What expected physiological changes of the older adult put them at risk of falls? (Select all that apply).
Reduced muscle strength.
Sensory losses like vision and hearing.
Slowing of reflexes.
Dementia.
Inability to adapt.
Correct Answer : A,B,C
Reduced muscle strength, sensory losses like vision and hearing, and slowing of reflexes are all expected physiological changes of the older adult that can put them at risk of falls.
Reduced muscle strength can make it more difficult for older adults to maintain balance and stability.
Sensory losses like vision and hearing can affect an older adult’s ability to perceive their environment and navigate safely.
Slowing of reflexes can make it more difficult for older adults to react quickly to changes in their environment and prevent falls.
Choice D is not an answer because dementia is not a physiological change but rather a cognitive condition that can increase the risk of falls.
Choice E is not an answer because the inability to adapt is not a specific physiological change but rather a general characteristic that can increase the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The action that best demonstrates cultural competence is for the nurse to ask the clients what matters most to them in their illness and treatment.
Cultural competence describes the ability to effectively interact with people belonging to different cultures.
The importance of cultural competence in nursing focuses on health equity through patient-centered care, which requires seeing each patient as a unique person1.
Choice B is not the correct answer because telling clients that they should not continue taking herbs does not demonstrate cultural competence.
Choice C is not the correct answer because asking clients if they utilize shaman does not demonstrate cultural competence.
Choice D is not the correct answer because telling clients that they should follow the provider’s orders does not demonstrate cultural competence.
Correct Answer is D
Explanation
The nurse’s first action when a fire is discovered in a client’s room is to evacuate any clients or visitors in immediate danger12.
This is because the safety of the clients and visitors is the top priority.
Choice A is not the correct answer because activating the fire alarm is not the first action that should be taken.
Choice B is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.
Choice C is not the correct answer because notifying the supervisor is not the first action that should be taken.
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