Question 1

What does the nurse hope to achieve by teaching tai chi daily in the long-term care facility?

Accepted Answer

A)  Stimulate intellectual activity 
B)  Encourage interaction 
C)  Improve coordination 
D)  Demonstrate cultural awareness 
A)  Stimulate intellectual activity 
B)  Encourage interaction 
C)  Improve coordination 
D)  Demonstrate cultural awareness C

Question 2

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?

Accepted Answer

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. 
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. D

Question 3

What factors increase the risk of vehicular accidents for the older adult? (Select all that apply.)

Accepted Answer

A)  Increased reflex time 
B)  Cognitive disorders 
C)  Altered depth perception 
D)  Changes in night vision 
E)  Reduced flexibility 
A)  Increased reflex time 
B)  Cognitive disorders 
C)  Altered depth perception 
D)  Changes in night vision 
E)  Reduced flexibility B,C,D,E

Question 4

The daughter of an 80-year-old woman asks the home health nurse for advice in selecting a cane for her mother, who has an unsteady gait. What cane would be a poor choice?

Accepted Answer

A)  Wooden cane with a rubber tip 
B)  Four-footed cane with a rubber grip 
C)  Clear acrylic cane with a nonslip tip 
D)  Colorful carved cane with a wooden tip 
A)  Wooden cane with a rubber tip 
B)  Four-footed cane with a rubber grip 
C)  Clear acrylic cane with a nonslip tip 
D)  Colorful carved cane with a wooden tip

Question 5

What should the home health nurse suggest in the case of a fire in the home of the older adult? (Select all that apply.)

Accepted Answer

A)  Keep a flashlight at the bedside 
B)  Use an appropriate fire extinguisher to control fire 
C)  Keep the doors open for an easy escape route 
D)  Call 911 before exiting the home 
E)  Open the windows to decrease smoke 
A)  Keep a flashlight at the bedside 
B)  Use an appropriate fire extinguisher to control fire 
C)  Keep the doors open for an easy escape route 
D)  Call 911 before exiting the home 
E)  Open the windows to decrease smoke

Question 6

Which of the following may be a thermoregulation risk in the older adult?

Accepted Answer

A)  Inactivity 
B)  Eating highly spiced foods 
C)  Being overweight 
D)  Mental illness 
A)  Inactivity 
B)  Eating highly spiced foods 
C)  Being overweight 
D)  Mental illness

Question 7

The home health nurse conducts a safety assessment in a patient's home. Which of the following would be identified as a fire hazard?

Accepted Answer

A)  Baking soda near the stovetop 
B)  A smoke detector in the kitchen 
C)  Multiple appliances plugged into one outlet 
D)  A metal container for cigarettes 
A)  Baking soda near the stovetop 
B)  A smoke detector in the kitchen 
C)  Multiple appliances plugged into one outlet 
D)  A metal container for cigarettes

Question 8

What would be the initial choice of interventions to help prevent a fall in a confused 85-year-old extended-care facility patient?

Accepted Answer

A)  Use of a vest restraint 
B)  Use of an electronic sensor alarm 
C)  Placement of a wheelchair between the wall and dining table 
D)  A tray table attached to the arms of the wheelchair 
A)  Use of a vest restraint 
B)  Use of an electronic sensor alarm 
C)  Placement of a wheelchair between the wall and dining table 
D)  A tray table attached to the arms of the wheelchair

Question 9

What telephone modifications would increase safety for the older adult? (Select all that apply.)

Accepted Answer

A)  Placement of phones at bedside and next to a favorite chair 
B)  Programming an auto dial function for quick dialing 
C)  Using an answering machine with a male voice 
D)  Replacing the phone cord with a 15-foot cord for ease in carrying around the phone 
E)  Selecting a phone with large numbers 
A)  Placement of phones at bedside and next to a favorite chair 
B)  Programming an auto dial function for quick dialing 
C)  Using an answering machine with a male voice 
D)  Replacing the phone cord with a 15-foot cord for ease in carrying around the phone 
E)  Selecting a phone with large numbers

Question 10

The home health nurse counsels a family in making safe driving "rules" for their 85-year-old father. Which rule would not be effective in promoting safety?

