The nurse is on a task force to reduce the incidence of falls ...

[michelleunicorn]

The nurse is on a task force to reduce the incidence of falls among residents of a long-term care facility. Which measure should the nurse recommend to prevent the most falls?
 
  A) The use of diffuse, natural lighting on the unit
  B) A fall history and fall risk assessment of each patient on admission
  C) Psychosocial interventions aimed at reducing individuals' fear of falling
  D) Use of physical restraints on new patients who have delirium or dementia.

Question 2

As a component of a patient's comprehensive respiratory assessment, the nurse is preparing to assess for the presence of tactile fremitus. How should the nurse direct the patient prior to this assessment?
 
  A) Please say 'toy boat' after I put my stethoscope on your back.
  B) Take few deep breaths after I put my hands on your ribs.
  C) Take a deep breath while I tap your back in a few places with my fingers.
  D) I'd like you to say 'one, two, three' for me a few times while I feel your chest and back.

[mk6555]

Answer to Question 1

B
Feedback:
A thorough history and fall risk assessment is central to any fall reduction initiative. This would supersede the use of diffuse lighting, though this type of lighting is appropriate. Interventions aimed at reducing the fear of falling will not necessarily reduce falls, and the liberal use of restraints is inappropriate.

Answer to Question 2

D

[michelleunicorn]

Thank you

[mk6555]

No problemo