Chapter 12: Safety

Chapter 12: Safety

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which nursing intervention best demonstrates the understanding that older adults are at increased risk for falls because of normal age-related changes?

ANS:  C

Older adults who lie supine and then get up quickly are likely to experience the effects of lack of tissue elasticity when the blood pressure drops and a feeling of lightheadedness develops. It is important to educate older individuals to change position slowly.

DIF:    Understanding (Comprehension)      REF:   Page 220        OBJ:   12-4

TOP:   Teaching-Learning                          MSC:  Safe Effective Care Environment

2. An older adult’s risk for a fall-related injury is directly correlated to his or her ability to regain balance. To evaluate this ability, the nurse assesses the patient’s:

ANS:  B

Older adults who lose their balance are able to right themselves to an upright position when the musculoskeletal strength of the hips, ankles, and shoulders is adequate. The inability to regain balance because of insufficient strength can result in a fall. The other options are also possibilities, but they are not as significant as hip, ankle, and shoulder strength.

DIF:    Understanding (Comprehension)      REF:   Page 221        OBJ:   12-4

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

3. The geriatric nurse’s decision to identify a specific patient as a falls risk is primarily based on the:

ANS:  C

Research has shown that the individual with frailty and physical functional limitations is at greatest risk for falling.

DIF:    Remembering (Knowledge)             REF:   Page 222        OBJ:   12-4

TOP:   Nursing Process: Assessment           MSC:  Safe Effective Care Environment

4. An older adult has been diagnosed with presbyopia. To minimize the patient’s risk for falls, the nurse suggests:

ANS:  A

If older individuals are experiencing presbyopia, a reduction in the eye’s accommodation for changes in depth, such as when ascending or descending the stairs, instruction must be given for them to carefully watch door edges, curbs, and landing steps, which signal a change in height. Painting the edges of steps a contrasting color will make these depth changes more visible. The other suggestions are not related to this disorder.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   12-1

TOP:   Teaching-Learning                          MSC:  Safe Effective Care Environment