Solutions
A 76 year old client lives alone at home. Which of the following
is the highest priority question for his home health nurse to ask
regarding his safety?
A. Do you use softglow light bulbs in your home?
B. At what temperature is your thermostat set?
C. Why don't you consider selling your two story home and
buying a house without stairs.
D. Do any of your medications cause you to be physically
unsteady? Correct Answer D. Do any of your medications
cause you to be physically unsteady.
A client has a pressure injury on the right elbow that is covered
with eschar and extensive tissue damage. Which stage should
the nurse document this ulcer to be?
A. Stage 4
B. Stage 3
C. Unstageable
D. Stage 2 Correct Answer C. Unstageable
, A client reports that he believes he will "never kick the habit" of
smoking because he has tried before and failed. Using the
transtheoretical model, what stage is the client functioning in?
A. Preparation
B. Precontemplation
C. Action
D. Maintenance Correct Answer B. Precontemplation
A home health nurse is at the home of a client with diabetes and
arthritis. The client has difficulty drawing up insulin. It would be
most appropriate for the nurse to refer the client to:
A. A social worker from the local hospital
B. An occupational therapist from the community center
C. A physical therapist from the rehabilitation agency associated
with the hospital
D. Another client with diabetes mellitus and takes insulin
Correct Answer B. An occupational therapist can assist a client
to improve fine motor skills needed to prepare injections but can
also connect the client with new and improved supplies such as
diabetic supplies made for clients with arthritis.
Advanced Directives (Living Will) Correct Answer A patient's
directive regarding his/her right to determine wishes for life
sustaining treatment
Is a legal document