NURS MISC PrepU Safety and Mobility Questions and Answers,100% CORRECT

NURS MISC PrepU Safety and Mobility Questions and Answers The nurse manager on a gerontological unit is designing a rennovation for the unit and should consider which factors when deciding whether to carpet the new unit ...

NURS MISC PrepU Safety and Mobility Questions and Answers The nurse manager on a gerontological unit is designing a rennovation for the unit and should consider which factors when deciding whether to carpet the new unit? Select all that apply. You Selected: ● Possibility of pests residing on the undersurface of carpeting ● The process of cleaning spills on carpeted surfaces ● Static electricity generated as clients walk the halls Correct response: ● Static electricity generated as clients walk the halls ● The process of cleaning spills on carpeted surfaces ● Possibility of pests residing on the undersurface of carpeting Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 8 See full question 41s The nurse visits the home of an older client recovering from hip replacement surgery. What should the nurse suggest to improve safety in the bathroom? You Selected: ● use a shower chair when in the bathtub Correct response: ● use a shower chair when in the bathtub Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 9 See full question 38s The nurse is concerned about an older client walking down the hall in the assisted living facility. Which observation most likely caused the nurse to have this concern? You Selected: ● barefoot using a cane on the side of the weaker leg Correct response: ● barefoot using a cane on the side of the weaker leg Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 10 See full question 1m 19s An older client is returns to the assisted living facility after being hospitalized for pneumonia. Which activity should the nurse suggest that the client skip in the days ahead? You Selected: ● showering unattended Correct response: ● shopping trip to the mall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 1m 9s The nurse provides diet teaching to an older client with gout. Which client statement indicates that additional instruction is required? You Selected: ● “I can eat bacon with my eggs for breakfast.” Correct response: ● “I can eat bacon with my eggs for breakfast.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 12 See full question 1m 12s The nurse helps a new resident move into a new room. Which action should the nurse identify as a priority to meet the client’s micro-environmental needs? You Selected: ● Clear path to walk to the bathroom Correct response: ● Clear path to walk to the bathroom Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 13 See full question 45s The nurse identifies the diagnosis Risk of Trauma for an older client. What finding caused the nurse to select this diagnosis for the client? You Selected: ● Poor vision Correct response: ● Poor vision Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 14 See full question 14s The nurse is helping an older client relocate to a new room in an assisted living facility. Which temperature should the nurse ensure the thermostat is set for this client’s comfort? You Selected: ● 75°F (24°C) Correct response: ● 75°F (24°C) Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 15 See full question 13s The nurse notes that an older resident of an assisted living facility has stopped drinking fluids with the evening meal. What should the nurse suspect is occurring with this resident? You Selected: ● Restricting fluids to reduce the need to void overnight Correct response: ● Restricting fluids to reduce the need to void overnight Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 16 See full question 1m 14s An older client has reduced tactile sensation of the feet. What should the nurse instruct the client to do to reduce the risk of injury? You Selected: ● Examine the bottom of the feet every day with a mirror Correct response: ● Examine the bottom of the feet every day with a mirror Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 17 See full question 19s An older client admits to not participating in physical activity as suggested because of extreme muscle soreness afterwards. What should the nurse recommend to this client? You Selected: ● Stretch for 5 to 10 minutes before and after an activity Correct response: ● Stretch for 5 to 10 minutes before and after an activity Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 473-474. Safety and Mobility - Page 473-474 Add a Note Question 18 See full question 36s During a home visit the nurse notes that the family of an older client prepares and serves the meals and cleans the dishes while the client sits at the table and then ambulates to a chair in the living room. What should the nurse recommend to improve the client’s endurance to physical activity? You Selected: ● Add an additional activity such as serving or cleaning up after meals Correct response: ● Add an additional activity such as serving or cleaning up after meals Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 19 See full question 53s The nurse assesses the musculoskeletal status of an older client who is right-hand dominant. What should the nurse expect when assessing this client’s lower extremities? You Selected: ● Both legs equally strong Correct response: ● Both legs equally strong Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 42s A client is observed walking with a short shuffling gait. For which health problem should the nurse assess this client? You Selected: ● Parkinsonism Correct response: ● Parkinsonism Question 1 See full question 45s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 2 See full question 54s The staff on a unit that provides care to older adult clients with dementia want to make changes to the clients' environment. Which recommendation for lighting would be most appropriate? You Selected: ● Avoiding the use of the fluorescent lights over the beds at night Correct response: ● Avoiding the use of the fluorescent lights over the beds at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 16s A nurse recommends to an older client's family to place a seat alongside the bathtub to enable the older adult bather to rest while drying off. The nurse offers this recommendation based on which reason? You Selected: ● A drop in blood pressure may follow bathing. Correct response: ● A drop in blood pressure may follow bathing. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 25s The nurse visiting a client living in the daughter's home finds the client in an old hospital bed that has bilateral full-length side rails. Which action by the nurse would be most appropriate? You Selected: ● Present alternatives to the family Correct response: ● Present alternatives to the family Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 5 See full question 58s A gerontological nurse initiates a program at the long-term care facility to motivate residents to move and be active. Which rationale would the nurse incorporate into the plan as useful in stimulating opportunities for activity? You Selected: ● Those engaged in social events are more likely to perform self-cares. Correct response: ● Those engaged in social events are more likely to perform self-cares. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 6 See full question 1m 2s An 81-year-old resident of an assisted living facility has reported to the nurse problems with nighttime muscle cramping, a problem that causes significant pain. When developing the client’s plan of care to address this complaint, which intervention would be most appropriate to include? You Selected: ● Performing passive stretching of the limbs Correct response: ● Performing passive stretching of the limbs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 7 See full question 3m 11s A gerontological nurse is developing a plan of care to promote the independence of a resident who requires a wheelchair for mobility. Which intervention would be most appropriate for the nurse to include? You Selected: ● Assure that the call light is within reach. Correct response: ● Obtain a long-handled reaching device. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 8 See full question 40s The nurse is caring for an older client who is confused and wanders the halls. The nurse knows that there is a strict prohibition against restraints in the facility. What intervention is most appropriate? You Selected: ● Raise two of the client's four siderails when in bed Correct response: ● Raise two of the client's four siderails when in bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 9 See full question 28s An older client enters a family member’s home and sits down for the duration of the visit. When preparing to leave to go home, the client places one hand on the wall and the other on the counter when walking to the door. What is this client demonstrating? You Selected: ● orthostatic changes Correct response: ● fear of falling Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 10 See full question 1m 29s The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? You Selected: ● climb stairs slowly Correct response: ● climb stairs slowly Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 43s An older client desires to begin an exercise program. What should the nurse recommend as a first step for this client? You Selected: ● have a recent physical examination Correct response: ● have a recent physical examination Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 12 See full question 17s During a home visit the nurse notes that an older client has a prescription bottle for furosemide and another one for Lasix. The client reports taking one of each medication each morning as prescribed. Which nursing diagnosis should the nurse identify as a priority for this client? You Selected: ● Knowledge deficit Correct response: ● Fluid volume deficit Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 13 See full question 1m 7s The nurse learns that an older client is developing cataracts in both eyes. Which action should the nurse take to improve this client’s environment? You Selected: ● Turn on more lights Correct response: ● Reduce glare Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 14 See full question 50s A client will be returning to home, having to use a wheelchair for several months. Which areas of the home environment should the nurse identify as needing modifications to support this client’s needs? Select all that apply. You Selected: ● Stairs ● Doorways ● Bathroom sink Correct response: ● Stairs ● Doorways ● Bathroom sink Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 15 See full question 15s A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? You Selected: ● Increase fatigue Correct response: ● Increase anxiety Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 480. Safety and Mobility - Page 480 Add a Note Question 16 See full question 47s An adult daughter is having the bathroom of an older client renovated. What should the nurse recommend to ensure safety when the client uses the shower? You Selected: ● Install a bath bench Correct response: ● Install a bath bench Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 17 See full question 26s An older client has been experiencing dizziness when moving from a sitting to a standing position. What should the nurse instruct the client to reduce the risk of falling when getting out of bed in the morning? Select all that apply. You Selected: ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Correct response: ● Stretch muscles before moving ● Spend several minutes in bed resting ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 18 See full question 51s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 19 See full question 39s The nurse prepares a teaching sheet on osteoarthritis for the orthopedic clinic. What should the nurse include as predisposing factors for this health problem? Select all that apply. You Selected: ● Low vitamin D level ● Genetics ● Trauma ● Obesity Correct response: ● Obesity ● Trauma ● Genetics ● Low vitamin D level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 54s A client with heel pain is diagnosed with plantar fasciitis. What treatment should the nurse expect to be prescribed for this client? You Selected: ● Orthotics Correct response: ● Orthotics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468 Question 1 See full question 50s During a home visit the nurse learns that an older client with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the client to limit fluids after this time? You Selected: ● A fear of falling at night Correct response: ● A fear of falling at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 