A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?

compensation for slowed response to changes in balance

use of an assistive device

use of paths with support devices in case of imbalance

coordination of walking activities when family is present

Answer and Explanation

The Correct Answer is B

A. Compensation for slowed response to changes in balance:

This option refers to techniques or strategies that individuals can use to compensate for changes in balance, such as adopting a wider base of support, taking smaller steps, or using handrails for support. While compensation strategies can be helpful in managing balance issues, they may not be sufficient to prevent falls, especially in individuals at increased risk due to factors like wearing an orthotic boot.

B. Use of an assistive device:

This option involves the use of devices such as canes, walkers, or crutches to provide additional support and stability during ambulation. When someone is at an increased risk for falls, especially after being prescribed an orthotic boot, using an assistive device can significantly reduce the risk of falls by providing extra support and helping to maintain balance. Teaching the client about the proper use of an assistive device is an essential aspect of fall prevention education.

C. Use of paths with support devices in case of imbalance:

This option suggests using paths or routes that have support devices, such as handrails or grab bars, available in case the individual experiences imbalance while walking. While having support devices along walking paths can be helpful, it may not always be feasible or practical. Additionally, relying solely on external support devices may not address the underlying issues contributing to the risk of falls, such as impaired balance or mobility.

D. Coordination of walking activities when family is present:

This option involves coordinating walking activities with the presence of family members. While having family members present during walking activities can provide emotional support and assistance if needed, it may not directly address the client's risk of falls or provide strategies for fall prevention. While family support is valuable, it should complement other fall prevention measures rather than serve as the primary strategy for managing fall risk.

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Correct Answer is A

Explanation

A. A central focus of adult day care is providing respite for caregivers:

Adult day care centers are designed to offer daytime care and supervision for older adults who may need assistance or supervision due to cognitive or physical impairments. One of the primary goals of adult day care is to provide respite for family caregivers, giving them the opportunity to work, attend to personal matters, or simply take a break from caregiving responsibilities while knowing that their loved one is in a safe and stimulating environment.

B. Older adults can go to a single location for their medical care:

While some adult day care centers may offer limited health-related services such as medication management or basic health monitoring, their primary focus is not to serve as a location for comprehensive medical care. Adult day care centers typically focus on socialization, activities of daily living assistance, and supervision rather than providing medical treatments.

C. Clients, primarily with severe illnesses, typically qualify for this care:

Adult day care services are not exclusively for individuals with severe illnesses. They cater to a range of older adults with varying levels of functional and cognitive abilities. While some clients may have conditions like Alzheimer's disease or other forms of dementia, others may attend for socialization, safety monitoring, or assistance with activities of daily living.

D. The main goal of adult day care is to provide protection for older adults at risk:

While ensuring the safety and well-being of older adults is an important aspect of adult day care, the primary goal is to support both the older adult and their family caregivers. This support includes providing socialization, cognitive stimulation, assistance with activities of daily living, and respite for caregivers.

A. Standards provided by nursing associations B. Scientific data about theories, life adjustments, and pathophysiology of aging C. Evidence-based practice D. A large pool of knowledgeable colleagues in advanced practice roles

Correct Answer is C

Explanation

A. Standards provided by nursing associations:

Nursing associations establish standards of practice to guide nurses in delivering safe and effective care. These standards outline the expectations and responsibilities of nurses in various healthcare settings. While adhering to nursing standards is important, they may not always encompass the full spectrum of clinical complexities faced by older adult populations. Nursing standards often provide general guidelines rather than specific evidence-based recommendations for complex clinical scenarios.

B. Scientific data about theories, life adjustments, and pathophysiology of aging:

Scientific data related to theories, life adjustments, and pathophysiology of aging are essential for understanding the physiological, psychological, and social aspects of aging. This knowledge helps nurses comprehend the unique healthcare needs of older adults and informs their clinical decision-making. While scientific data provides a foundational understanding of aging processes, it may not always translate directly into evidence-based practice guidelines for managing specific health conditions or complex clinical situations.

C. Evidence-based practice:

Evidence-based practice (EBP) involves integrating the best available evidence from scientific research with clinical expertise and patient preferences to inform decision-making in patient care. EBP ensures that nursing interventions are grounded in research findings and tailored to individual patient needs and preferences. By critically appraising and applying research evidence to clinical practice, nurses can provide high-quality, patient-centered care that is supported by the latest scientific knowledge.

D. A large pool of knowledgeable colleagues in advanced practice roles:

Colleagues in advanced practice roles, such as nurse practitioners or clinical nurse specialists, can serve as valuable resources for sharing expertise and knowledge in caring for older adult populations. These colleagues may offer insights, guidance, and recommendations based on their advanced clinical training and experience. While collaborating with knowledgeable colleagues is important for professional development and sharing best practices, it should complement, rather than replace, evidence-based practice as the foundation for providing high-quality care.

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A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

Correct Answer is C

Explanation

A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?

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