Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

What should be incorporated into Mrs. Sparrow's plan of care considering her recent confusion and insomnia?

1. High fibre diet

2. Regular blood work

3. Falls prevention

4. Referral to a sleep therapist

The correct answer is: Falls prevention

Incorporating falls prevention into Mrs. Sparrow's plan of care is crucial considering her recent confusion and insomnia. Confusion can significantly increase the risk of falls, as individuals may have impaired judgment or coordination. Insomnia can also contribute to lethargy and a lack of focus, further heightening this risk. Falls prevention strategies can include environmental modifications, such as removing tripping hazards and ensuring adequate lighting, as well as implementing safety measures like using assistive devices if necessary. Addressing falls proactively not only enhances Mrs. Sparrow's safety but also supports her overall well-being as she navigates her confusion and sleep disturbances. While maintaining a high-fiber diet, conducting regular blood work, or referring Mrs. Sparrow to a sleep therapist are all beneficial interventions in different contexts, they do not directly address the immediate safety concerns posed by her confusion and insomnia. A high-fiber diet focuses more on digestive health, regular blood work may serve to monitor underlying conditions, and a sleep therapist can support sleep issues but does not provide immediate protection against the risks of falls.