2 See full question 1m 23s The home care nurse is conducting a home environment assessment for an older client with peripheral vascular disease and foot wounds. Which finding would the nurse identify as a safety issue for the client? Select all that apply. You Selected: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Correct response: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 6s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? You Selected: ● Fruits and leafy green vegetables Correct response: ● Dairy products and lean meats Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 4 See full question 20s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with low bone density? You Selected: ● Risk for injury Correct response: ● Risk for injury Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 5 See full question 2m 12s During a home assessment, the nurse should discuss which safety risk with the client? You Selected: ● Low level toilet seat Correct response: ● Low level toilet seat Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 6 See full question 43s The nurse is caring for a confused older adult client who experiences urinary frequency and urgency. Which priority safety action should the nurse take? You Selected: ● Place client on fall risk precautions Correct response: ● Place client on fall risk precautions Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 7 See full question 1m 7s The report of an older client’s ophthalmologic examination states variability with the Ansler grid. Which activity should the nurse consider as being unsafe for this client? You Selected: ● driving Correct response: ● driving Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 476. Safety and Mobility - Page 476 Add a Note Question 8 See full question 1m 15s An older client reports experiencing stiff hands and knees. Which part of the client’s environment may need to be adjusted? Select all that apply. You Selected: ● Door handles ● Stove knobs ● Stairs ● Sink faucets Correct response: ● Stairs ● Stove knobs ● Sink faucets ● Door handles Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 9 See full question 15m 48s The nurse reviews interventions to reduce an older client’s risk of trauma when at home. What should the nurse emphasize during this teaching? Select all that apply. You Selected: ● Wear well-fitting low-heeled shoes ● Use the cane when ambulating ● Use the bannister when walking the stairs ● Remind to wear eyeglasses at all times Correct response: ● Use the cane when ambulating ● Wear well-fitting low-heeled shoes ● Remind to wear eyeglasses at all times ● Use the bannister when walking the stairs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 10 See full question 1m The nurse is planning care for a client recovering from a fractured leg. Which interventions should the nurse plan for this client? Select all that apply. You Selected: ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Correct response: ● Isometric exercises ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Question 1 See full question 19s An older adult client has been confined to bed for the past 3 months. Which occurrence should the nurse anticipate secondary to this prolonged immobility? You Selected: ● Bone demineralization Correct response: ● Bone demineralization Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 2 See full question 1m 27s An exercise physiologist approaches the gerontological nurse manager at a local assisted living facility about beginning an exercise program for the clients at the facility. When developing the program, which characteristic would the nurse manager require as being most important for the program to include? You Selected: ● Including both resistance exercises and isometric exercises Correct response: ● Addressing cardiovascular endurance, flexibility, and strength training Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 3 See full question 11m 50s A gerontological nurse is educating caregivers of older adults about the importance of physical activity. Which suggestion would be most likely to help families increase the physical activity of their older relatives? You Selected: ● Being creative in suggesting pastimes that can stimulate movement Correct response: ● Being creative in suggesting pastimes that can stimulate movement Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 59s The nurse is teaching an exercise class to older clients. What age-related benefits should the nurse identify to participants as being directly aided by physical activity? Select all that apply. You Selected: ● Digestive Function ● Circulation ● Mental acuity ● Musculoskeletal function Correct response: ● Mental acuity ● Digestive Function ● Circulation ● Musculoskeletal function Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 5 See full question 12m 12s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with demineralization of the bone in the older client? You Selected: ● Impaired physical mobility related to risk of fractures Correct response: ● Impaired physical mobility related to risk of fractures Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 6 See full question 34s The hospital is renovating the gerontological unit. What safety-related suggestions should the nurse manager make? You Selected: ● Yellow trim around doorways Correct response: ● Yellow trim around doorways Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 7 See full question 36s An older client is upset because of performing strength training exercises as recommended however muscle tone has not improved. What should the nurse emphasize with this client? You Selected: ● Increase the amount of weight used Correct response: ● Increase the amount of weight used Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 8 See full question 28s An older client is experiencing changes in balance when walking. What activity might be appropriate for this client? You Selected: ● T’ai chi Correct response: ● T’ai chi Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 474. Safety and Mobility - Page 474 Add a Note Question 9 See full question 59s The nurse identifies the diagnosis of Impaired Physical Mobility for an older client. Which intervention should the nurse include in the client’s plan of care? Select all that apply. You Selected: ● Design an exercise program appropriate for the client’s status ● Coach to change positions every hour ● Promote a healthy nutritional intake Correct response: ● Promote a healthy nutritional intake ● Coach to change positions every hour ● Remind to maintain good body alignment ● Design an exercise program appropriate for the client’s status Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 10 See full question 1m 1s A client with osteoarthritis is experiencing chronic pain. Which action should the nurse implement to improve this client’s comfort? Select all that apply. You Selected: ● Assist with maintaining good body alignment ● Apply heat to the area ● Instruct on ways to minimize stress to joints ● Coach in the use of relaxation techniques Correct response: ● Apply heat to the area ● Coach in the use of relaxation techniques ● Instruct on ways to minimize stress to joints ● Assist with maintaining good body alignment The nurse manager on a gerontological unit is designing a rennovation for the unit and should consider which factors when deciding whether to carpet the new unit? Select all that apply. You Selected: ● Possibility of pests residing on the undersurface of carpeting ● The process of cleaning spills on carpeted surfaces ● Static electricity generated as clients walk the halls Correct response: ● Static electricity generated as clients walk the halls ● The process of cleaning spills on carpeted surfaces ● Possibility of pests residing on the undersurface of carpeting Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 8 See full question 41s The nurse visits the home of an older client recovering from hip replacement surgery. What should the nurse suggest to improve safety in the bathroom? You Selected: ● use a shower chair when in the bathtub Correct response: ● use a shower chair when in the bathtub Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 9 See full question 38s The nurse is concerned about an older client walking down the hall in the assisted living facility. Which observation most likely caused the nurse to have this concern? You Selected: ● barefoot using a cane on the side of the weaker leg Correct response: ● barefoot using a cane on the side of the weaker leg Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 10 See full question 1m 19s An older client is returns to the assisted living facility after being hospitalized for pneumonia. Which activity should the nurse suggest that the client skip in the days ahead? You Selected: ● showering unattended Correct response: ● shopping trip to the mall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 1m 9s The nurse provides diet teaching to an older client with gout. Which client statement indicates that additional instruction is required? You Selected: ● “I can eat bacon with my eggs for breakfast.” Correct response: ● “I can eat bacon with my eggs for breakfast.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 12 See full question 1m 12s The nurse helps a new resident move into a new room. Which action should the nurse identify as a priority to meet the client’s micro-environmental needs? You Selected: ● Clear path to walk to the bathroom Correct response: ● Clear path to walk to the bathroom Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 13 See full question 45s The nurse identifies the diagnosis Risk of Trauma for an older client. What finding caused the nurse to select this diagnosis for the client? You Selected: ● Poor vision Correct response: ● Poor vision Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 14 See full question 14s The nurse is helping an older client relocate to a new room in an assisted living facility. Which temperature should the nurse ensure the thermostat is set for this client’s comfort? You Selected: ● 75°F (24°C) Correct response: ● 75°F (24°C) Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 15 See full question 13s The nurse notes that an older resident of an assisted living facility has stopped drinking fluids with the evening meal. What should the nurse suspect is occurring with this resident? You Selected: ● Restricting fluids to reduce the need to void overnight Correct response: ● Restricting fluids to reduce the need to void overnight Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 16 See full question 1m 14s An older client has reduced tactile sensation of the feet. What should the nurse instruct the client to do to reduce the risk of injury? You Selected: ● Examine the bottom of the feet every day with a mirror Correct response: ● Examine the bottom of the feet every day with a mirror Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 17 See full question 19s An older client admits to not participating in physical activity as suggested because of extreme muscle soreness afterwards. What should the nurse recommend to this client? You Selected: ● Stretch for 5 to 10 minutes before and after an activity Correct response: ● Stretch for 5 to 10 minutes before and after an activity Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 473-474. Safety and Mobility - Page 473-474 Add a Note Question 18 See full question 36s During a home visit the nurse notes that the family of an older client prepares and serves the meals and cleans the dishes while the client sits at the table and then ambulates to a chair in the living room. What should the nurse recommend to improve the client’s endurance to physical activity? You Selected: ● Add an additional activity such as serving or cleaning up after meals Correct response: ● Add an additional activity such as serving or cleaning up after meals Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 19 See full question 53s The nurse assesses the musculoskeletal status of an older client who is right-hand dominant. What should the nurse expect when assessing this client’s lower extremities? You Selected: ● Both legs equally strong Correct response: ● Both legs equally strong Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 42s A client is observed walking with a short shuffling gait. For which health problem should the nurse assess this client? You Selected: ● Parkinsonism Correct response: ● Parkinsonism Question 1 See full question 45s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 2 See full question 54s The staff on a unit that provides care to older adult clients with dementia want to make changes to the clients' environment. Which recommendation for lighting would be most appropriate? You Selected: ● Avoiding the use of the fluorescent lights over the beds at night Correct response: ● Avoiding the use of the fluorescent lights over the beds at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 16s A nurse recommends to an older client's family to place a seat alongside the bathtub to enable the older adult bather to rest while drying off. The nurse offers this recommendation based on which reason? You Selected: ● A drop in blood pressure may follow bathing. Correct response: ● A drop in blood pressure may follow bathing. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 25s The nurse visiting a client living in the daughter's home finds the client in an old hospital bed that has bilateral full-length side rails. Which action by the nurse would be most appropriate? You Selected: ● Present alternatives to the family Correct response: ● Present alternatives to the family Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 5 See full question 58s A gerontological nurse initiates a program at the long-term care facility to motivate residents to move and be active. Which rationale would the nurse incorporate into the plan as useful in stimulating opportunities for activity? You Selected: ● Those engaged in social events are more likely to perform self-cares. Correct response: ● Those engaged in social events are more likely to perform self-cares. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 6 See full question 1m 2s An 81-year-old resident of an assisted living facility has reported to the nurse problems with nighttime muscle cramping, a problem that causes significant pain. When developing the client’s plan of care to address this complaint, which intervention would be most appropriate to include? You Selected: ● Performing passive stretching of the limbs Correct response: ● Performing passive stretching of the limbs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 7 See full question 3m 11s A gerontological nurse is developing a plan of care to promote the independence of a resident who requires a wheelchair for mobility. Which intervention would be most appropriate for the nurse to include? You Selected: ● Assure that the call light is within reach. Correct response: ● Obtain a long-handled reaching device. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 8 See full question 40s The nurse is caring for an older client who is confused and wanders the halls. The nurse knows that there is a strict prohibition against restraints in the facility. What intervention is most appropriate? You Selected: ● Raise two of the client's four siderails when in bed Correct response: ● Raise two of the client's four siderails when in bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 9 See full question 28s An older client enters a family member’s home and sits down for the duration of the visit. When preparing to leave to go home, the client places one hand on the wall and the other on the counter when walking to the door. What is this client demonstrating? You Selected: ● orthostatic changes Correct response: ● fear of falling Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 10 See full question 1m 29s The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? You Selected: ● climb stairs slowly Correct response: ● climb stairs slowly Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 43s An older client desires to begin an exercise program. What should the nurse recommend as a first step for this client? You Selected: ● have a recent physical examination Correct response: ● have a recent physical examination Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 12 See full question 17s During a home visit the nurse notes that an older client has a prescription bottle for furosemide and another one for Lasix. The client reports taking one of each medication each morning as prescribed. Which nursing diagnosis should the nurse identify as a priority for this client? You Selected: ● Knowledge deficit Correct response: ● Fluid volume deficit Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 13 See full question 1m 7s The nurse learns that an older client is developing cataracts in both eyes. Which action should the nurse take to improve this client’s environment? You Selected: ● Turn on more lights Correct response: ● Reduce glare Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 14 See full question 50s A client will be returning to home, having to use a wheelchair for several months. Which areas of the home environment should the nurse identify as needing modifications to support this client’s needs? Select all that apply. You Selected: ● Stairs ● Doorways ● Bathroom sink Correct response: ● Stairs ● Doorways ● Bathroom sink Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 15 See full question 15s A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? You Selected: ● Increase fatigue Correct response: ● Increase anxiety Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 480. Safety and Mobility - Page 480 Add a Note Question 16 See full question 47s An adult daughter is having the bathroom of an older client renovated. What should the nurse recommend to ensure safety when the client uses the shower? You Selected: ● Install a bath bench Correct response: ● Install a bath bench Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 17 See full question 26s An older client has been experiencing dizziness when moving from a sitting to a standing position. What should the nurse instruct the client to reduce the risk of falling when getting out of bed in the morning? Select all that apply. You Selected: ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Correct response: ● Stretch muscles before moving ● Spend several minutes in bed resting ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 18 See full question 51s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 19 See full question 39s The nurse prepares a teaching sheet on osteoarthritis for the orthopedic clinic. What should the nurse include as predisposing factors for this health problem? Select all that apply. You Selected: ● Low vitamin D level ● Genetics ● Trauma ● Obesity Correct response: ● Obesity ● Trauma ● Genetics ● Low vitamin D level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 54s A client with heel pain is diagnosed with plantar fasciitis. What treatment should the nurse expect to be prescribed for this client? You Selected: ● Orthotics Correct response: ● Orthotics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468 Question 1 See full question 50s During a home visit the nurse learns that an older client with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the client to limit fluids after this time? You Selected: ● A fear of falling at night Correct response: ● A fear of falling at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 2 See full question 1m 23s The home care nurse is conducting a home environment assessment for an older client with peripheral vascular disease and foot wounds. Which finding would the nurse identify as a safety issue for the client? Select all that apply. You Selected: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Correct response: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 6s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? You Selected: ● Fruits and leafy green vegetables Correct response: ● Dairy products and lean meats Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 4 See full question 20s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with low bone density? You Selected: ● Risk for injury Correct response: ● Risk for injury Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 5 See full question 2m 12s During a home assessment, the nurse should discuss which safety risk with the client? You Selected: ● Low level toilet seat Correct response: ● Low level toilet seat Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 6 See full question 43s The nurse is caring for a confused older adult client who experiences urinary frequency and urgency. Which priority safety action should the nurse take? You Selected: ● Place client on fall risk precautions Correct response: ● Place client on fall risk precautions Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 7 See full question 1m 7s The report of an older client’s ophthalmologic examination states variability with the Ansler grid. Which activity should the nurse consider as being unsafe for this client? You Selected: ● driving Correct response: ● driving Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 476. Safety and Mobility - Page 476 Add a Note Question 8 See full question 1m 15s An older client reports experiencing stiff hands and knees. Which part of the client’s environment may need to be adjusted? Select all that apply. You Selected: ● Door handles ● Stove knobs ● Stairs ● Sink faucets Correct response: ● Stairs ● Stove knobs ● Sink faucets ● Door handles Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 9 See full question 15m 48s The nurse reviews interventions to reduce an older client’s risk of trauma when at home. What should the nurse emphasize during this teaching? Select all that apply. You Selected: ● Wear well-fitting low-heeled shoes ● Use the cane when ambulating ● Use the bannister when walking the stairs ● Remind to wear eyeglasses at all times Correct response: ● Use the cane when ambulating ● Wear well-fitting low-heeled shoes ● Remind to wear eyeglasses at all times ● Use the bannister when walking the stairs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 10 See full question 1m The nurse is planning care for a client recovering from a fractured leg. Which interventions should the nurse plan for this client? Select all that apply. You Selected: ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Correct response: ● Isometric exercises ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Question 1 See full question 19s An older adult client has been confined to bed for the past 3 months. Which occurrence should the nurse anticipate secondary to this prolonged immobility? You Selected: ● Bone demineralization Correct response: ● Bone demineralization Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 2 See full question 1m 27s An exercise physiologist approaches the gerontological nurse manager at a local assisted living facility about beginning an exercise program for the clients at the facility. When developing the program, which characteristic would the nurse manager require as being most important for the program to include? You Selected: ● Including both resistance exercises and isometric exercises Correct response: ● Addressing cardiovascular endurance, flexibility, and strength training Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 3 See full question 11m 50s A gerontological nurse is educating caregivers of older adults about the importance of physical activity. Which suggestion would be most likely to help families increase the physical activity of their older relatives? You Selected: ● Being creative in suggesting pastimes that can stimulate movement Correct response: ● Being creative in suggesting pastimes that can stimulate movement Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 59s The nurse is teaching an exercise class to older clients. What age-related benefits should the nurse identify to participants as being directly aided by physical activity? Select all that apply. You Selected: ● Digestive Function ● Circulation ● Mental acuity ● Musculoskeletal function Correct response: ● Mental acuity ● Digestive Function ● Circulation ● Musculoskeletal function Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 5 See full question 12m 12s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with demineralization of the bone in the older client? You Selected: ● Impaired physical mobility related to risk of fractures Correct response: ● Impaired physical mobility related to risk of fractures Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 6 See full question 34s The hospital is renovating the gerontological unit. What safety-related suggestions should the nurse manager make? You Selected: ● Yellow trim around doorways Correct response: ● Yellow trim around doorways Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 7 See full question 36s An older client is upset because of performing strength training exercises as recommended however muscle tone has not improved. What should the nurse emphasize with this client? You Selected: ● Increase the amount of weight used Correct response: ● Increase the amount of weight used Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 8 See full question 28s An older client is