Question 1

A nurse is aware that many residents in a long-term care facility refuse to wear the hip protector garment.What reason do residents state makes them resistive to wear this protective garment?

Accepted Answer

Residents often resist wearing hip protectors because they find them uncomfortable. Other reasons may include difficulty putting them on, fear of looking "old," and concern about social stigma. Cost, degradation, and soiling are usually not significant factors.

Question 2

In what ways might people who have a fear of falling alter their lifestyle? (Select all that apply.)

Accepted Answer

The answer of In what ways might people who have...

Question 3

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

Accepted Answer

The answer of A nurse helps the physical therapist teach...

Question 4

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

Accepted Answer

The answer of A nurse is aware that of all...

Question 5

A home health nurse cautions the family of a frail 82-year-old woman about the intrinsic factors that may be a potential cause of injury.Which intrinsic factors should be included? (Select all that apply.)

Accepted Answer

Diminished vision and generalized weakness are intrinsic factors that can increase the risk of injury in an elderly person.

Question 6

What should the home health nurse recommend to a patient if a fall occurs at home?

Accepted Answer

The nurse should recommend using sturdy furniture to pull oneself up after a fall, as it provides a stable and secure support to help the patient regain their footing safely.

Question 7

A nurse is teaching a patient methods for getting up after a fall.The nurse instructs the patient to pull up to a sitting position on the floor, shuffle the buttocks to a nearby piece of furniture, and pull up on the knees in front of the furniture.What should the nurse instruct the patient to do next?

Accepted Answer

After pulling up on the knees in front of the furniture, the next step would be to stand up.

Question 8

A nurse is trying to keep a confused resident from removing a feeding tube by following the "rule of least restriction." What should replace the wrist restraint?

Accepted Answer

The rule of least restriction means using the least restrictive intervention possible to ensure resident safety. Mittens would be the best choice as they allow the resident some movement but would prevent them from removing the feeding tube. The other options involve more restriction and could potentially cause harm or discomfort to the resident.

Question 9

A nurse visiting a patient in the patient's home assesses the environment for extrinsic risk factors for falling.Which factors should the nurse have the patient or family correct?

Accepted Answer

A clean, shiny, and slick kitchen floor increases the risk of slipping and falling. The nurse should advise the patient or family to use non-slip mats or rugs in the kitchen or apply an anti-slip coating to the floor. The absence of door thresholds (A) is not a risk factor for falling. The use of 60-watt bulbs (C) may be a risk factor for poor visibility, but it is not directly related to falling. The placement of the telephone on a bedside table (D) is not a risk factor for falling.

Question 10

A nurse is discussing the risk of falling with the family of a 75-year-old patient.The family asks, "Why are you so worried about her falling? She falls all the time and doesn't get hurt much." To which fact should the nurse's response relate?

Accepted Answer

Falls are the most frequent cause of accidental injury and death among older adults. It is important to educate patients and families on the risks associated with falling and to take steps to prevent falls whenever possible. Just because the patient has not been seriously injured in previous falls does not mean that future falls will not result in significant harm.

Question 11

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

Accepted Answer

The answer of A nurse suggests that a resident who...

Quiz 11: Falls