When asking an older person to make environmental changes in the ...

[james0929]

When asking an older person to make environmental changes in the home to improve safety, which nursing strategy has the highest priority?
 
  A) making a list of safety hazards to call workers to correct problems
  B) assess lighting in dining area and the degree of contrast to find areas for improvement
  C) discuss each suggestion with client and mutually agree before instituting the plan
  D) reframe problems to be more positive to increase acceptance of assistive devices

Question 2

During a home visit an older patient with heart disease tells the nurse of plans to shovel the snow as soon as the visit concludes. How should the nurse instruct the patient at this time?
 
  1. Shovel the steps only.
  2. Avoid shoveling at this time.
  3. Shovel for 30 minutes at a time.
  4. Shovel for 10 minutes and then stop.

[braelync]

Answer to Question 1

C

Answer to Question 2

2
Rationale: The older heart cannot respond to stressful stimuli as well as the younger heart. The patient should be cautioned not to engage in stressful activities like vigorous shoveling of snow without engaging in a gradual exercise program to build fitness. Shoveling the steps could be harmful to the patient.

[james0929]

TYSM

[aruss1303]

Thanks for the timely response, appreciate it