experiencing changes in balance when walking. What activity might be appropriate for this client? You Selected: ● T’ai chi Correct response: ● T’ai chi Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 474. Safety and Mobility - Page 474 Add a Note Question 9 See full question 59s The nurse identifies the diagnosis of Impaired Physical Mobility for an older client. Which intervention should the nurse include in the client’s plan of care? Select all that apply. You Selected: ● Design an exercise program appropriate for the client’s status ● Coach to change positions every hour ● Promote a healthy nutritional intake Correct response: ● Promote a healthy nutritional intake ● Coach to change positions every hour ● Remind to maintain good body alignment ● Design an exercise program appropriate for the client’s status Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 10 See full question 1m 1s A client with osteoarthritis is experiencing chronic pain. Which action should the nurse implement to improve this client’s comfort? Select all that apply. You Selected: ● Assist with maintaining good body alignment ● Apply heat to the area ● Instruct on ways to minimize stress to joints ● Coach in the use of relaxation techniques Correct response: ● Apply heat to the area ● Coach in the use of relaxation techniques ● Instruct on ways to minimize stress to joints ● Assist with maintaining good body alignment The nurse manager on a gerontological unit is designing a rennovation for the unit and should consider which factors when deciding whether to carpet the new unit? Select all that apply. You Selected: ● Possibility of pests residing on the undersurface of carpeting ● The process of cleaning spills on carpeted surfaces ● Static electricity generated as clients walk the halls Correct response: ● Static electricity generated as clients walk the halls ● The process of cleaning spills on carpeted surfaces ● Possibility of pests residing on the undersurface of carpeting Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 8 See full question 41s The nurse visits the home of an older client recovering from hip replacement surgery. What should the nurse suggest to improve safety in the bathroom? You Selected: ● use a shower chair when in the bathtub Correct response: ● use a shower chair when in the bathtub Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 9 See full question 38s The nurse is concerned about an older client walking down the hall in the assisted living facility. Which observation most likely caused the nurse to have this concern? You Selected: ● barefoot using a cane on the side of the weaker leg Correct response: ● barefoot using a cane on the side of the weaker leg Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 10 See full question 1m 19s An older client is returns to the assisted living facility after being hospitalized for pneumonia. Which activity should the nurse suggest that the client skip in the days ahead? You Selected: ● showering unattended Correct response: ● shopping trip to the mall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 1m 9s The nurse provides diet teaching to an older client with gout. Which client statement indicates that additional instruction is required? You Selected: ● “I can eat bacon with my eggs for breakfast.” Correct response: ● “I can eat bacon with my eggs for breakfast.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 12 See full question 1m 12s The nurse helps a new resident move into a new room. Which action should the nurse identify as a priority to meet the client’s micro-environmental needs? You Selected: ● Clear path to walk to the bathroom Correct response: ● Clear path to walk to the bathroom Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 13 See full question 45s The nurse identifies the diagnosis Risk of Trauma for an older client. What finding caused the nurse to select this diagnosis for the client? You Selected: ● Poor vision Correct response: ● Poor vision Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 14 See full question 14s The nurse is helping an older client relocate to a new room in an assisted living facility. Which temperature should the nurse ensure the thermostat is set for this client’s comfort? You Selected: ● 75°F (24°C) Correct response: ● 75°F (24°C) Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Notevisist Question 1 See full question 25sa h During a home visit the nurse learns that an older client with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the client to limit fluids after this time? You Selected: ● A fear of falling at night Correct response: ● A fear of falling at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 2 See full question 38s A couple is renovating their garage into an apartment for the husband's mother to move into. What safety recommendations should the nurse suggest? You Selected: ● Install electric versus a gas stove Correct response: ● Install electric versus a gas stove Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 3 See full question 21s The nurse is concerned that a client is at risk for developing osteoporosis. What finding caused the nurse to have this concern? You Selected: ● smokes cigarettes Correct response: ● smokes cigarettes Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 470. Safety and Mobility - Page 470 Add a Note Question 4 See full question 11s The nurse is helping an older client relocate to a new room in an assisted living facility. Which temperature should the nurse ensure the thermostat is set for this client’s comfort? You Selected: ● 75°F (24°C) Correct response: ● 75°F (24°C) Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Notep Question 5 See full question 20s The nurse notes that an older resident of an assisted living facility has stopped drinking fluids with the evening meal. What should the nurse suspect is occurring with this resident? You Selected: ● Restricting fluids to reduce the need to void overnight Correct response: ● Restricting fluids to reduce the need to void overnight Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Question 15 See full question 13s The nurse notes that an older resident of an assisted living facility has stopped drinking fluids with the evening meal. What should the nurse suspect is occurring with this resident? You Selected: ● Restricting fluids to reduce the need to void overnight Correct response: ● Restricting fluids to reduce the need to void overnight Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 16 See full question 1m 14s An older client has reduced tactile sensation of the feet. What should the nurse instruct the client to do to reduce the risk of injury? You Selected: ● Examine the bottom of the feet every day with a mirror Correct response: ● Examine the bottom of the feet every day with a mirror Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 17 See full question 19s An older client admits to not participating in physical activity as suggested because of extreme muscle soreness afterwards. What should the nurse recommend to this client? You Selected: ● Stretch for 5 to 10 minutes before and after an activity Correct response: ● Stretch for 5 to 10 minutes before and after an activity Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 473-474. Safety and Mobility - Page 473-474 Add a Note Question 1 See full question 33s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with demineralization of the bone in the older client? You Selected: ● Impaired physical mobility related to risk of fractures Correct response: ● Impaired physical mobility related to risk of fractures Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 2 See full question 13s The nurse provides diet teaching to an older client with gout. Which client statement indicates that additional instruction is required? You Selected: ● “I can eat bacon with my eggs for breakfast.” Correct response: ● “I can eat bacon with my eggs for breakfast.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 3 See full question 10s The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? You Selected: ● climb stairs slowly Correct response: ● climb stairs slowly Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 4 See full question 29s An older client desires to begin an exercise program. What should the nurse recommend as a first step for this client? You Selected: ● have a recent physical examination Correct response: ● have a recent physical examination Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 5 See full question 8s An older client admits to not participating in physical activity as suggested because of extreme muscle soreness afterwards. What should the nurse recommend to this client? You Selected: ● Stretch for 5 to 10 minutes before and after an activity Correct response: ● Stretch for 5 to 10 minutes before and after an activity Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 473-474. Safety and Mobility - Page 473-474 Question 18 See full question 36s During a home visit the nurse notes that the family of an older client prepares and serves the meals and cleans the dishes while the client sits at the table and then ambulates to a chair in the living room. What should the nurse recommend to improve the client’s endurance to physical activity? You Selected: ● Add an additional activity such as serving or cleaning up after meals Correct response: ● Add an additional activity such as serving or cleaning up after meals Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 1 See full question 28slein An older male client has been wandering the halls at night and assisted back to bed several times. The nurse is concerned he may fall. What is the nurse's first action? You Selected: ● Review fluid intake and toileting patterns. Correct response: ● Review fluid intake and toileting patterns. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 2 See full question 15s The nurse is caring for an older client who is confused and wanders the halls. The nurse knows that there is a strict prohibition against restraints in the facility. What intervention is most appropriate? You Selected: ● Raise two of the client's four siderails when in bed Correct response: ● Raise two of the client's four siderails when in bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 8s The nurse helps a new resident move into a new room. Which action should the nurse identify as a priority to meet the client’s micro-environmental needs? You Selected: ● Clear path to walk to the bathroom Correct response: ● Clear path to walk to the bathroom Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 14s A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? You Selected: ● Increase anxiety Correct response: ● Increase anxiety Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 480. Safety and Mobility - Page 480 Add a Note Question 5 See full question 25s During a home visit the nurse notes that the family of an older client prepares and serves the meals and cleans the dishes while the client sits at the table and then ambulates to a chair in the living room. What should the nurse recommend to improve the client’s endurance to physical activity? You Selected: ● Add an additional activity such as serving or cleaning up after meals Correct response: ● Add an additional activity such as serving or cleaning up after meals Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Question 19 See full question 53s The nurse assesses the musculoskeletal status of an older client who is right-hand dominant. What should the nurse expect when assessing this client’s lower extremities? You Selected: ● Both legs equally strong Correct response: ● Both legs equally strong Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 42s A client is observed walking with a short shuffling gait. For which health problem should the nurse assess this client? You Selected: ● Parkinsonism Correct response: ● Parkinsonism Question 1 See full question 33s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 2 See full question 9s An older adult client has been confined to bed for the past 3 months. Which occurrence should the nurse anticipate secondary to this prolonged immobility? You Selected: ● Bone demineralization Correct response: ● Bone demineralization Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 50s A gerontological nurse is conducting a program for a group of nurses working at the long-term care facility about aging and musculoskeletal functioning. Which statement would the nurse most likely include when describing this relationship? You Selected: ● Levels of musculoskeletal function can be maintained throughout the life span by activity and diet. Correct response: ● A combination of age-related reduction in muscle mass and inactivity decreases musculoskeletal function. