Exam 20: Falls

The nurse is aware that of all the reported falls in the United States,only 1% to 5% result in a ____________________.

In reviewing a patient's medication administration record,the nurse is aware that some medications are considered to be chemical restraints.Of the following medications,the nurse recognizes the chemical restraint to be:

The older adult patient with osteoporosis is at risk for falls.To maintain safety in the home,the nurse would advise the patient to:

The nurse is teaching the patient methods for getting up after a fall.The nurse instructs the patient to pull up to a sitting position on the floor,shuffle the buttocks to a nearby piece of furniture,pull up on the knees in front of the furniture,and then:

The nurse suggests that a resident who is at risk for falling come to the ________ ________ class to improve balance.

The patient has asked the nurse to assist him to ambulate to the bathroom.The nurse is aware that the patient is currently taking an antidepressant medication,so she should:

In preparation for discharge home,the nurse caring for a patient with ataxia would recommend that the family:

The nurse visiting a patient in the patient's home assesses the environment for extrinsic risk factors for falling.The nurse should have the patient or family correct which one of the following?

The nurse helps the physical therapist teach residents in a long-term care facility how to diminish the risk of injury from a fall by teaching them rotation maneuvers to help them avoid falling ____________________.

The nurse is caring for an older adult patient who has undergone a total hip replacement.To reduce the risk of further injury,the nurse would:

The nurse is admitting a new patient to the nursing unit.When conducting the admission procedure,assessing the patient's risk for falling is important by asking:

A patient with Parkinson disease would be at risk for falling as a result of:

In assessing the potential risk factors a patient may have for falling,the nurse should keep in mind that the two major factors that cause falls are:

Where should the patient with a visual impairment of the left eye place items that are frequently used to prevent the risk of injury?

The nurse assesses a resident in a long-term care facility with the "Get Up and Go" technique,which involves observing the resident:

When the nurse finds that a patient has fallen,the first intervention should be to:

When caring for a patient who requires wrist restraints,the nurse should remove and release the restraints once every:

The home health nurse recommends to a patient that if a fall occurs at home,the patient should:

Following the "Rule of Least Restriction," the nurse who is trying to keep a confused resident from removing the feeding tube would replace the wrist restraint with:

The nurse is talking to the family of a patient who has fallen several times.She knows that her teaching should be aimed toward the most important intervention for falls,which is: