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A home health nurse is visiting with an older adult client. Which of the following observations indicate
the need for home modification?
a. The home has powerstrips that have breakers.
b. The client uses an electric toaster oven for cooking.
c. There are two rocking chairs in the living room.
d. The bathtub has a seat and a hand-held shower head.
There are two rocking chairs in the living room. Reasoning: rocking chairs and swivel chairs will require a
modification. The nurse should block the motion of the chairs to keep them stable so that the client can
easily get in and out.
A case manager is planning an educational program for a client who has diabetes mellitus. Which of the
following activities should the nurse include when using the psychomotor domain of learning?
a. Review a color diagram of the food pyramid with the client.
b. Show the client a video about how to monitor blood glucose levels.
c. Observe the client'stechnique for drawing up insulin.
d. Encourage the client to discusstheirfeelings ofself-worth.
Observe the client's technique for drawing up insulin
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a rehab
facility. Which of the following actions should the nurse take first?
a. Hold a care conference with the client to discuss treatment options.
b.Contact service providersto determine the availability of services offered.
c. Determine the client's ability to perform self-care.
d. Evaluate the client'ssatisfaction with the case manager's services.
Determine the client's ability to perform self-care. Reasoning: The first action the nurse should take
when using the nursing process is to assess the client's needs. Determining a client's needs is the first
step of the case management process which allows the case manager to plan client-centered care.
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use aÂ
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