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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A patient with a history of stroke and resultant left-sided weakness is at risk for falls. The patient is eager to regain independence in mobility. What is a holistic nursing approach to promote safe mobility and reduce the risk of falls in this patient?
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Encouraging the patient to push through their physical limitations to expedite recovery.
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Correct answer Assessing the patient’s mobility and balance, developing an individualized fall prevention plan, collaborating with physical and occupational therapy for a tailored mobility training program, ensuring a safe environment free from hazards, educating the patient on the use of assistive devices, and involving the family in the patient's mobility plan.
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Telling the patient to remain in bed unless assisted by a healthcare professional to prevent falls.
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Assuming the patient will be safe as long as they use a walker for mobility.
Rationale
A holistic approach to safe mobility includes an individualized assessment, fall prevention plan, interdisciplinary collaboration, a safe environment, patient and family education, and the use of assistive devices. Restricting the patient to bed, assuming a walker alone will prevent falls, or encouraging the patient to push through physical limitations can jeopardize the patient's safety and hinder progress towards regaining mobility.
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