An older adult woman who lives alone talks with the clinic nurse about her fears of falling at home. Which interventions should the nurse suggest? Select all that apply.

Wear an emergency response pendant at home.

Recommend installing grab bars by toilets, bathtub, and shower.

Request that a family member move in with her.

Encourage exercise to improve balance and mobility.

Have the home health nurse assess the home for fall risks.

Answer and Explanation

Correct Answer : A,B,D,E

A.   This device can be used to summon help quickly in case of a fall or other emergency.
B.   Grab bars provide extra support and can help prevent falls in areas where the risk is high.
C.   Request that a family member move in with her might be a solution for some people but it is not always practical or desirable. It's important to consider the client's preferences and independence when making recommendations.
D.   Regular exercise can help strengthen muscles and improve balance, reducing the risk of falls.
E.   A home health nurse can identify potential hazards in the home and make recommendations for modifications to improve safety.

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Correct Answer is C

Explanation

A. Providing frequent rest periods is important for older adults, especially those who may be experiencing fatigue or have chronic conditions. However, this intervention, while supportive, is not always the most critical or directly related to creating a therapeutic environment in all situations.
B. Allowing additional time for tasks is crucial for older adults who may have slower cognitive or physical processes. This approach helps reduce stress and frustration, contributing to a more supportive and therapeutic environment.
C. Placing assistive devices within reach is essential for ensuring safety and promoting independence. It helps older adults perform tasks more easily and reduces the risk of falls or accidents. This intervention is crucial for creating a therapeutic environment as it directly impacts the client’s ability to manage their own care and environment effectively.
D. Speaking slowly and distinctly is important for effective communication, especially if the older adult has hearing or cognitive impairments. It helps ensure that the client understands instructions and information, which is fundamental for their safety and engagement in their care.

A. Tilt the pelvis forwards and backwards. B. Turn the head to the right and left. C. Bend the arm by flexing the ulnar to the humerus. D. Extend the arm at the side and rotate in circles.

Correct Answer is C

Explanation

A. Tilting the pelvis forwards and backwards involves movements of the pelvic girdle, which is more related to the actions of the hip joints and lumbar spine, rather than hinge joints specifically. This action involves the pelvic tilt and is not an exercise for hinge joints like the elbow or knee.
B. Turning the head to the right and left involves rotation of the cervical spine and is associated with pivot joints rather than hinge joints. This action does not involve flexion and extension typical of hinge joints, which are primarily the elbow and knee.
C. This action involves bending the arm at the elbow joint, which is a classic example of a hinge joint. The elbow allows for flexion (bending) and extension (straightening) movements, making it a key example of a hinge joint. This is the correct action for exercising hinge joints.
D. Extending the arm and rotating in circles involves movements of the shoulder joint, which is a ball- and-socket joint, not a hinge joint. The shoulder joint allows for a wide range of movements including circumduction, which is different from the simple flexion and extension movements of hinge joints.

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An older adult woman who lives alone talks with the clinic nurse about her fears of falling at home. Which interventions should the nurse suggest? Select all that apply.

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Naxlex Comprehensive Predictor Exams

When establishing a therapeutic environment for an older adult client, which intervention is most important for the nurse to implement?

Correct Answer is C

Explanation

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

Correct Answer is C

Explanation

A client started a 24-hour urine collection several hours ago. The client tells the nurse that the last voiding was accidentally flushed instead of saved in the container. Which intervention should the nurse initiate?

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Which breakfast selection indicates that the client understands the nurse's instructions about the dietary management of osteoporosis?

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