Chapter 09: Meeting Safety Needs of Older Adults

Chapter 09: Meeting Safety Needs of Older Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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?

a.	Judging the height of steps.
b.	Reading small print on food labels.
c.	Reading street signs.
d.	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

 

2. 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?

a.	Postural hypotension
b.	Cognitive changes
c.	Altered vision
d.	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

 

3. 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?

a.	Ambulate with a walker.
b.	Avoid hot baths.
c.	Avoid climbing stairs.
d.	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

 

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

a.	Fear that he will fall again
b.	Fear of being hospitalized for treatment
c.	Afraid of being seen as frail and dependent
d.	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