Exam 41: Home Care Safety

While performing a home visit with an elderly patient, the nurse notices that the patient's dress is less tidy than in previous visits, and she finds an open orange juice container in the pantry cabinet instead of the refrigerator and a roll of paper towels in the refrigerator.How should the nurse respond?

Patients who require home care often experience physical alterations that require changes in their home environment.In the case of older adults, what is the best way to make these changes?

When communicating with a patient with a cognitive deficit, what is the best way for the nurse to respond?

Dementia is characterized by a gradual, progressive, irreversible _______ dysfunction.

When a caregiver is communicating with a patient, which of the following may facilitate communication? (Select all that apply.)

Activities of daily living (ADLs) include the patient's ability to bathe, dress, go to the toilet, transfer, maintain continence, and feed himself; _______ include the ability to use a telephone, prepare meals, travel, do housework, take medication, and shop.

When teaching about medication use in the home, what instructions should the nurse provide to the patient?

The patient is on neutral protamine Hagedorn (NPH) insulin and regular insulin at home.How should the nurse teach the patient and the patient's caregiver to store the insulin?

Of what should the nurse remind the patient when discussing safety measures for the home environment?

When teaching an elderly patient about safety in the bathroom, which of the following recommendations should the nurse make?

Which assistive device would most benefit a patient with a neuromuscular weakness?

The nurse is visiting an elderly patient who lives with his wife and daughter.He takes several daily medications, including antihypertensives, antiarrhythmics, diuretics, and pain medication.The patient's wife states that he takes all of the pills in the morning and some at night.The nurse should examine the pills and suggest which of the following?

A patient with a cognitive deficit becomes agitated and upset about not being able to remember daily activities.How should the nurse respond to this agitation?

In determining the causes of falls or other injuries within the home, the nurse should assess for which of the following? (Select all that apply.)

The patient has been brought to the emergency department by a family member, who states that she just "doesn't know what to do." The patient often forgets where he is and refuses to bathe or change clothes.He will put things on the stove and forget that he has something cooking.She is obviously concerned for her loved one's safety.The nurse is likely to interpret these symptoms as signs of:

The nurse is assessing a patient for mobility problems that could lead to falls.She has the patient perform a Timed Up and Go (TUG) test.The nurse uses this test to gauge:

Common causes of falls in older patients include which of the following? (Select all that apply.)

___________ is a generalized impairment of intellectual functioning, with the most common form being Alzheimer's disease.

Which of the following is a safety measure that the patient should implement in the home environment?

The nurse is assessing the home of an elderly patient for safety issues.Which of the following would reassure the nurse? (Select all that apply.)