Home Safety Case Study

For each environmental assessment finding in the left column, click to specify if the finding is a fall risk, nutritional risk, other health risk, or no risk. Select only one option for each row.

Fall Risk: Handrail on front steps loose Multiple small rugs on the floor Nutritional Risk: Lack of fresh foods Other Health Risk: Home built in the 1960s​ Medications in a box near a chair No Risk: Bright inside lighting Temperature in home 68ᵒF/20ᵒC

Three weeks after the initial intake assessment, the nurse returns to the client's home for the final time. For each assessment finding in the left column, click to specify if the finding indicates that the client's environment has improved, not changed, or declined. Select one option for each row.

Improved: The handrail on the stairs to the front porch has been fixed. Medications are placed in a container that holds a week's worth of doses, sorted by time. There are meals from a volunteer organization in the refrigerator. Not Changed: Peeling paint is noted around the windows. Declined: Overhead light in the main living area is not working.

For each potential nursing intervention in the left column, click to specify if the intervention is indicated, nonessential, or contraindicated for the care of the client. Select one option for each row.

IndicatedL: Reconcile prescription and OTC medications​ Refer the client to a volunteer organization for home repairs​ Refer the client to a no-cost meal delivery service Remove small rugs in all rooms Assess the client's dietary intake Nonessential: Clear the sidewalks covered with snow Contraindicated: Advise the client to enter a care facility

Which four environmental observations should the nurse address first with this older adult client?

Lack of fresh foods Medications in a box near a chair Multiple small rugs on the floor Handrail on front steps

Select only one answer from each drop-down list. The nurse should remove the small rugscomplete a physical assessmentcall the client's family prior to reconciling all medicationsincreasing the temperaturecontacting the healthcare provider. Before ending the visit, the nurse should bathe the clientassess the client's mobilitycontact the department of aging.

complete a physical assessment reconciling all medications assess the clients mobility

The nurse should address the client's lack of fresh foodfall riskpeeling paint followed by the client's room temperaturemain living areamedication storage.

fall risk medication storage