TEST BANK FOR NURSING INTERVENTIONS
AND CLINICAL SKILLS 7TH EDITION
BY POTTER
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter : Home Care Safety
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
MULTIPLE CHOICE
1. 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
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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
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%.
N
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.
ANS: D
The family that agrees 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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
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.
, TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Planning
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. 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.
ANS: A
The shuffling gait is a safety hazard and could cause the client to fall. The nurse first conducts
a safety assessment of the house to determine factors promoting safety and factors that do not
promote safety. It is possible that some modifications (i.e., wall railings) would be sufficient
to keep the client safe at home. Checking shoes for fit is important as shoes that are too big or
don’t fit totally on the foot can be a tripping hazard, but this is not as important as a
comprehensive home safety assessment. Explaining the community services available will not
provide safety for this client. Telling the family that he or she can do whatever he or she wants
ignores the client’s specific safety needs, the families concerns, and effectively removes them
from the discussion.
N
DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
5. 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.
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, unless they have a cognitive disorder
that would prevent learning, such as dementia. 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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
AND CLINICAL SKILLS 7TH EDITION
BY POTTER
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter : Home Care Safety
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
MULTIPLE CHOICE
1. 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
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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
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%.
N
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.
ANS: D
The family that agrees 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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
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.
, TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Planning
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. 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.
ANS: A
The shuffling gait is a safety hazard and could cause the client to fall. The nurse first conducts
a safety assessment of the house to determine factors promoting safety and factors that do not
promote safety. It is possible that some modifications (i.e., wall railings) would be sufficient
to keep the client safe at home. Checking shoes for fit is important as shoes that are too big or
don’t fit totally on the foot can be a tripping hazard, but this is not as important as a
comprehensive home safety assessment. Explaining the community services available will not
provide safety for this client. Telling the family that he or she can do whatever he or she wants
ignores the client’s specific safety needs, the families concerns, and effectively removes them
from the discussion.
N
DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
5. 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.
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, unless they have a cognitive disorder
that would prevent learning, such as dementia. 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: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
