Physiological Adaptation Q 131

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An elderly client is admitted to the nursing home setting. The client is occasionally confused and her gait is often unsteady. Which of the following actions, if taken by the nurse, is most appropriate?

  

     A. Ask the woman’s family to provide personal items such as photos or mementos.

     B. Select a room with a bed by the door so the woman can look down the hall.

     C. Suggest the woman eat her meals in the room with her roommate.

     D. Encourage the woman to ambulate in the halls twice a day.

    

    

Correct Answer: A. Ask the woman’s family to provide personal items such as photos or mementos.

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Photos and mementos provide visual stimulation to reduce sensory deprivation.

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Option B: The client is often confused and may wander outside her room and easily get lost.

Option C: The client may take her meals with a roommate or in the dining hall.

Option D: This may lead to incidence of falls or injury because the client’s gait is unsteady. Assistance during ambulation is most appropriate.

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