Accepted Answer

A)  Limit driving to nearby areas with easy access. 
B)  Plan ahead and know where you are going. 
C)  Wear prescribed glasses and hearing aids. 
D)  Drive below the speed limit to maintain control of the car. 
A)  Limit driving to nearby areas with easy access. 
B)  Plan ahead and know where you are going. 
C)  Wear prescribed glasses and hearing aids. 
D)  Drive below the speed limit to maintain control of the car.

Question 11

The daughter of a home health patient is concerned about her 92-year-old father who continues to drive regularly. Which observations would indicate deteriorated driving skills? (Select all that apply.)

Accepted Answer

A)  Paint scrapes on the mailbox at the curb 
B)  Friends calling him to get rides to the grocery store 
C)  Choosing not to drive at night because of night blindness 
D)  Difficulty turning his head 
E)  Carefully planning routes to avoid heavy traffic 
A)  Paint scrapes on the mailbox at the curb 
B)  Friends calling him to get rides to the grocery store 
C)  Choosing not to drive at night because of night blindness 
D)  Difficulty turning his head 
E)  Carefully planning routes to avoid heavy traffic

Question 12

The nurse is aware that the older adult is at greater risk for hypothermia than a younger person because the older adult has a diminished ability to:

Accepted Answer

A)  convert glycogen to glucose. 
B)  select appropriate clothing or bed linen. 
C)  shiver. 
D)  constrict vessels. 
A)  convert glycogen to glucose. 
B)  select appropriate clothing or bed linen. 
C)  shiver. 
D)  constrict vessels.

Question 13

The nurse is volunteering at a homeless shelter. What intervention should be taken for a patient admitted with severe hypothermia?

Accepted Answer

A)  Give the person hot coffee or soup. 
B)  Place the person in a warm bath. 
C)  Briskly rub the person's hands. 
D)  Wrap the person in blankets. 
A)  Give the person hot coffee or soup. 
B)  Place the person in a warm bath. 
C)  Briskly rub the person's hands. 
D)  Wrap the person in blankets.

Question 14

The nurse takes into consideration that the most common injuries to the older adult are the result of __________.

Accepted Answer

The answer of The nurse takes into consideration that the...

Question 15

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?

Accepted Answer

A)  Postural hypotension 
B)  Cognitive changes 
C)  Altered vision 
D)  Altered gait 
A)  Postural hypotension 
B)  Cognitive changes 
C)  Altered vision 
D)  Altered gait

Question 16

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?

Accepted Answer

A)  Judging the height of steps. 
B)  Reading small print on food labels. 
C)  Reading street signs. 
D)  Seeing in dim light. 
A)  Judging the height of steps. 
B)  Reading small print on food labels. 
C)  Reading street signs. 
D)  Seeing in dim light.

Question 17

What would be an appropriate suggestion for an 80-year-old woman who recently placed a deadbolt lock on her door?

Accepted Answer

A)  Keep the door securely locked. 
B)  Apply similar locks on the windows. 
C)  Leave the door unlocked, with the key in place. 
D)  Replace the lock with a security chain. 
A)  Keep the door securely locked. 
B)  Apply similar locks on the windows. 
C)  Leave the door unlocked, with the key in place. 
D)  Replace the lock with a security chain.

Question 18

Why is it important for the home health nurse to interview an 82-year-old patient following the patient's fall in the home?

Accepted Answer

A)  So that the incident can be reflected in the home health nurse's documentation 
B)  To help the patient gain insight into the cause of the fall 
C)  In order to guarantee no further falls 
D)  To collect data for research purposes 
A)  So that the incident can be reflected in the home health nurse's documentation 
B)  To help the patient gain insight into the cause of the fall 
C)  In order to guarantee no further falls 
D)  To collect data for research purposes

Question 19

What are internal factors that threaten the safety of the older adult? (Select all that apply.)

Accepted Answer

A)  Decrease in flexibility 
B)  Slowed reaction time 
C)  Gait changes 
D)  Thermal hazards 
E)  Postural changes 
A)  Decrease in flexibility 
B)  Slowed reaction time 
C)  Gait changes 
D)  Thermal hazards 
E)  Postural changes

Question 20

The home health nurse has evaluated the community for measures that support pedestrian safety. What safety measures would be appropriate modifications to increase safety in the community? (Select all that apply.)