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 4 See full question 16s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? You Selected: ● Dairy products and lean meats Correct response: ● Dairy products and lean meats Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 5 See full question 40s A 75-year-old adult is a new attendee at strength training class. Which schedule would be most appropriate for this client to engage in? You Selected: ● Eight repetitions for each muscle group at least twice weekly on the weight machines. Correct response: ● Twelve repetitions with low-weight free weights at least twice weekly. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 6 See full question 15s A gerontological nurse is developing a plan of care to promote the independence of a resident who requires a wheelchair for mobility. Which intervention would be most appropriate for the nurse to include? You Selected: ● Obtain a long-handled reaching device. Correct response: ● Obtain a long-handled reaching device. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 dinding Add a Note Question 7 See full question 25s Which assessment finding is most significant when determining care for the older client with sarcopenia? You Selected: ● Decrease in muscle mass as a result of a reduction in protein synthesis Correct response: ● Decrease in muscle mass as a result of a reduction in protein synthesis Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 463. Safety and Mobility - Page 463 Add a Note Question 8 See full question 41s The nurse is concerned about an older client walking down the hall in the assisted living facility. Which observation most likely caused the nurse to have this concern? You Selected: ● barefoot using a cane on the side of the weaker leg Correct response: ● barefoot using a cane on the side of the weaker leg Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 9 See full question 17s The nurse identifies the diagnosis Risk of Trauma for an older client. What finding caused the nurse to select this diagnosis for the client? You Selected: ● Poor vision Correct response: ● Poor vision Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 10 See full question 7s A client is observed walking with a short shuffling gait. For which health problem should the nurse assess this client? You Selected: ● Parkinsonism Correct response: ● Parkinsonism Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Question 1 See full question 45s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 2 See full question 54s The staff on a unit that provides care to older adult clients with dementia want to make changes to the clients' environment. Which recommendation for lighting would be most appropriate? You Selected: ● Avoiding the use of the fluorescent lights over the beds at night Correct response: ● Avoiding the use of the fluorescent lights over the beds at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 16s A nurse recommends to an older client's family to place a seat alongside the bathtub to enable the older adult bather to rest while drying off. The nurse offers this recommendation based on which reason? You Selected: ● A drop in blood pressure may follow bathing. Correct response: ● A drop in blood pressure may follow bathing. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 25s The nurse visiting a client living in the daughter's home finds the client in an old hospital bed that has bilateral full-length side rails. Which action by the nurse would be most appropriate? You Selected: ● Present alternatives to the family Correct response: ● Present alternatives to the family Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 5 See full question 58s A gerontological nurse initiates a program at the long-term care facility to motivate residents to move and be active. Which rationale would the nurse incorporate into the plan as useful in stimulating opportunities for activity? You Selected: ● Those engaged in social events are more likely to perform self-cares. Correct response: ● Those engaged in social events are more likely to perform self-cares. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 6 See full question 1m 2s An 81-year-old resident of an assisted living facility has reported to the nurse problems with nighttime muscle cramping, a problem that causes significant pain. When developing the client’s plan of care to address this complaint, which intervention would be most appropriate to include? You Selected: ● Performing passive stretching of the limbs Correct response: ● Performing passive stretching of the limbs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 7 See full question 3m 11s A gerontological nurse is developing a plan of care to promote the independence of a resident who requires a wheelchair for mobility. Which intervention would be most appropriate for the nurse to include? You Selected: ● Assure that the call light is within reach. Correct response: ● Obtain a long-handled reaching device. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 8 See full question 40s The nurse is caring for an older client who is confused and wanders the halls. The nurse knows that there is a strict prohibition against restraints in the facility. What intervention is most appropriate? You Selected: ● Raise two of the client's four siderails when in bed Correct response: ● Raise two of the client's four siderails when in bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 9 See full question 28s An older client enters a family member’s home and sits down for the duration of the visit. When preparing to leave to go home, the client places one hand on the wall and the other on the counter when walking to the door. What is this client demonstrating? You Selected: ● orthostatic changes Correct response: ● fear of falling Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 10 See full question 1m 29s The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? You Selected: ● climb stairs slowly Correct response: ● climb stairs slowly Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 43s An older client desires to begin an exercise program. What should the nurse recommend as a first step for this client? You Selected: ● have a recent physical examination Correct response: ● have a recent physical examination Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 12 See full question 17s During a home visit the nurse notes that an older client has a prescription bottle for furosemide and another one for Lasix. The client reports taking one of each medication each morning as prescribed. Which nursing diagnosis should the nurse identify as a priority for this client? You Selected: ● Knowledge deficit Correct response: ● Fluid volume deficit Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 1 See full question 50s Following several months of joint pain in the hands and knees, a 73-year-old client has been diagnosed with osteoarthritis. When teaching this client, which instruction would be of the most use to the client? You Selected: ● "Even though it might cause some discomfort, it's important for you to exercise more now, not less, than before." Correct response: ● "There are changes you can make in your diet to help control your osteoarthritis, and surgical options now exist if it worsens." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 2 See full question 11s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with low bone density? You Selected: ● Risk for injury Correct response: ● Risk for injury Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 3 See full question 19s The nurse is caring for an older client who is confused and wanders the halls. The nurse knows that there is a strict prohibition against restraints in the facility. What intervention is most appropriate? You Selected: ● Raise two of the client's four siderails when in bed Correct response: ● Raise two of the client's four siderails when in bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 4 See full question 8s An older client enters a family member’s home and sits down for the duration of the visit. When preparing to leave to go home, the client places one hand on the wall and the other on the counter when walking to the door. What is this client demonstrating? You Selected: ● fear of falling Correct response: ● fear of falling Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Notecataracts in p Question 5 See full question 14s The nurse learns that an older client is developing cataracts in both eyes. Which action should the nurse take to improve this client’s environment? You Selected: ● Reduce glare Correct response: ● Reduce glare Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Question 13 See full question 1m 7s The nurse learns that an older client is developing cataracts in both eyes. Which action should the nurse take to improve this client’s environment? You Selected: ● Turn on more lights Correct response: ● Reduce glare Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 14 See full question 50s A client will be returning to home, having to use a wheelchair for several months. Which areas of the home environment should the nurse identify as needing modifications to support this client’s needs? Select all that apply. You Selected: ● Stairs ● Doorways ● Bathroom sink Correct response: ● Stairs ● Doorways ● Bathroom sink Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 15 See full question 15s A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? You Selected: ● Increase fatigue Correct response: ● Increase anxiety Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 480. Safety and Mobility - Page 480 Add a Note Question 16 See full question 47s An adult daughter is having the bathroom of an older client renovated. What should the nurse recommend to ensure safety when the client uses the shower? You Selected: ● Install a bath bench Correct response: ● Install a bath bench Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 17 See full question 26s An older client has been experiencing dizziness when moving from a sitting to a standing position. What should the nurse instruct the client to reduce the risk of falling when getting out of bed in the morning? Select all that apply. You Selected: ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Correct response: ● Stretch muscles before moving ● Spend several minutes in bed resting ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 18 See full question 51s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 19 See full question 39s The nurse prepares a teaching sheet on osteoarthritis for the orthopedic clinic. What should the nurse include as predisposing factors for this health problem? Select all that apply. You Selected: ● Low vitamin D level ● Genetics ● Trauma ● Obesity Correct response: ● Obesity ● Trauma ● Genetics ● Low vitamin D level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 18 See full question 36s The nurse identifies the diagnosis of Impaired Physical Mobility for a client with pain and limited joint movement caused by osteoarthritis. Which interventions should the nurse include in this client’s plan of care? Select all that apply. You Selected: ● Rest the joint during pain exacerbations ● Encourage to perform active range of motion exercises twice a day ● Provide pain medication before activities ● Limit stressing the joints with stretching exercises ● Advise to avoid heavy lifting Correct response: ● Advise to avoid heavy lifting ● Rest the joint during pain exacerbations ● Provide pain medication before activities ● Encourage to perform active range of motion exercises twice a day Question 20 See full question 54s A client with heel pain is diagnosed with plantar fasciitis. What treatment should the nurse expect to be prescribed for this client? You Selected: ● Orthotics Correct response: ● Orthotics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468 Question 1 See full question 50s During a home visit the nurse learns that an older client with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the client to limit fluids after this time? You Selected: ● A fear of falling at night Correct response: ● A fear of falling at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 1 See full question 44s During a home visit the nurse notes that an older client has a prescription bottle for furosemide and another one for Lasix. The client reports taking one of each medication each morning as prescribed. Which nursing diagnosis should the nurse identify as a priority for this client? You Selected: ● Fluid volume deficit Correct response: ● Fluid volume deficit Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 