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. The nurse cautions the older man who has diminished depth perception that he will have difficulty:

  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: 167 OBJ: 1
TOP: Diminished Depth Perception KEY: Nursing Process Step: Implementation MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

2. The home health nurse helps the family improve the safety of the environment for the 85-year-old male patient with Parkinson disease who is at risk for falls related to:

  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: Application REF: 167-168 OBJ: 3
TOP: Fall Prevention KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

3. The nurse reminds the older adult who is taking drugs for hypertension that to prevent falls from orthostatic hypotension, the patient should:

  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.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 9-2

DIF: Cognitive Level: Application REF: 169, Box 9-2
OBJ: 2 TOP: Fall Prevention
KEY: Nursing Process Step: Implementation
MSC: NCLEX:PhysiologicalIntegrity:PharmacologicalTherapies

4. The nurse is aware that some older adults deny that they have fallen because they fear that they will:

  1. fall again.
  2. be hospitalized for treatment.
  3. be seen as frail and dependent.
  4. be 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: Application REF: 168 OBJ: 2
TOP: Fall Prevention KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

5. After the 82-year-old female patient fell in her home, the home health nurse interviewed her about the incident because the information will:

  1. be reflected in the home health nurse’s documentation.
  2. help the patient gain insight into the cause of the fall.
  3. be used to guarantee no further falls.
  4. be collected 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.
DIF: Cognitive Level: Application REF: 169, Box 9-2
OBJ: 3 TOP: Fall Prevention
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

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