During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

Ask about the circumstances behind the fall(s).

Assess for any injuries the client might have.

Evaluate the client for gait and balance.

Ask about the history or frequency of falls.

Answer and Explanation

Correct Answer : A,D

Choice A reason: Asking about the circumstances behind the fall(s) can help you identify the possible risk factors and causes of the fall(s), such as environmental hazards, medications, chronic conditions, or acute illnesses. Asking about the circumstances can also help you determine the severity and urgency of the situation, and whether the client needs further evaluation or referral.

Choice B reason: Assessing for any injuries the client might have is important, but it is not the first thing you should do after a client reports a fall. You should first ask about the circumstances to rule out any life-threatening or serious injuries that may require immediate attention. Assessing for injuries is part of the comprehensive fall risk assessment that should be done after the initial screening.

Choice C reason: Evaluating the client for gait and balance is also important, but it is not the first thing you should do after a client reports a fall. You should first ask about the circumstances to rule out any underlying medical conditions that may affect the client's gait and balance. Evaluating gait and balance is part of the comprehensive fall risk assessment that should be done after the initial screening.

Choice D reason: Asking about the history or frequency of falls can help you assess the client's fall risk and identify any patterns or trends in the client's fall history. Asking about the history or frequency of falls can also help you tailor the appropriate interventions and prevention strategies for the client.

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Correct Answer is ["A","C","D"]

Explanation

Choice A: Reduce the proportion of older adults with untreated caries. This is a correct answer because it is one of the Healthy People 2020 oral health objectives for older adults¹. Untreated caries can lead to pain, infection, tooth loss, and reduced quality of life². Reducing the prevalence of untreated caries can improve the oral health and well-being of older adults.

Choice B: Reduce the proportion of adults with untreated dental decay. This is an incorrect answer because it is not specific to older adults. The Healthy People 2020 oral health objectives for adults include reducing the proportion of adults aged 35 to 44 years with untreated dental decay¹. However, this does not address the unique needs and challenges of older adults, such as increased risk of root caries, dry mouth, and periodontal disease².

Choice C: Prevent and control oral and craniofacial diseases, conditions, and injuries. This is a correct answer because it is the overall goal of the Healthy People 2020 oral health objectives¹. Oral and craniofacial diseases, conditions, and injuries can affect the function, appearance, and quality of life of older adults². Preventing and controlling these problems can help older adults maintain their oral health and general health.

Choice D: Improve access to preventive services and dental care. This is a correct answer because it is one of the Healthy People 2020 oral health objectives for older adults¹. Access to preventive services and dental care can help older adults prevent oral diseases, detect problems early, and receive appropriate treatment². However, many older adults face barriers to accessing oral health care, such as lack of dental insurance, transportation, or awareness³. Improving access to oral health care can reduce these disparities and improve the oral health outcomes of older adults.

A. A shortened warning time between the desire to void and actual micturition B. The first urge to void occurs at the midbladder volume (250-350 mL) C. Diarrhea is the most common gastrointestinal complaint made to the health care provider D. Constipation as a symptom of altered bladder functions E. None of the above

Correct Answer is A

Explanation

Choice A reason: A shortened warning time between the desire to void and actual micturition is a common sign of urinary incontinence in older adults. It is caused by the decreased bladder capacity, increased bladder irritability, and reduced urethral resistance that occur with aging.

Choice B reason: The first urge to void occurs at the midbladder volume (250-350 mL) is not a correct answer, as this is the normal bladder sensation for adults of all ages. It does not indicate urinary incontinence.

Choice C reason: Diarrhea is the most common gastrointestinal complaint made to the health care provider is not a correct answer, as it is not related to urinary incontinence. It is a separate condition that affects the bowel movements.

Choice D reason: Constipation as a symptom of altered bladder functions is not a correct answer, as it is not a direct cause or effect of urinary incontinence. However, constipation can worsen urinary incontinence by increasing the pressure on the bladder and pelvic floor muscles.

Choice E reason: None of the above is not a correct answer, as there is one choice that is true for urinary incontinence in older adults.

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During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to Healthy People 2020, older adults have been identified as a priority, addressing goals to improve dental health. Identify the correct dental health goals for older adults. (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

You realize that your client's bladder functions are only slightly altered by the physiological changes of age. What might you expect if an older person is experiencing urinary incontinence?

Correct Answer is A

Explanation

Which of the following statements is true about analgesic medications for older adults?

Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?

Which factors in the patient care environment should be routinely assessed to decrease the risk of falls? (Select all that apply.)

Which condition is included in the diagnosis of chronic obstructive pulmonary disease (COPD)?

The gerontological nurse collaborates with the wound care team about an older client who has an ulcer. How is this nurse demonstrating leadership in the care of older people?

Which of the following statements is true about analgesic medications for older adults?

Which of the following is an important consideration about the skin of an older adult person?

An older adult who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dL. Which client assessment does the nurse use to confirm a high risk for diabetes mellitus in the client?