Question 1

The nurse can place an older adult into one of four patient rooms. Which one of the following is a suitable room for an older adult?

Accepted Answer

A)   A brightly lit, blue room with cozy throw rugs.
B)   A room with orange carpeting and soft lighting.
C)   A brightly lit, blue room with waxed vinyl floors.
D)   A room for television and crafts.E) A) and B)
F) A) and C)

Question 2

The overall temperature in your gerontological unit is 17°C (62°F)  during the evening shift. In documenting this concern to administration, which factor is the most important for the health and well-being of older adults?

Accepted Answer

A)   It is not fair for older adults to have to deal with an uncomfortable environment.
B)   Some of the residents are wearing blankets around their shoulders to keep warm.
C)   An ambient temperature of 17°C (62° F)  is unsuitable for older people because they have impaired thermoregulation.
D)   It feels much warmer in the administration wing than out in the patient care areas.E) A) and B)
F) A) and C)

Question 3

Which of the following statements is true about mobility and safety for older adults?

Accepted Answer

A)   Use of restraints on older patients helps prevent injuries from falls.
B)   Falls that do not cause physical injury are not significant.
C)   The Braden Scale provides a measure of a patient's energy and initiative.
D)   Lowering the bed and using night lights are interventions to increase patient safety.E) A) and B)
F) A) and C)

Question 4

An older male adult was oriented and responded correctly in the hospital, but he is disoriented and confused in his home after discharge. Which is the first issue the home nurse should examine to determine if an environmental issue is contributing to the patient's condition at home?

Accepted Answer

A)   Complaints of shivering
B)   Temperature of the household
C)   Types of food preparation
D)   Patient indicators of injuryE) All of the above
F) A) and B) B

Question 5

An older female adult who receives intravenous (IV)  fluids is making wide gesticulations with her arms and insulting the nursing staff loudly. Which intervention should the nurse implement to maintain safe, effective nursing care initially?

Accepted Answer

A)   Apply bilateral upper extremity restraints.
B)   Administer haloperidol (Haldol)  for agitation.
C)   Close the door to her room to reduce the noise.
D)   Use a temporary air splint to prevent elbow and wrist flexion.E) A) and C)
F) A) and D) D

Question 6

The nurse wants to encourage an older female adult who lost her balance and fell to include daily exercise as a means of improving her balance and strength. What recommendation and intervention according to the RNAO Best Practice Guideline (BPG) : Prevention of Falls and Fall Injuries in the Older Adult is appropriate for the older adult?

Accepted Answer

A)   Tell the older adult to use an assistive device until her balance and strength improve.
B)   Implement a multifactorial fall prevention intervention to prevent future falls.
C)   Help the older adult to learn how to exercise the core group of muscles.
D)   Instruct the older adult to enroll in an exercise program for eight weeks.E) B) and C)
F) A) and D)

Question 7

The nurse assesses the quality of which patient characteristic when applying the Get Up and Go test from the Hendrich II Fall Risk Model?

Accepted Answer

A)   Stride
B)   Speed
C)   Balance
D)   FlexibilityE) A) and B)
F) C) and D)

Question 8

Which statement is true about assistive devices to aid older adults with impaired mobility?

Accepted Answer

A)   When using a walker, armless chairs provide more ease when moving from sitting to standing.
B)   Assistive devices do not contribute to falls and injuries.
C)   Older adults save money by adapting assistive devices given to them from their friends.
D)   A walker is most useful for unilateral disabilities, but not for bilateral problems.E) All of the above
F) A) and C)

Question 9

The nurse is assessing an older adult in order to plan for fall screening prevention. What information should the nurse gather for the plan of care?

Accepted Answer

A)   Information about the environment in hospital and at home
B)   The patient's emotional status
C)   The patient's financial status
D)   The patient's occupational historyE) C) and D)
F) B) and C)

Question 10

The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?