Accepted Answer

A)  Pedestrian-controlled crosswalks 
B)  Safety islands on wide street intersections 
C)  Decreased time to cross at walks 
D)  Clearly marked crosswalks at intersections 
E)  Overhead crossings over busy streets 
A)  Pedestrian-controlled crosswalks 
B)  Safety islands on wide street intersections 
C)  Decreased time to cross at walks 
D)  Clearly marked crosswalks at intersections 
E)  Overhead crossings over busy streets

What does the nurse hope to achieve by teaching tai chi daily in the long-term care facility?

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?

What factors increase the risk of vehicular accidents for the older adult? (Select all that apply.)

The daughter of an 80-year-old woman asks the home health nurse for advice in selecting a cane for her mother, who has an unsteady gait. What cane would be a poor choice?

What should the home health nurse suggest in the case of a fire in the home of the older adult? (Select all that apply.)

Which of the following may be a thermoregulation risk in the older adult?

The home health nurse conducts a safety assessment in a patient's home. Which of the following would be identified as a fire hazard?

What would be the initial choice of interventions to help prevent a fall in a confused 85-year-old extended-care facility patient?

What telephone modifications would increase safety for the older adult? (Select all that apply.)

The home health nurse counsels a family in making safe driving "rules" for their 85-year-old father. Which rule would not be effective in promoting safety?

The daughter of a home health patient is concerned about her 92-year-old father who continues to drive regularly. Which observations would indicate deteriorated driving skills? (Select all that apply.)

The nurse is aware that the older adult is at greater risk for hypothermia than a younger person because the older adult has a diminished ability to:

The nurse is volunteering at a homeless shelter. What intervention should be taken for a patient admitted with severe hypothermia?

The nurse takes into consideration that the most common injuries to the older adult are the result of __________.

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?

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?

What would be an appropriate suggestion for an 80-year-old woman who recently placed a deadbolt lock on her door?

Why is it important for the home health nurse to interview an 82-year-old patient following the patient's fall in the home?

What are internal factors that threaten the safety of the older adult? (Select all that apply.)

The home health nurse has evaluated the community for measures that support pedestrian safety. What safety measures would be appropriate modifications to increase safety in the community? (Select all that apply.)

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 9: Meeting Safety Needs of Older Adults

What does the nurse hope to achieve by teaching tai chi daily in the long-term care facility?

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?

What factors increase the risk of vehicular accidents for the older adult? (Select all that apply.)

The daughter of an 80-year-old woman asks the home health nurse for advice in selecting a cane for her mother, who has an unsteady gait. What cane would be a poor choice?

What should the home health nurse suggest in the case of a fire in the home of the older adult? (Select all that apply.)

Which of the following may be a thermoregulation risk in the older adult?

The home health nurse conducts a safety assessment in a patient's home. Which of the following would be identified as a fire hazard?

What would be the initial choice of interventions to help prevent a fall in a confused 85-year-old extended-care facility patient?

What telephone modifications would increase safety for the older adult? (Select all that apply.)

The home health nurse counsels a family in making safe driving "rules" for their 85-year-old father. Which rule would not be effective in promoting safety?

The daughter of a home health patient is concerned about her 92-year-old father who continues to drive regularly. Which observations would indicate deteriorated driving skills? (Select all that apply.)

The nurse is aware that the older adult is at greater risk for hypothermia than a younger person because the older adult has a diminished ability to:

The nurse is volunteering at a homeless shelter. What intervention should be taken for a patient admitted with severe hypothermia?

The nurse takes into consideration that the most common injuries to the older adult are the result of __________.

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?

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?

What would be an appropriate suggestion for an 80-year-old woman who recently placed a deadbolt lock on her door?

Why is it important for the home health nurse to interview an 82-year-old patient following the patient's fall in the home?

What are internal factors that threaten the safety of the older adult? (Select all that apply.)

The home health nurse has evaluated the community for measures that support pedestrian safety. What safety measures would be appropriate modifications to increase safety in the community? (Select all that apply.)

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters