Practice Question
A nurse is observing an assistive personnel (AP) provide care to a group of clients. Which of the following actions by the AP requires intervention by the nurse?
Answer Choices:
Correct Answer:
Instructing a client to look down at their feet when being assisted to ambulate
Rationale:
🟡 Clients should be encouraged to look ahead—not down—while ambulating to help maintain proper posture, balance, and prevent falls.
🟡 Looking down at the feet can cause dizziness, loss of equilibrium, and unsafe gait patterns, increasing the risk for injury.
🟡 The nurse must intervene to prevent this unsafe instruction from leading to a potential fall or musculoskeletal strain.
🟡 Fall prevention strategies include promoting safe vision orientation, using assistive devices, and proper verbal guidance.
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This question is from PN Management~2023 Retake Exam which contains 53 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Leadership
- Answer Choices: 4