Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

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What is an important factor to consider when planning care for an elderly patient with confusion and insomnia?

Frequent family visits
Personal hygiene routines
Regular social activities
Falls prevention strategies

The correct answer is: Falls prevention strategies

When planning care for an elderly patient with confusion and insomnia, falls prevention strategies are crucial. Older adults are often at increased risk for falls due to factors such as decreased mobility, medication side effects, and cognitive impairments, which can be exacerbated by confusion. Insomnia can contribute to fatigue and decreased coordination, further heightening the risk of falls. Therefore, implementing measures such as ensuring a clutter-free environment, using non-slip mats, and having proper lighting in the patient's living area is essential to minimize these risks. While frequent family visits, personal hygiene routines, and regular social activities can enhance the quality of life and may provide emotional support, they do not directly address the specific risks linked to confusion and insomnia, making falls prevention the most pertinent factor in this context.