Chapter 09 Meeting Safety Needs of Older Adults

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Chapter 09  Meeting Safety Needs of Older Adults

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1.

An older adult man has been diagnosed as having diminished depth perception. What does the

nurse expect him to have difficulty with in his everyday activities?

  1. Judging the height of steps.
  2. Reading small print on food labels.
  3. Reading street signs.
  4. Seeing in dim light.

ANS: A
Diminished depth perception results in an inability to judge height and depth of steps and judge distance. These deficits result in falls.

DIF: Cognitive Level: Knowledge REF: p. 165 OBJ: 1
TOP: Diminished Depth Perception KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

The home health nurse is assessing the home environment of an 85-year-old patient with Parkinson disease. What symptom of Parkinson disease makes the patient at an increased risk of falls?

  1. Postural hypotension
  2. Cognitive changes
  3. Altered vision
  4. Altered gait

ANS: D
The propulsive gait and reduced ability to lift the feet make falls a constant threat to a patient with Parkinson disease.

DIF: Cognitive Level: Comprehension REF: p. 166 OBJ: 2
TOP: Fall Prevention KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

In order to decrease fall risk due to orthostatic hypotension, what advice should be given to an

older adult who is taking medication for hypertension?

  1. Ambulate with a walker.
  2. Avoid hot baths.
  3. Avoid climbing stairs.
  4. Sit on the side of the bed for a moment before ambulation.

ANS: D
Sitting on the side of the bed before ambulation gives the vascular system time to adjust to a positional change.

DIF: Cognitive Level: Application REF: p. 174 OBJ: 3
TOP: Fall Prevention KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

2.

3.

4. What is a common reason that an older adult may deny that he has fallen?

  1. Fear that he will fall again
  2. Fear of being hospitalized for treatment
  3. Afraid of being seen as frail and dependent
  4. Fear of being considered clumsy

ANS: C
Many older adults do not report falls because they fear that they will be seen as frail and dependent.

DIF: Cognitive Level: Comprehension REF: p. 166 OBJ: 2
TOP: Fall Prevention KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

5. Why is it important for the home health nurse to interview an 82-year-old patient following the patient’s fall in the home?

  1. So that the incident can be reflected in the home health nurse’s documentation
  2. To help the patient gain insight into the cause of the fall
  3. In order to guarantee no further falls
  4. To collect data for research purposes

ANS: B
Gaining insight into the cause of falls will help the patient and family become aware of factors in the home that are so familiar that they are not seen as hazards. Recognition of hazards will lead to an alteration of the environment for improved safety. While the nurse will document the fall in her notes, that is not the primary reason to interview the patient. Further falls cannot be guaranteed.

DIF: Cognitive Level: Application REF: pp. 166-167 OBJ: 3
TOP: Fall Prevention KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

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