary practices should include the amount and types of food the family eats; the social behaviors associated with dietary practices; and the meal planning, shopping, and preparation practices of the family.



An appraisal of self-care practices involves an assessment of ______________.

  1. all diagnostic tests
  2. home treatment practices, including nurse visits for the sick or disabled
  3. the family’s capability to get health insurance
  4. caregiving needs and the potential for strain

Answer(s): D

Explanation:

Short-term stressors impinging on a family include unemployment, being on welfare, the threat of termination, health, hospitalization, convalescence, depression, and suicidal thoughts.
Long-term stressors impinging on the family include emotional distance, lack of communication in families (especially within marital relationships), continual geographical movement from one community to the next (so that no stable and sufficient social network is established), a spouse’s minimal participation in family life, and excessive and frequent drinking bouts.
Family strengths include the presence of a social support system, interest in and capability to provide child care, motivation for employment, and financial self-sufficiency, self-care beliefs, values, health-seeking behaviors, and realistic goals and limitations.



Which of the following is one of the main goals for Healthy People 2010?

  1. reduction of health care costs
  2. elimination of health disparities
  3. investigation of substance abuse
  4. determination of an acceptable morbidity rate

Answer(s): B

Explanation:

Healthy People 2010 has as its main goal elimination of health disparities among the U.S. population. Healthy People 2010 is a set of health objectives for the nation to achieve over the first decade of the twenty-first century and was developed by the Surgeon General’s office.
Earlier editions of this report, Healthy People and Healthy People 2000: National Health Promotion and Disease Prevention Objectives established national health objectives and served as the basis for the development of state and community plans.






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