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

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: Physiological Integrity: Physiological Adaptation

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:

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:

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:    169, Box 9-2

OBJ:    2          TOP:    Fall Prevention

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

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

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