Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 17- Safety
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse, planning care for older patients on a geriatric unit, realizes which of the following health problems as occurring more frequently among older adults than in younger adults? (Select all that apply.) | |
| A) | Cellulitis | |
| B) | Pneumonia | |
| C) | HIV/AIDS | |
| D) | Diverticulitis | |
| E) | Endocarditis | |
| Ans: | B, D, E | |
| Feedback: | ||
| The incidence of endocarditis, pneumonia, and diverticulitis is higher among older adults. This is not the case with HIV and cellulitis. | ||
| Origin: Chapter 17- Safety, 2
Chapter: 17 Client Needs: D1 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 2 Page and Header: 207, Importance of the Environment to Health and Wellness; 208, Table 17-2 |
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| 2. | Which aspect of the microenvironment is a 79-year-old widow most likely to focus on first? | |
| A) | The decor of the house is several decades out of date. | |
| B) | The home was recently burglarized and the television stolen. | |
| C) | The front steps of the house are decaying and pose a safety risk. | |
| D) | The home is unbearably hot in the summer and has cockroaches. | |
| Ans: | D | |
| Feedback: | ||
| According to Maslow’s hierarchy of needs, considerations related to basic comfort and freedom from pests are foundational, and supersede safety risks and aesthetics. The patient is most likely going to focus on home temperature and rodents before decorating, improving the steps, or purchasing a new television. | ||
| Origin: Chapter 17- Safety, 3
Chapter: 17 Client Needs: A2 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 4 Page and Header: 210, Lighting |
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| 3. | Which of the following lighting schemes should the nurse manager integrate into the plan for a new long-term care facility? | |
| A) | Placement of multiple diffuse lighting sources | |
| B) | The use of large banks of windows to maximize direct sunlight | |
| C) | Placement of large fluorescent lighting panels centered in each room | |
| D) | Low levels of lighting to reduce glare and accommodate residents with light sensitivity | |
| Ans: | A | |
| Feedback: | ||
| The use of multiple diffuse lighting sources is ideal for older adults and would be preferable to direct sunlight, large, single lighting sources, or fluorescent lights. | ||
| Origin: Chapter 17- Safety, 4
Chapter: 17 Client Needs: A2 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 4 Page and Header: 211, Floor Coverings |
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| 4. | An older individual is touring an assisted living facility with his family in order to find a place to live after the death of his spouse and issues with mobility. Which characteristic of the facility is most in need of modification? | |
| A) | The temperature of common areas is kept between 75°F and 77°F | |
| B) | Aromatherapy is used in the facility to provide a pleasant scent environment | |
| C) | Area rugs are placed in front of each sink in residents’ washrooms to ensure warmth | |
| D) | There is more tile than carpet throughout the facility and carpets are glued to the floor | |
| Ans: | C | |
| Feedback: | ||
| Area rugs constitute a fall risk and should not be used. The temperature, the use of aromatherapy, and the prioritization of tile over carpet are all conducive to a safe and pleasant environment. | ||
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