Accepted Answer

A)   Inform staff about his risk for falls.
B)   Place a concave mattress on the bed.
C)   Provide frequent walks in the hallway.
D)   Help him learn to use an assistive device.E) C) and D)
F) A) and B) B

Question 11

After assessing an older male adult in his bed, the nurse determines that he is at high risk for falls. The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help. What is the most important intervention the nurse should have implemented to prevent this event?

Accepted Answer

A)   Call for someone to bring the sign.
B)   Show him how to use the call bell.
C)   Provide a urinal and drinking water.
D)   Instruct the patient to call for help.E) None of the above
F) A) and B)

Question 12

The nurse is discharging an older female adult who is using a walker from rehabilitative care. Which observation does the nurse use to determine that this patient is prepared for discharge?

Accepted Answer

A)   The patient holds the front of the walker.
B)   The patient has a walker with four wheels.
C)   The patient takes four steps into the walker.
D)   The patient takes the walker to the elevator.E) A) and B)
F) A) and C)

Exam 12: Maintaining Mobility and Environmental Safety

The nurse can place an older adult into one of four patient rooms. Which one of the following is a suitable room for an older adult?

Correct Answer
verified

The overall temperature in your gerontological unit is 17°C (62°F) during the evening shift. In documenting this concern to administration, which factor is the most important for the health and well-being of older adults?

Correct Answer
verified

Which of the following statements is true about mobility and safety for older adults?

Correct Answer
verified

An older male adult was oriented and responded correctly in the hospital, but he is disoriented and confused in his home after discharge. Which is the first issue the home nurse should examine to determine if an environmental issue is contributing to the patient's condition at home?

Correct Answer
verified
B

An older female adult who receives intravenous (IV) fluids is making wide gesticulations with her arms and insulting the nursing staff loudly. Which intervention should the nurse implement to maintain safe, effective nursing care initially?

Correct Answer
verified
D

Correct Answer
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The nurse assesses the quality of which patient characteristic when applying the Get Up and Go test from the Hendrich II Fall Risk Model?

Correct Answer
verified

Which statement is true about assistive devices to aid older adults with impaired mobility?

Correct Answer
verified

The nurse is assessing an older adult in order to plan for fall screening prevention. What information should the nurse gather for the plan of care?

Correct Answer
verified

The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?

Correct Answer
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B

Correct Answer
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The nurse is discharging an older female adult who is using a walker from rehabilitative care. Which observation does the nurse use to determine that this patient is prepared for discharge?

Correct Answer
verified

Exam 12: Maintaining Mobility and Environmental Safety

The nurse can place an older adult into one of four patient rooms. Which one of the following is a suitable room for an older adult?

Correct AnswerverifiedShow Answer

The overall temperature in your gerontological unit is 17°C (62°F) during the evening shift. In documenting this concern to administration, which factor is the most important for the health and well-being of older adults?

Correct AnswerverifiedShow Answer

Which of the following statements is true about mobility and safety for older adults?

Correct AnswerverifiedShow Answer

An older male adult was oriented and responded correctly in the hospital, but he is disoriented and confused in his home after discharge. Which is the first issue the home nurse should examine to determine if an environmental issue is contributing to the patient's condition at home?

Correct AnswerverifiedB

An older female adult who receives intravenous (IV) fluids is making wide gesticulations with her arms and insulting the nursing staff loudly. Which intervention should the nurse implement to maintain safe, effective nursing care initially?

Correct AnswerverifiedD

Correct AnswerverifiedShow Answer

The nurse assesses the quality of which patient characteristic when applying the Get Up and Go test from the Hendrich II Fall Risk Model?

Correct AnswerverifiedShow Answer

Which statement is true about assistive devices to aid older adults with impaired mobility?

Correct AnswerverifiedShow Answer

The nurse is assessing an older adult in order to plan for fall screening prevention. What information should the nurse gather for the plan of care?

Correct AnswerverifiedShow Answer

The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?

Correct AnswerverifiedB

Correct AnswerverifiedShow Answer

The nurse is discharging an older female adult who is using a walker from rehabilitative care. Which observation does the nurse use to determine that this patient is prepared for discharge?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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D

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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