Nokea
Fall prevention is an extremely important consideration when caring for older adults. Which of the following are interventions you can perform that will help prevent falls?
- A. Get the help of coworkers when transferring a patient with impaired mobility.
- B. Make sure the patient or resident is wearing shoes with nonskid soles.
- C. Keep walkways clear of small articles, electrical cords, and throw rugs.
- D. Never leave a resident who uses a walker while he or she is ambulating.
Correct Answer: A,B,C,D
Rationale: All interventions reduce fall risk by ensuring safe transfers, proper footwear, clear pathways, and supervision.
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Which of the following interventions will help prevent pressure sores for the patient with impaired mobility?
- A. Provide skin care several times per day if the patient is on bedrest.
- B. Place pillows between knees and ankles when in side-lying positions.
- C. Assess pressure points for erythema at least every 4 hours, sometimes as often as every 2 hours.
- D. Encourage adequate fluids and nutrition and provide protein supplements if needed.
Correct Answer: A,B,C,D
Rationale: All interventions promote skin integrity, reduce pressure, and support healing, preventing pressure sores in immobile patients.
You are a home health nurse and one of your patients, Mrs. Cortes, has age-related macular degeneration and recently diagnosed type 2 diabetes. She speaks only a little English, and you cannot ascertain whether or not she knows how to take her medications because you do not speak Spanish. Which of the following represents the best intervention for addressing her educational need?
- A. Try to find a pharmacist in her neighborhood who speaks Spanish, can explain her medications to her, and will prepare the medication bottle labels in Spanish.
- B. Use a plastic weekly pill dispenser and fill it for her each week.
- C. Ask Mrs. Cortes who in her family can act as a translator and have that person present at the next visit, which is scheduled in 2 days. In the meantime, use a plastic pill dispenser and dispense her medications appropriately for the rest of today and the next.
- D. Try to reach a bilingual family member, but if that is not successful, teach her about the pills she should take by using universal symbols for daytime and nighttime or other symbols such as a clock that will indicate time of day.
Correct Answer: C
Rationale: Using a translator ensures clear communication for education, while a pill dispenser provides immediate medication management, addressing both short-term and long-term needs.
A recliner with side arms, a lap belt, and wheels used for people who cannot sit unassisted is called a
- A. Geri-chair
- B. Wheelchair
- C. Hospital bed
- D. Lift chair
Correct Answer: A
Rationale: A geri-chair is specifically designed with side arms, a lap belt, and wheels to support individuals who cannot sit unassisted, providing safety and mobility.
An older person under your care who has been alert and oriented begins acting different than normal and appears to be hallucinating. Which of the following is the correct term for this?
- A. Depression
- B. Dementia
- C. Delirium
- D. Confusion
Correct Answer: C
Rationale: Delirium is characterized by acute changes in mental status, such as hallucinations, often reversible with treatment.
Physical effects of aging result, over time, in a decline in performance. Which of the following influence the physical effects of aging?
- A. Lifestyle
- B. Genetics
- C. Chronic diseases
- D. Surgeries
Correct Answer: A,B,C
Rationale: Lifestyle, genetics, and chronic diseases significantly influence the physical effects of aging, impacting overall health and function.