Deck 7: Safety

Question 1

An adult daughter of an older patient is overheard telling a friend that it's "payback time" because the patient loved to yell and scream at the daughter when she was a child. What should the nurse be alert for when assessing this patient?
1) Neglect
2) Abandonment
3) Physical abuse
4) Psychological abuse

Answer 1

4

Question 2

When entering the home of an older patient during a hot summer day, the licensed nurse notes that a table fan is positioned to blow air directly onto the patient's face and chest. What should the nurse do first?
1) Measure vital signs.
2) Open all of the doors and windows.
3) Ensure cool drinking water is available.
4) Move the fan away from blowing directly onto the patient.

Answer 2

4

Question 3

When entering the home of an older patient the nurse smells smoke. What should be done first?
1) Check functioning of the smoke alarm.
2) Check the home for the source of the smoke.
3) Open all of the windows and doors.
4) Ensure the patient's safety.

Answer 3

4

Question 4

During a home visit the licensed nurse decides to focus on assessing an older patient's mental status. What did the nurse observe to make this clinical determination?
1) Losing track of hospital discharge instructions
2) Forgetting to put the milk back in the refrigerator
3) Increasing isolation from friends, family, and activities
4) Not remembering if morning medication was taken before or after breakfast

Question 5

The licensed nurse is assisting an older patient with a bath. What should be done to ensure this patient's skin integrity?
1) Apply cocoa butter.
2) Apply lotion to the skin.
3) Dry the skin well with a rough towel.
4) Sprinkle cornstarch between skin folds.

Question 6

The licensed nurse is reviewing medications prescribed for an older patient. Which medication should be administered during the day to reduce the risk of falls?
1) Diuretic
2) Narcotic
3) Sedative
4) Antihypertensive

Question 7

The nurse is concerned that an older patient is at risk for falling. What observations caused the nurse to have this concern? Select all that apply.
1) Urinary frequency
2) 40 pounds overweight
3) Cataract forming in left eye
4) History of chronic bronchitis
5) Diagnosed with spinal stenosis

Question 8

An older patient walks to the community clinic in a snow storm. Which assessment findings should indicate to the licensed nurse that this patient is experiencing adverse effects of being outside in the cold weather? Select all that apply.
1) Shivering
2) Heart rate 112 bpm
3) Respiratory rate 28
4) Temperature 98.1°F
5) Slurred speech

Question 9

While inspecting the skin of an older patient on bedrest the licensed nurse notes several new long scratches along the back and buttocks. What should the nurse suspect as being the cause of these wounds?
1) Mattress tears
2) Wrinkled bed sheets
3) Rough edges on bed clothes
4) Long fingernails of the primary caregiver

Question 10

An older female patient refuses to answer questions regarding sexuality and asks, "What difference does it make?" How should the licensed nurse respond to this patient?
1) "It's a part of the nursing assessment."
2) "Sexual preference is a piece of data collected on all patients."
3) "It is used to identify potential health problems you might have."
4) "This is one way to make sure that all of your needs are being met."

Question 11

An older patient holds the nurse's hand and states, "Please don't leave me alone here when my son comes to visit." What should this indicate to the nurse?
1) The patient is afraid to die.
2) The patient wants the nurse to meet her son.
3) The patient is afraid of what her son might do.
4) The patient wants the nurse to answer the son's questions.

Question 12

The nurse is preparing to make a visit to an older patient in the home. What should the nurse keep in mind when assessing the patient's living environment for safety concerns? Select all that apply.
1) Obtain items to be placed in the patient's safety bag.
2) Carry personal protective equipment in the home visit bag.
3) Visually inspect the patient's home environment for safety hazards.
4) Listen for potential safety issues that the patient might mention in conversation.
5) Identify community resources available to the patient in the event of a safety issue.

Question 13

An older patient in the community becomes confused and begins to wander during the evening hours. For which health problem should the licensed nurse identify interventions for this patient?
1) Anxiety
2) Depression
3) Sundowning
4) Schizophrenia

Question 14

An older patient is sitting in the kitchen with the lights out, watching the next door neighbor's yard. When asked about this behavior, the patient states that the kids next door have BB guns and she doesn't want to be shot. What should the nurse be concerned about with this patient?
1) Fall risk
2) Elder abuse
3) Skin integrity
4) Mental health status

Question 15

The nurse is participating in a community educational program on the preparation of a safety bag. What contents should the nurse demonstrate being placed in this bag? Select all that apply.
1) Money
2) Cell phone and charger
3) Medications for 10 days
4) Weapon and ammunition
5) Food and water for 3 days