Which action promotes a safe environment for a patient with impaired vision?

Correct Answer: C

Rationale: Keeping the environment clutter-free promotes safety for a visually impaired patient by minimizing trip hazards and easing navigation, critical for preventing falls. Frequent furniture rearrangement disorients, increasing risk. Dark floors obscure edges, making obstacles harder to spot contrast helps. Loud music distracts, not aids, safety. Nurses ensure clear pathways and consistent layouts, often adding tactile guides, to support safe mobility and independence, tailoring the space to the patient's sensory needs effectively.

Correct Answer: C

Rationale: A cooling fan improves sleep quality and comfort for a bedridden patient by circulating air, reducing heat and sweat, common discomforts in prolonged stillness. Warm air circulation counters this goal cooling is key. Noise might stimulate but disrupts sleep, not enhances it. Decreasing ventilation traps heat and odors, worsening conditions. Nurses position fans safely, avoiding drafts on wounds, to create a soothing environment, aiding rest and recovery, a simple comfort boost in confined settings.

Correct Answer: C

Rationale: Using a swab to clean the mouth assists a mobility-limited patient by providing gentle, effective oral care tailored to their physical constraints, preventing decay or infection. Doing it entirely for them may work but reduces autonomy unnecessarily. Leaving with tools assumes ability they may lack, risking neglect. Avoiding care invites complications discomfort stems from poor hygiene, not care itself. Nurses swab gently, often with solutions, supporting independence where possible, a practical hygiene solution for dependent patients.

Correct Answer: D

Rationale: Personal beliefs are not a formal determinant of health, unlike culture, biology/genetics, and social support, which are recognized factors shaping health outcomes. Culture influences practices and access, biology/genetics dictate predisposition (e.g., hereditary conditions), and social support buffers stress or isolation all directly tied to health. Beliefs, like preferring herbal remedies, reflect individual choices shaped by determinants, not the determinants themselves. Health care aides encounter beliefs in care preferences, but their role is to navigate these within broader health factors, ensuring care respects clients while addressing systemic influences, not conflating personal views with structural drivers.

Correct Answer: C

Rationale: Holistic care addresses physical (e.g., pain), emotional (e.g., mood), social (e.g., relationships), intellectual (e.g., stimulation), and spiritual (e.g., beliefs) aspects, ensuring whole-person well-being. Free choice and independence are principles, not components. Career and money are narrow, missing broader needs. Family and religion are subsets, not the full model. Health care aides adopt this approach e.g., aiding mobility (physical) while chatting (social) to meet diverse needs, enhancing quality of life beyond mere tasks, a comprehensive care philosophy.