Deck 42: Safety in the Community

Question 1

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

A) Depression
B) Dementia
C) Delirium
D) Stroke

Answer 1

Dementia

Question 2

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.)

A) Symptoms at time of fall
B) Activity at the time of the fall
C) Date and time of fall
D) Injury after fall
E) None of the above

Answer 2

Symptoms at time of fall
Activity at the time of the fall
Date and time of fall
Injury after fall

Question 3

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

A) the patient's ability to perform advanced ambulation manoeuvres.
B) whether the patient can walk 30 feet without fatiguing.
C) whether the patient can tolerate the activity for longer than 30 seconds.
D) a patient's balance and gait.

Answer 3

a patient's balance and gait.

Question 4

When discussing safety measures for the home environment,the nurse should remind the patient of which key element?

A) Set the hot water heater to only 60°C.
B) Turn on the cold-water faucet first.
C) Use small throw rugs on slippery wood floors.
D) Put high-wattage bulbs into all lamps.

Question 5

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

A) Gait disturbances
B) Muscle weakness
C) Visual impairments
D) Environmental hazards
E) None of the above

Question 6

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

A) Face the patient who has a hearing impairment.
B) Avoid eye contact.
C) Use simple words.
D) Be aware of nonverbal gestures.

Question 7

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

A) Using fluorescent lighting
B) Wearing extra clothing for padding
C) Obtaining a large fire extinguisher
D) Installing additional towel bars for support in the shower

Question 8

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

A) Quickly to prevent problems
B) Limit the patient's need to move around
C) Complement the patient's strengths
D) Without consideration of the patient's previous sense of personal space

Question 9

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

A) Large-print labels
B) A syringe with a magnifier
C) Screw-top medication containers
D) Colour-coded tops for medications

Question 10

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

A) Use bath oils to maintain skin integrity and suppleness.
B) Hang towels on grab bars for easy access.
C) Make sure the bathroom door can be locked from the inside only for privacy.
D) Shower using a shower stool and a handheld sprayer.

Question 11

Activities of daily living (ADLs)include the ability to (Select all that apply.)

A) put on clothing.
B) go to the toilet.
C) feed oneself.
D) use a telephone.

Question 12

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 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?

A) Begin rearranging the patient's storage,and show her how it needs to be done.
B) Tell the patient that this is not acceptable.
C) Complete a Mini-Mental State Examination (MMSE)or short Geriatric Depression Scale (SGDS).
D) Realize that elderly patients do things differently.

Question 13

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

A) Always keep insulin in the refrigerator.
B) Put used needles in double paper bags.
C) Put all of the medication to be taken in one bottle.
D) Return expired medications to the pharmacy.

Question 14

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?

A) Tell the patient not to worry about it.
B) Provide an easy-to-follow calendar and reinforce the information.
C) Explain that becoming upset is not going to help the situation.
D) Remind the patient that now is the time to rest and relax.

Question 15

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

A) Cleaning the stove top
B) Putting a shower chair in the bathroom
C) Installing adequate lighting in all living areas
D) Placing emergency numbers close to the telephone
E) None of the above

Question 16

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

A) depression.
B) amnesia.
C) aphasia.
D) Alzheimer's disease.

Question 17

Instrumental activities of daily living (IADLs)include the ability to (Select all that apply.)

A) prepare meals.
B) do housework.
C) take medications.
D) maintain continence.

Question 18

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) Take the antiarrhythmics and antihypertensives together in the morning to prevent hypotension during sleep.
B) Take the diuretics at bedtime.
C) Increase the different types of pain medication to prevent addiction to one.
D) Administer at bedtime medications that are likely to cause confusion.

Question 19

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?

A) In the refrigerator and removed only for administration
B) In a warm place such as in a cabinet above the stove
C) In the dairy bin of the refrigerator with the cheese and eggs
D) At room temperature for up to 30 days

Question 20

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

A) "You managed all of your medications very well today."
B) "Your family should really take over the cooking.It's too hard for you to do."
C) "I don't see how you will be able to shop for yourself anymore.Someone will have to do it for you."
D) "This schedule will be too difficult for you to remember.I better write it all down."

Question 21

Which of the following are progressive illnesses? (Select all that apply.)

A) Dementia
B) Depression
C) Delirium
D) Injury from falls