Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
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Chapter 09: Meeting Safety Needs of Older Adults
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | judging the height of steps. |
| b. | reading small print on food labels. |
| c. | reading street signs. |
| d. | seeing in dim light. |
ANS:Â Â A
Diminished depth perception results in an inability to judge height and depth of steps and judge distance. These deficits result in falls.
DIF:Â Â Â Cognitive Level: Knowledge REF:Â Â Â 167Â Â Â Â Â OBJ:Â Â Â 1
TOP:Â Â Â Diminished Depth Perception KEY:Â Â Nursing Process Step: Implementation
MSC:Â Â NCLEX: Physiological Integrity: Physiological Adaptation
| a. | postural hypotension. |
| b. | cognitive changes. |
| c. | altered vision. |
| d. | altered gait. |
ANS:Â Â D
The propulsive gait and reduced ability to lift the feet make falls a constant threat to a patient with Parkinson disease.
DIF:Â Â Â Cognitive Level: Application REF:Â Â Â 167-168Â Â Â Â Â Â Â Â Â Â OBJ:Â Â Â 3
TOP:   Fall Prevention                       KEY:  Nursing Process Step: Implementation
MSC:Â Â NCLEX: Safe, Effective Care Environment: Safety and Infection Control
| 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:Â Â D
Sitting on the side of the bed before ambulation gives the vascular system time to adjust to a positional change.
DIF:Â Â Â Cognitive Level: Application REF:Â Â Â 169, Box 9-2
OBJ:Â Â Â 2Â Â Â Â Â Â Â Â Â TOP:Â Â Â Fall Prevention
KEY:Â Â Nursing Process Step: Implementation
MSC:Â Â NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | fall again. |
| b. | be hospitalized for treatment. |
| c. | be seen as frail and dependent. |
| d. | be considered clumsy. |
ANS:Â Â C
Many older adults do not report falls because they fear that they will be seen as frail and dependent.
DIF:Â Â Â Cognitive Level: Application REF:Â Â Â 168Â Â Â Â Â OBJ:Â Â Â 2
TOP:   Fall Prevention                       KEY:  Nursing Process Step: Planning
MSC:Â Â NCLEX: Psychosocial Integrity: Coping and Adaptation
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