Deck 32: Home Care Safety

Question 1

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) Conduct a home assessment focusing on fall prevention.
B) Explain community services for older clients.
C) Help the client check the fit of his shoes.
D) Tell the family he can do whatever she wants.

Answer 1

Conduct a home assessment focusing on fall prevention.

Question 2

The nurse prepares to teach the client about managing multiple medications at home.Which client outcome does the nurse hope to accomplish as a result of client teaching?

A) The client demonstrates proper disposal of medications in the toilet.
B) The client stores the medication bottles on the bathroom counter.
C) The client can read each medication label and explain when to take each one.
D) The client explains ways to decrease the number of times he or she takes the medications.

Answer 2

The client can read each medication label and explain when to take each one.

Question 3

A frail older client is being driven to the grocery store.Which aspect of safety prevention is most important for the nurse to stress to this client?

A) Tell the client to get out of the car slowly.
B) Move the client's seat at least 10 inches from the air bag.
C) Instruct the driver to let the client off at the door.
D) Instruct the client to avoid rib and chest injury by not using the seatbelt.

Answer 3

Move the client's seat at least 10 inches from the air bag.

Question 4

The nurse is teaching the client how to safely take a diuretic and an antihypertensive pill.Which information does the nurse write for the client to reduce client risk of falls while maintaining the therapeutic medication regimen?

A) Take the diuretic in the morning at 8 AM and the antihypertensive pill at 1 PM.
B) Take both medications at the same time so the client can remember.
C) Change positions slowly, especially from lying down to standing.
D) Take the medications with orange juice to maintain the potassium level.

Question 5

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.

Question 6

The nurse is helping a client with diminished sight to remain as independent in the home as possible.Which does the nurse include as a priority in client teaching to improve home safety for the client?

A) Turn on a light before he or she walks into a dark room.
B) Clean the top of the stove and appliances at least twice a week.
C) Post emergency numbers on the front of the refrigerator.
D) Use fluorescent lighting to decrease glare.

Question 7

The Joint Commission has identified goals related to client safety in the home.These goals focus on which of the following? (Select all that apply.)

A) Patient identification
B) Medication safety
C) Fall prevention
D) Patient education
E) Safety risk identification

Question 8

The nurse assesses a client using the Folstein test (Mini Mental Status Exam [MMSE]) and the client scores a 15.What action by the nurse is most appropriate?

A) Consult the provider about a physical therapy referral.
B) Arrange a full neurocognitive assessment for the client.
C) Assess the client's food and beverage preferences.
D) Teach the client and family ways to prevent falls.

Question 9

The nurse completes a home safety assessment and recommends removing a few pieces of large furniture to widen the pathway for a client who ambulates with a walker.However, the client refuses to allow furniture to be removed.Which action should the nurse take at this time?

A) Remove the furniture because it is a safety hazard.
B) Discuss the unsettling nature of change with the client.
C) Instruct the client about potential injuries from falls.
D) Explain the nursing responsibility to reduce the risk.

Question 10

The nurse is working with a client on the 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

Question 11

The nurse assesses a home care client who has a possible cognitive impairment.Which does the nurse implement to validate the assessment finding before planning suitable nursing care?

A) Collaborate for a psychiatric evaluation.
B) Call a social worker to assess client needs.
C) Ask family members for additional information.
D) Review how the client takes care of things at home.

Question 12

The nurse is caring for an older client who has been getting more confused recently.What other characteristics might the family notice that alerts the nurse that the client may be at risk for wandering?

A) The client paces and cannot be redirected easily.
B) The client sleeps 6 hours at night and naps during the day.
C) The client gets tired when cleaning the kitchen after cooking dinner.
D) The client uses a space heater for supplemental heat.

Question 13

The home care nurse assists a client with impaired fine-motor skills.Which should the nurse implement to benefit the client?

A) Large-print medication labels
B) An easily opened medication organizer
C) A telephone with a vibrating ringer
D) A color-coded medication schedule

Question 14

The client's son tells the nurse that his parent 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.

Question 15

The nurse prepares to discharge an older client who has fallen in the hospital to home.Which safety measure does the nurse include in client and family teaching?

A) Install a grab bar near the shower or tub.
B) Take medications at bedtime to avoid side effects.
C) Install additional towel bars near the shower or tub.
D) Wear socks during the day for foot health.

Question 16

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 agrees to the therapeutic diet and exercise plan.

Question 17

The nurse teaches an older client about minimizing the risk of falls at home.Which does the nurse include in client teaching to prevent falls?

A) Install extra towel bars in the bathtub and near the toilet.
B) Arrange the furniture so that pathways are wide enough and clear.
C) Have a neighbor check on the client every afternoon.
D) Secure throw rugs to the floor with double-sided tape.

Question 18

The nurse instructs the client to perform self-injections of insulin.Which does the nurse include in client teaching to prevent a home accident to other family members?

A) Trains the client to avoid rubbing the injection site.
B) Instructs the client to store used needles in a hard plastic bottle with a tight lid.
C) Shows the client how to draw up precise insulin doses.
D) Ensures that the client has low-dose syringes for small doses.

Question 19

The nurse is conducting a home safety assessment and notes the client has a fire extinguisher near the stove.What action by the nurse is most appropriate?

A) Praise the client for having the extinguisher.
B) Have the client demonstrate/explain use of the extinguisher.
C) Check to see if the extinguisher is still fully charges.
D) Create a schedule for the client to change the extinguisher batteries.

Question 20

The nurse prepares the client to self-administer medications at home.Which does the nurse implement to increase the chance of client compliance with the therapeutic regimen?

A) Provides client with a list of medication websites.
B) Instructs client to decrease dose when feeling better.
C) Discusses strategies for client use to prevent addiction.
D) Develops a clear medication schedule with client help.