2 See full question 29s A client who recently fell is sitting in the lounge and limits walking to using the bathroom. What does this client’s behavior indicate to the nurse? You Selected: ● Psychological restriction of activity Correct response: ● Psychological restriction of activity Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 3 See full question 27s The nurse reviews interventions to reduce an older client’s risk of trauma when at home. What should the nurse emphasize during this teaching? Select all that apply. You Selected: ● Wear well-fitting low-heeled shoes ● Remind to wear eyeglasses at all times ● Use the cane when ambulating ● Use the bannister when walking the stairs Correct response: ● Use the cane when ambulating ● Wear well-fitting low-heeled shoes ● Remind to wear eyeglasses at all times ● Use the bannister when walking the stairs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 4 See full question 18s The nurse identifies the diagnosis of Impaired Physical Mobility for an older client. Which intervention should the nurse include in the client’s plan of care? Select all that apply. You Selected: ● Design an exercise program appropriate for the client’s status ● Coach to change positions every hour ● Promote a healthy nutritional intake ● Remind to maintain good body alignment Correct response: ● Promote a healthy nutritional intake ● Coach to change positions every hour ● Remind to maintain good body alignment ● Design an exercise program appropriate for the client’s status Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 5 See full question 16s A client with heel pain is diagnosed with plantar fasciitis. What treatment should the nurse expect to be prescribed for this client? You Selected: ● Orthotics Correct response: ● Orthotics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 2 See full question 1m 23s The home care nurse is conducting a home environment assessment for an older client with peripheral vascular disease and foot wounds. Which finding would the nurse identify as a safety issue for the client? Select all that apply. You Selected: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Correct response: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 6s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? You Selected: ● Fruits and leafy green vegetables Correct response: ● Dairy products and lean meats Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 4 See full question 20s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with low bone density? You Selected: ● Risk for injury Correct response: ● Risk for injury Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 5 See full question 2m 12s During a home assessment, the nurse should discuss which safety risk with the client? You Selected: ● Low level toilet seat Correct response: ● Low level toilet seat Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477.cond Safety and Mobility - Page 477 Add a Note Question 6 See full question 43s The nurse is caring for a confused older adult client who experiences urinary frequency and urgency. Which priority safety action should the nurse take? You Selected: ● Place client on fall risk precautions Correct response: ● Place client on fall risk precautions Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 7 See full question 1m 7s The report of an older client’s ophthalmologic examination states variability with the Ansler grid. Which activity should the nurse consider as being unsafe for this client? You Selected: ● driving Correct response: ● driving Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 476. Safety and Mobility - Page 476 Add a Note Question 8 See full question 1m 15s An older client reports experiencing stiff hands and knees. Which part of the client’s environment may need to be adjusted? Select all that apply. You Selected: ● Door handles ● Stove knobs ● Stairs ● Sink faucets Correct response: ● Stairs ● Stove knobs ● Sink faucets ● Door handles Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 1 See full question 17s The staff on a unit that provides care to older adult clients with dementia want to make changes to the clients' environment. Which recommendation for lighting would be most appropriate? You Selected: ● Avoiding the use of the fluorescent lights over the beds at night Correct response: ● Avoiding the use of the fluorescent lights over the beds at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 2 See full question 16s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? You Selected: ● Dairy products and lean meats Correct response: ● Dairy products and lean meats Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 3 See full question 30s During a home assessment, the nurse should discuss which safety risk with the client? You Selected: ● Low level toilet seat Correct response: ● Low level toilet seat Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 4 See full question 21s An older client is returns to the assisted living facility after being hospitalized for pneumonia. Which activity should the nurse suggest that the client skip in the days ahead? You Selected: ● shopping trip to the mall Correct response: ● shopping trip to the mall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 5 See full question 18s An older client reports experiencing stiff hands and knees. Which part of the client’s environment may need to be adjusted? Select all that apply. You Selected: ● Sink faucets ● Stairs ● Door handles ● Stove knobs Correct response: ● Stairs ● Stove knobs ● Sink faucets ● Door handles Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Question 9 See full question 15m 48s The nurse reviews interventions to reduce an older client’s risk of trauma when at home. What should the nurse emphasize during this teaching? Select all that apply. You Selected: ● Wear well-fitting low-heeled shoes ● Use the cane when ambulating ● Use the bannister when walking the stairs ● Remind to wear eyeglasses at all times Correct response: ● Use the cane when ambulating ● Wear well-fitting low-heeled shoes ● Remind to wear eyeglasses at all times ● Use the bannister when walking the stairs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 10 See full question 1m The nurse is planning care for a client recovering from a fractured leg. Which interventions should the nurse plan for this client? Select all that apply. You Selected: ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Correct response: ● Isometric exercises ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Question 1 See full question 19s An older adult client has been confined to bed for the past 3 months. Which occurrence should the nurse anticipate secondary to this prolonged immobility? You Selected: ● Bone demineralization Correct response: ● Bone demineralization Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 1 See full question 10s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 2 See full question 20s A nurse recommends to an older client's family to place a seat alongside the bathtub to enable the older adult bather to rest while drying off. The nurse offers this recommendation based on which reason? You Selected: ● A drop in blood pressure may follow bathing. Correct response: ● A drop in blood pressure may follow bathing. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 3 See full question 43s The nurse is visiting the home of an older adult client with changes in peripheral vision and depth perception. Which instruction would the nurse include when talking with the family about ensuring the client’s safety? Select all that apply. You Selected: ● Ensure good lighting throughout the home ● Arrange furniture so that it is in full view ● Use contrasting colors on the stairs Correct response: ● Use contrasting colors on the stairs ● Arrange furniture so that it is in full view ● Ensure good lighting throughout the home ● Approach the client directly and not from the side Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465 not. Safety and Mobility - Page 465 Add a Note Question 4 See full question 9s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 5 See full question 22s The nurse is planning care for a client recovering from a fractured leg. Which interventions should the nurse plan for this client? Select all that apply. You Selected: ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises ● Isometric exercises Correct response: ● Isometric exercises ● Turn and reposition every 2 hours ● Deep breathing and coughing exercises Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 463. Safety and Mobility - Page 463 Add a Note Question 2 See full question 1m 27s An exercise physiologist approaches the gerontological nurse manager at a local assisted living facility about beginning an exercise program for the clients at the facility. When developing the program, which characteristic would the nurse manager require as being most important for the program to include? You Selected: ● Including both resistance exercises and isometric exercises Correct response: ● Addressing cardiovascular endurance, flexibility, and strength training Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 3 See full question 11m 50s A gerontological nurse is educating caregivers of older adults about the importance of physical activity. Which suggestion would be most likely to help families increase the physical activity of their older relatives? You Selected: ● Being creative in suggesting pastimes that can stimulate movement Correct response: ● Being creative in suggesting pastimes that can stimulate movement Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 59s The nurse is teaching an exercise class to older clients. What age-related benefits should the nurse identify to participants as being directly aided by physical activity? Select all that apply. You Selected: ● Digestive Function ● Circulation ● Mental acuity ● Musculoskeletal function Correct response: ● Mental acuity ● Digestive Function ● Circulation ● Musculoskeletal function Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 5 See full question 12m 12s Which nursing diagnosis is associated with the aging client and risk to maintaining an active state when diagnosed with demineralization of the bone in the older client? You Selected: ● Impaired physical mobility related to risk of fractures Correct response: ● Impaired physical mobility related to risk of fractures Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 6 See full question 34s The hospital is renovating the gerontological unit. What safety-related suggestions should the nurse manager make? You Selected: ● Yellow trim around doorways Correct response: ● Yellow trim around doorways Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 7 See full question 36s An older client is upset because of performing strength training exercises as recommended however muscle tone has not improved. What should the nurse emphasize with this client? You Selected: ● Increase the amount of weight used Correct response: ● Increase the amount of weight used Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 473. Safety and Mobility - Page 473 Add a Note Question 8 See full question 28s An older client is experiencing changes in balance when walking. What activity might be appropriate for this client? You Selected: ● T’ai chi Correct response: ● T’ai chi Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 474. Safety and Mobility - Page 474 Add a Note Question 9 See full question 59s The nurse identifies the diagnosis of Impaired Physical Mobility for an older client. Which intervention should the nurse include in the client’s plan of care? Select all that apply. You Selected: ● Design an exercise program appropriate for the client’s status ● Coach to change positions every hour ● Promote a healthy nutritional intake Correct response: ● Promote a healthy nutritional intake ● Coach to change positions every hour ● Remind to maintain good body alignment ● Design an exercise program appropriate for the client’s status Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475.to Safety and Mobility - Page 475 Add a Note Question 1 See full question 24s The nurse is on a task force to reduce the incidence of falls among residents of a long-term care facility. Which measure should the nurse recommend to prevent the most falls? You Selected: ● A fall history and fall risk assessment of each client on admission Correct response: ● A fall history and fall risk assessment of each client on admission Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 470-471. Safety and Mobility - Page 470-471 Add a Note Question 2 See full question 10s A gerontological nurse initiates a program at the long-term care facility to motivate residents to move and be active. Which rationale would the nurse incorporate into the plan as useful in stimulating opportunities for activity? You Selected: ● Those engaged in social events are more likely to perform self-cares. Correct response: ● Those engaged in social events are more likely to perform self-cares. