Question 1

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 B, C, D, E

Question 2

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 C

Question 3

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, B, C, E

Question 4

What is a common reason that an older adult may deny that he has fallen?

Accepted Answer

A)   Fear that he will fall again
B)   Fear of being hospitalized for treatment
C)   Afraid of being seen as frail and dependent
D)   Fear of being considered clumsy

Question 5

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

Question 6

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.

Question 7

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

Question 8

What should the home health nurse suggest in the case of a fire in the home of the older adult?

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

Question 9

What is the primary focus of a fall prevention program in a long-term care facility?

Accepted Answer

A)   Improving balance
B)   Improving muscle mass
C)   Improving circulation
D)   Increase in the knowledge base about falls

Question 10

What is an expected assessment finding in an older adult suffering from hyperthermia?

Accepted Answer

A)   Excessive perspiration
B)   Bradycardia
C)   Temperature of 100  °\degree°  F
D)   Leg cramps

Question 11

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.

Question 12

The home health nurse is assessing the patient's home. Which of the following would be identified as a fall risk? (Select all that apply.)

Accepted Answer

A)   Brightly lit rooms
B)   Pantry food at an accessible level
C)   Colorful scatter rugs marking doorways and steps
D)   Wearing comfortable laced tennis shoes
E)   Attractive, low, magazine rack beside a chair

Question 13

Why does the home health nurse give his 90-year-old patient a framed poster that says "We need each other."?

Accepted Answer

A)   Insure that the patient will take care not to fall.
B)   Remind the patient to ask for assistance when needed.
C)   Encourage the patient to take pride in his independence.
D)   Reinforce that the patient should not attempt any activity without help.

Question 14

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

Question 15

What are external factors that may be a safety threat to the older adult? (Select all that apply.)

Accepted Answer

A)   Fire hazards
B)   Lack of home security
C)   Vehicular accidents
D)   Thermal hazards
E)   Sensory deficit

Question 16

Which of the following would least improve home security?

Accepted Answer

A)   Peephole in the door at a convenient height
B)   Brightly lit porch
C)   Large dog with a loud bark
D)   Hook and eye latch on the screen door

Question 17

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 18

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

Question 19

The nurse in a long-term care facility awards stickers to certified nursing assistants who consistently __________. (Select all that apply.)

Accepted Answer

A)   report broken tiles in the shower room and bathrooms
B)   mop up spills
C)   assist residents to hurry
D)   remind residents to use walkers
E)   retie residents' shoelaces

Question 20

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.

Exam 9: Meeting Safety Needs of Older Adults