A nurse in an outpatient clinic is conducting a clinical risk evaluation for a 75-year-old community-dwelling client to promote healthy aging and prevent fall-related injuries. Arrange the following nursing actions in the correct sequential order according to the nursing process.
- 1Review the client's medical record for underlying comorbidities and high-risk medications.
- 2Interview the client to gather subjective data regarding a history of recent falls and fear of falling.
- 3Conduct a physical mobility assessment to evaluate the client's gait, balance, and lower extremity strength.
- 4Synthesize the gathered subjective and objective data to categorize the client's overall fall risk level.
- 5Collaborate with the client to formulate a personalized fall prevention plan and provide home safety education.
Answer
The correct sequence strictly follows the nursing process. The nurse must first gather comprehensive assessment data by reviewing the chart, interviewing the client, and performing a physical examination. Next, the nurse analyzes this data to categorize the risk level. Finally, the nurse formulates and implements a targeted health promotion plan.
The nursing process dictates a logical, sequential approach to client care. Assessment (chart review, interview, physical exam) must always precede analysis (risk categorization), which in turn must precede planning and implementation (formulating the prevention plan).
Step-by-Step Solution
Key Concept
Application of the nursing process (ADPIE) to clinical risk evaluation and health promotion