The nurse is assessing an older adult client who has osteoporosis and reports frequent falls.

The nurse should ask the client about which of the following factors that could contribute to falls?

(Select all that apply.).

Medications

Vision problems

Home environment.

Thyroid function.

Urinary incontinence.

Answer and Explanation

Correct Answer : A,B,C,E

The correct answer is A, B, C, and E.

The nurse should ask the client about medications, vision problems, home environment, and urinary incontinence as these are all factors that could contribute to falls in older adults.

• Medications can increase the risk of falls because they can cause side effects such as drowsiness, dizziness, confusion, or low blood pressure. Some medications that can increase the risk of falls include sedatives, antidepressants, antihypertensives, diuretics, and anticholinergics.

• Vision problems can impair the ability to see obstacles, judge depth and distance, or adjust to changes in light. Some vision problems that can increase the risk of falls include cataracts, glaucoma, macular degeneration, and diabetic retinopathy.

• Home environment can pose safety hazards that can cause tripping, slipping, or losing balance. Some home hazards that can increase the risk of falls include loose rugs, clutter, poor lighting, slippery floors, uneven surfaces, and lack of handrails or grab bars.

• Urinary incontinence can lead to rushed movements to the bathroom or frequent nighttime trips that can increase the risk of falls. Urinary incontinence can be caused by various factors such as bladder infections, prostate problems, pelvic floor weakness, or medication side effects.

Choice D is wrong because thyroid function is not a direct factor that contributes to falls in older adults. However, thyroid disorders such as hyperthyroidism or hypothyroidism can affect other factors such as muscle strength, bone density, heart rate, or blood pressure that can indirectly increase the risk of falls.

Normal ranges for thyroid function tests vary depending on the laboratory and the method used. However, a common reference range for thyroid-stimulating hormone (TSH) is 0.4 to 4.0 mIU/L and for free thyroxine (FT4) is 0.8 to 1.8 ng/dL.

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

Explanation

The correct answer isA, B, C, D and E.

All of these statements are true and should be included in the nurse’s education.

Physical activity and exercise have many benefits for older adults with depression, such as:.

• Increasing the levels ofserotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.

• Improvingcardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.

• Reducingstress, anxiety, pain and inflammation, which can worsen depression and affect physical health.

• Enhancingself-esteem, confidence and sense of accomplishment, which can improve self-image, social interaction and coping skills.

• Helping tosleep better at night and feel more refreshed in the morning, which can improve mood, energy and cognitive function.

Choice A is correct because physical activity and exercise can increase the levels of serotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.

Choice B is correct because physical activity and exercise can improve cardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.

Choice C is correct because physical activity and exercise can reduce stress, anxiety, pain and inflammation.

A. Physical activity and exercise can increase your levels of serotonin and endorphins, which are natural mood boosters B.

Physical activity and exercise can improve your cardiovascular health, muscle strength, balance and flexibility C.

Physical activity and exercise can reduce your stress, anxiety, pain and inflammation D.

Physical activity and exercise can enhance your self-esteem, confidence and sense of accomplishment E.

Physical activity and exercise can help you sleep better at night and feel more refreshed in the morning

A. “Do you drive your own car or use public transportation?.”. B. “Do you have any problems with your vision or hearing?.”. C. “Do you shop for groceries and other necessities by yourself?.”. D. “Do you have any difficulty walking or climbing stairs?.”.

Correct Answer is A

Explanation

The correct answer is A.“Do you drive your own car or use public transportation?.” This question is appropriate for the domain ofmode of transportation, which is one of the eight areas of occupational performance assessed by the Lawton Instrumental Activities of Daily Living (IADLs) Scale.The scale evaluates a person’s ability to engage in more complex activities thought necessary for functioning in community settings.

Choice B is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofability to use a telephone.The scale asks about the person’s ability to operate a telephone, dial numbers, and answer calls.

Choice C is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofshopping.The scale asks about the person’s ability to take care of all shopping needs independently, shop for small purchases, or need assistance with shopping.

Choice D is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofmobility.The scale does not assess mobility directly, but it may be inferred from the person’s ability to travel by public transportation or car.

The Lawton IADLs Scale has a summary score that ranges from 0 (low function, dependent) to 8 (high function, independent) for women, and 0 to 5 for men.The score identifies areas of need in regard to care and support.

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The nurse is assessing an older adult client who has osteoporosis and reports frequent falls. The nurse should ask the client about which of the following factors that could contribute to falls? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating an older adult client who has depression about the benefits of physical activity and exercise. Which of the following statements should the nurse include? (Select all that apply.).

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

Explanation

A nurse is conducting a functional status assessment for an older adult client using the Lawton Instrumental Activities of Daily Living (IADLs) Scale. The nurse asks the client about his ability to use transportation. Which of the following questions is appropriate for this domain?

Correct Answer is A

Explanation

What are some of the environmental factors that can influence the psychosocial changes in older adults?

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A nurse is reviewing the medication list of an older adult client who takes several medications for different health problems. The nurse recognizes that polypharmacy in older adults can increase the risk of which of the following?

The nurse is assessing an older adult client who has osteoporosis and reports frequent falls.

The nurse should ask the client about which of the following factors that could contribute to falls?

(Select all that apply.).