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475re Add a Note Question 3 See full question 4m 35s A nursing home resident is moving into a double room. What should the nurse do to ensure for both of the residents’ personal space? You Selected: ● Explain that the roommates will have to learn to share space Correct response: ● Define the areas that are specific to each individual resident Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 4 See full question 14s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 5 See full question 14s The nurse identifies the diagnosis of Impaired Physical Mobility for an older client. Which intervention should the nurse include in the client’s plan of care? Select all that apply. You Selected: ● Coach to change positions every hour ● Design an exercise program appropriate for the client’s status ● Promote a healthy nutritional intake ● Remind to maintain good body alignment Correct response: ● Promote a healthy nutritional intake ● Coach to change positions every hour ● Remind to maintain good body alignment ● Design an exercise program appropriate for the client’s status Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 1 See full question 40s A nurse manager is consulting with the planning committee of a new long-term care facility being built. Which lighting scheme would the nurse manager most likely suggest? You Selected: ● Low levels of lighting to reduce glare and address clients with light sensitivity Correct response: ● Placement of multiple diffuse lighting sources Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Question 4 See full question 58s A nurse is assisting a group of older adult clients with an exercise regimen. Which client would the nurse expect to achieve the greatest benefits related to musculoskeletal function? You Selected: ● A 70-year-old who runs 1 mile most mornings and cycles 5 miles once or twice a week. Correct response: ● A 76-year-old who swims laps four times weekly and does light weight training on the other 3 days. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Question 7 See full question 20s The nurse is caring for an older adult client with sarcopenia. The nurse should identify which potential causative factors? Select all that apply. You Selected: ● Comorbid diseases ● Low motivation for activity ● Weight loss Correct response: ● Comorbid diseases ● Inflammation Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 463. Safety and Mobility - Page 463 Question 9 See full question 35s During the night, the nurse must provide the hearing impaired older adult with preprocedure instructions. What is the nurse's best approach? You Selected: ● Shine flashlight so client's lips are visible. Correct response: ● Place earpieces of stethoscope into client's ears and speak into the bell. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Question 10 See full question 16s The nurse is assessing an older client before starting a new exercise program. Which of the following would be included? Select all that apply. You Selected: ● Muscle strength ● Range of motion ● Muscle tone Correct response: ● Muscle strength ● Activity level ● Range of motion ● Muscle tone Question 11 See full question 19s The nurse is caring for several clients with risk factors for falls. Which clients are likely at a high risk for falls? Select all that apply. You Selected: ● Confused client ambulating in hallway frequently with a walker ● Newly-admitted client to hospital from nursing home ● Client receiving around the clock analgesics for pain Correct response: ● Dehydrated client with continuous intravenous infusion ● Client receiving around the clock analgesics for pain ● Confused client ambulating in hallway frequently with a walker ● Newly-admitted client to hospital from nursing home Question 16 See full question 16s The nurse determines that an older client is at risk for falls. What age-related factors in the health history caused the nurse to have this concern? Select all that apply. You Selected: ● Cataracts in both eyes ● Female age 80 years ● Becomes dizzy when standing up Correct response: ● Female age 80 years ● Limps when walking ● Cataracts in both eyes ● Becomes dizzy when standing up Question 19 See full question 10s The nurse prepares diet teaching for an older client at risk for osteoporosis. Which food item should the nurse suggest for calcium intake since the client is lactose intolerant? You Selected: ● Swiss chard Correct response: ● Sardines Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Question 10 See full question 1m 1s A client with osteoarthritis is experiencing chronic pain. Which action should the nurse implement to improve this client’s comfort? Select all that apply. You Selected: ● Assist with maintaining good body alignment ● Apply heat to the area ● Instruct on ways to minimize stress to joints ● Coach in the use of relaxation techniques Correct response: ● Apply heat to the area ● Coach in the use of relaxation techniques ● Instruct on ways to minimize stress to joints ● Assist with maintaining good body alignment Question 1 See full question 3m 8s An older individual with mobility issues is touring an assisted living facility with the family to find a place to live after the death of his spouse. Which characteristic of the facility would be most problematic? You Selected: ● Area rugs are placed in front of each sink in washrooms to ensure warmth. Correct response: ● Area rugs are placed in front of each sink in washrooms to ensure warmth. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 2 See full question 10s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 3 See full question 12s The nursing home staff is working on a renovation project for the special care unit. Which element would the staff identify as crucial? You Selected: ● Using contrasting colors for the doors of the storage closets Correct response: ● Painting the bedrooms green Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 4 See full question 8s During a home visit the nurse learns that an older client with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the client to limit fluids after this time? You Selected: ● A fear of falling at night Correct response: ● A fear of falling at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 5 See full question 32s An older adult client has been confined to bed for the past 3 months. Which occurrence should the nurse anticipate secondary to this prolonged immobility? You Selected: ● Bone demineralization Correct response: ● Bone demineralization Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 6 See full question 50s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? You Selected: ● Dairy products and lean meats Correct response: ● Dairy products and lean meats Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 7 See full question 7s An 80-year-old client is brought to the emergency department after falling. The client’s right arm and hip are injured. The nurse is assessing the client who reports that the fall was painful. Further assessment reveals intact skin without edema or redness. The nurse discusses the client’s assessment with the emergency department’s medical staff. Which decision would the nurse most likely anticipate? You Selected: ● Discharging the client home with instructions to follow up with the family health care provider if further pain is noted Correct response: ● Assessing the client further for potential fractures despite the absence of obvious signs or symptoms Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 8 See full question 13s A gerontological nurse is developing a plan of care to promote the independence of a resident who requires a wheelchair for mobility. Which intervention would be most appropriate for the nurse to include? You Selected: ● Obtain a long-handled reaching device. Correct response: ● Obtain a long-handled reaching device. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 9 See full question 7s An older male client has been wandering the halls at night and assisted back to bed several times. The nurse is concerned he may fall. What is the nurse's first action? You Selected: ● Review fluid intake and toileting patterns. Correct response: ● Review fluid intake and toileting patterns. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 10 See full question 24s During a home assessment, the nurse should discuss which safety risk with the client? You Selected: ● Low level toilet seat Correct response: ● Low level toilet seat Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 11 See full question 6s The nurse provides diet teaching to an older client with gout. Which client statement indicates that additional instruction is required? You Selected: ● “I can eat bacon with my eggs for breakfast.” Correct response: ● “I can eat bacon with my eggs for breakfast.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 12 See full question 11s The nurse is concerned that a client is at risk for developing osteoporosis. What finding caused the nurse to have this concern? You Selected: ● smokes cigarettes Correct response: ● smokes cigarettes Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 470. Safety and Mobility - Page 470 Add a Note Question 13 See full question 7s The nurse helps a new resident move into a new room. Which action should the nurse identify as a priority to meet the client’s micro-environmental needs? You Selected: ● Clear path to walk to the bathroom Correct response: ● Clear path to walk to the bathroom Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 14 See full question 7s A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? You Selected: ● Increase anxiety Correct response: ● Increase anxiety Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 480. Safety and Mobility - Page 480 Add a Note Question 15 See full question 6s A nursing home resident is moving into a double room. What should the nurse do to ensure for both of the residents’ personal space? You Selected: ● Define the areas that are specific to each individual resident Correct response: ● Define the areas that are specific to each individual resident Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 16 See full question 8s The nurse notes that an older resident of an assisted living facility has stopped drinking fluids with the evening meal. What should the nurse suspect is occurring with this resident? You Selected: ● Restricting fluids to reduce the need to void overnight Correct response: ● Restricting fluids to reduce the need to void overnight Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 17 See full question 7s An older client is prescribed a medication that should not be taken if the pulse is below 60 beats per minute. What should the nurse do to ensure that the client takes the medication when it is required? You Selected: ● Recommend a home care nurse arrive to assess the pulse daily Correct response: ● Instruct on how to measure the radial pulse Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 479-480. Safety and Mobility - Page 479-480 Add a Note Question 4 See full question 21s The staff nurses are discussing ways to reduce safety risks for older adult clients with Alzheimer's disease. Which impairment would the staff focus on as a safety risk? Select all that apply. You Selected: ● Diabetes ● Visual disturbances ● Disorientation Correct response: ● Depression ● Disorientation ● Memory deficits Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Question 7 See full question 13s At 65 years-of-age, a client is starting to exercise again after 10 years of relative inactivity. When discussing the exercise program with the nurse, which aspect would the nurse encourage the client to do first? You Selected: ● Select activities that match the client’s interest and abilities. Correct response: ● Have vital signs checked at various activity levels Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Question 12 See full question 34s An older client has decreased muscle tone and strength. For which environmental impact should the nurse assess in this client? Select all that apply. You Selected: ● Ability to stand from a seated position ● Slower response to stimuli ● Shuffling gait Correct response: ● Shuffling gait ● Level of fatigue ● Lifting of the feet during ambulation ● Ability to stand from a seated position Question 14 See full question 16s The nurse identifies the diagnosis Risk of Trauma for an older client. What contributing factor caused the nurse to select this diagnosis? Select all that apply. You Selected: ● Altered cognitive function ● Improperly using a cane ● Poor muscle tone Correct response: ● Hearing deficit ● Poor muscle tone ● Improperly using a cane ● Altered cognitive function Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 16 See full question 34s The nurse notes that an older client has a decrease in muscle mass and tone. Which nursing diagnosis should the nurse select to address this finding? You Selected: ● Risk for injury Correct response: ● Activity intolerance Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 18 See full question 34s An older client experiences pain, cramping, and spasms of the lower extremities. Which nursing diagnosis should the nurse select to guide this client’s care? You Selected: ● Activity intolerance Correct response: ● Disturbed sleep pattern Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Question 19 See full question 28s The nurse asks a client with osteoarthritis which actions have been used in the past to cope with the disorder. For which diagnosis is the nurse performing this action? You Selected: ● Chronic pain Correct response: ● Self-esteem Disturbance Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Question 20 See full question 15s After reviewing a list of medications, the nurse is concerned that a client is at risk for developing osteoporosis. Which medication caused the nurse to have this concern? Select all that apply. You Selected: ● Furosemide ● Steroid ● Aluminum-based antacid Correct response: ● Steroid ● Furosemide ● Thyroid supplement ● Aluminum-based antacid Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 463. Safety and Mobility - Page 463 Question 18 See full question 14s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 19 See full question 8s During a home visit the nurse notes that the family of an older client prepares and serves the meals and cleans the dishes while the client sits at the table and then ambulates to a chair in the living room. What should the nurse recommend to improve the client’s endurance to physical activity? You Selected: ● Add an additional activity such as serving or cleaning up after meals Correct response: ● Add an additional activity such as serving or cleaning up after meals Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 20 See full question 8s A client is observed walking with a short shuffling gait. For which health problem should the nurse assess this client? You Selected: ● Parkinsonism Correct response: ● Parkinsonism Question 1 See full question 13s The home care nurse is conducting a home environment assessment for an older client with peripheral vascular disease and foot wounds. Which finding would the nurse identify as a safety issue for the client? Select all that apply. You Selected: Medication labels absent from prescription containers Hot water temperature 124°F Correct response: Hot water temperature 124°F Medication labels absent from prescription containers Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 2 See full question 7s The nurse is assisting an aging client with osteoarthritis to ambulate. Which of the following instructions is most appropriate for the nurse to give the client? You Selected: "Bend slightly at the waist." Correct response: "Stand straight and tall." Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 3 See full question 6s An exercise physiologist approaches the gerontological nurse manager at a local assisted living facility about beginning an exercise program for the clients at the facility. When developing the program, which characteristic would the nurse manager require as being most important for the program to include? You Selected: Addressing cardiovascular endurance, flexibility, and strength training Correct response: Addressing cardiovascular endurance, flexibility, and strength training Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 4 See full question 6s A gerontological nurse is educating caregivers of older adults about the importance of physical activity. Which suggestion would be most likely to help families increase the physical activity of their older relatives? You Selected: Being creative in suggesting pastimes that can stimulate movement Correct response: Being creative in suggesting pastimes that can stimulate movement Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 5 See full question 7s An older client enters a family member’s home and sits down for the duration of the visit. When preparing to leave to go home, the client places one hand on the wall and the other on the counter when walking to the door. What is this client demonstrating? You Selected: fear of falling Correct response: fear of falling Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 daug Add a Note Question 6 See full question 5s The adult daughter of an older client is upset because the client won’t let her wash the dishes. What should the nurse explain about the physical advantages of this activity? You Selected: makes the client feel useful Correct response: exercises the fingers in warm water Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 7 See full question 7s The nurse notes crepitus when an older client moves from a sitting to a standing position. What addition information should indicate to the nurse that the client is experiencing osteoarthritis? You Selected: bilateral ankle edema Correct response: hip pain with extended walking Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 8 See full question 6s The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? You Selected: climb stairs slowly Correct response: climb stairs slowly Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 9 See full question 13s An older client reports experiencing stiff hands and knees. Which part of the client’s environment may need to be adjusted? Select all that apply. You Selected: Door handles Stairs Stove knobs Sink faucets Correct response: Stairs Stove knobs Sink faucets Door handles Explanation: Reference: Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 10 See full question 12s A client with osteoarthritis is experiencing chronic pain. Which action should the nurse implement to improve this client’s comfort? Select all that apply. You Selected: Coach in the use of relaxation techniques Apply heat to the area Instruct on ways to minimize stress to joints Assist with maintaining good body alignment Correct response: Apply heat to the area Coach in the use of relaxation techniques Instruct on ways to minimize stress to joints Assist with maintaining good body alignment Question 10 See full question 1m 55s An older client needs support with two canes when ambulating. Which action should the nurse recommend to increase this client’s physical activity? You Selected:sup ● Raise the legs higher with each step Correct response: ● Raise the legs higher with each step The home care nurse is concerned that an older client is at risk for a kitchen fire. What action can the nurse recommend to reduce the risk of this occurring? Select all that apply. You Selected: ● Avoid placing electrical items near a water source ● Instruct the client to stay in the kitchen while cooking ● Recommend the use of a timer to check the food on the stove Correct response: ● Instruct the client to stay in the kitchen while cooking ● Recommend the use of a timer to check the food on the stove ● Suggest a microwave be used to heat liquids and not the stove Question 4 See full question 24s An older client has not engaged in physical activity for several months. What might the nurse expect to assess in this client? You Selected: ● poor muscle tone Correct response: ● poor muscle tone Question 5 See full question 30s A nurse is developing the plan of care for an older adult resident to promote improved physical activity. Which intervention would the nurse most likely include? Select all that apply. You Selected: ● Encourage family to assist in efforts to increase the client's mobility. ● Provide diversional activities based on the client's interests and level of function. ● Promote a nutritional intake of calcium and protein. Correct response: ● Encourage family to assist in efforts to increase the client's mobility. ● Promote a nutritional intake of calcium and protein. ● Provide diversional activities based on the client's interests and level of function. The nurse reviews the safest way for a client to take a step down from a curb. Which client statement indicates that teaching has been effective? You Selected: ● “I should put my weight on my weak leg and move my stronger leg forward.” Correct response: ● “I should place both of my feet near the edge of the curb.” An older adult client who lives at home has had several admissions to the hospital for infections and drug reactions over the last 18 months. Based on this information, the nurse would implement actions to reduce what risk for the client? You Selected: ● Injury Correct response: ● Injury Question 5 See full question 1m 44s An older client's daughter is concerned that her mother may start a fire at home due to her forgetfulness. What is the nurse's best suggestion to the client? You Selected: ● Set a timer when leaving the kitchen area Correct response: ● Stay in the kitchen when cooking Question 6 See full question 12s A gerontological nurse is conducting an educational program at a local senior center about the importance of exercise and staying active. Which health change would the nurse most likely include in the discussion? You Selected: ● Slowing peristalsis ● Lowering blood pressure ● Sharpening mental acuity Correct response: ● Lowering blood pressure ● Maintaining muscle strength ● Sharpening mental acuity ● Raising mood Question 9 See full question 26m 43s The nurse notices that an older client has been walking slower. What should the nurse suspect be occurring with this client? You Selected: ● activity intolerance Correct response: ● sarcopenia Question 18 See full question 23s An older client arrives to be x-rayed after falling at home. Which body area should the nurse prepare this client to have a radiologic examination? Select all that apply. You Selected: ● Knee ● Hip ● Wrist Correct response: ● Hip ● Wrist Question 2 See full question 30s A gerontological nurse manager is implementing a program with the nursing staff of a local senior center to provide for activity and exercise with the older clients. Which outcome would the nurse manager identify as the most direct effect of this program. You Selected: ● Individuals will be involved in more social activities such as dancing. Correct response: ● The person's risk of household accidents will be reduced. Question 9 See full question 17s An older client who suffered a stroke two weeks ago is being discharged with residual expressive aphasia. When addressing the client's aphasia, what suggestion should the nurse make to the family to best ensure the client's safety at home? You Selected: ● Refer to occupational therapy Correct response: ● Install an emergency alarm system Question 11 See full question 16s An older client has no interest in joining a gym and does not like dancing or organized sports. What should the nurse suggest to help increase this client’s physical activity? You Selected: ● cancel the housekeeping service Correct response: ● cancel the housekeeping service Question 13 See full question 16s An older client who is a vegetarian is diagnosed with early signs of osteoporosis. Which food item should the nurse encourage the client to ingest? You Selected: ● tofu Correct response: ● tofu Question 15 See full question 20s The family of a resident in a skilled nursing facility ask why the rooms have such strong odors. What should the nurse consider as being the cause for the smell? You Selected: ● Bathroom disinfectant Correct response: ● Carpeting Question 18 See full question 16s The nurse prepares an educational session on activity in older age for a community health program. What should the nurse include as an advantage of staying physically active when aging? Select all that apply. You Selected: ● Guard against developing pneumonia ● Prevent obesity ● Reduce joint immobility ● Improve sleep Correct response: ● Improve sleep ● Prevent obesity ● Reduce joint immobility ● Guard against developing pneumonia Question 18 See full question 31s The nurse notes that an older client has a space heater in the living room. What should the nurse do to ensure that this device is safe for use in the client’s home? You Selected: ● Check for an automatic shutoff mechanism Correct response: ● Check for an automatic shutoff mechanism