What is an important strategy for fall prevention in older adults?

Encouraging regular exercise and physical activity.

Removing all rugs and carpets from the home.

Encouraging the use of medications that cause drowsiness.

Limiting social activities and outings.

Answer and Explanation

The Correct Answer is A

A.   This is an important strategy for fall prevention. Regular exercise helps improve strength, balance, flexibility, and coordination, which can significantly reduce the risk of falls. Physical activity also enhances overall health and mobility, making it easier for older adults to perform daily tasks safely.
B.   Removing all rugs and carpets can reduce tripping hazards, but it’s not always practical or aesthetically pleasing. Instead, it’s advisable to secure rugs with non-slip backing and ensure they are not placed in high-traffic areas. Therefore, while removing some rugs can be helpful, not all should be removed.
C.   Medications that cause drowsiness can increase the risk of falls by impairing balance, coordination, and alertness. Older adults should be encouraged to discuss their medications with healthcare providers to minimize side effects that may contribute to fall risks.
D.   In fact, social engagement can promote physical activity and mental well-being, both of which can help reduce fall risk. Limiting social activities can lead to isolation, which may negatively impact an older adult's physical and emotional health.

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Correct Answer is B

Explanation

A. Glaucoma typically affects peripheral vision first and may lead to tunnel vision as the disease progresses. While it can cause significant vision loss, it is not primarily characterized by a decrease in central vision.
B. Macular degeneration specifically affects the central part of the retina (the macula), leading to a loss of central vision while peripheral vision remains intact. It is the most common cause of vision loss in older adults and directly correlates with the symptom described.
C. Diabetic retinopathy primarily affects the blood vessels in the retina and can lead to various vision problems, including blurred vision, floaters, and even blindness. However, it does not exclusively cause a decrease in central vision; it often affects both central and peripheral vision.
D. Cataracts typically cause cloudy or blurred vision but do not specifically lead to a decrease in central vision alone. They may affect overall vision clarity, including both central and peripheral vision, but the primary symptom is a general haziness rather than a focused loss of central vision.

A. A nurse administers a scheduled pain medication for a client who is having pain. B. A nurse provides nonpharmacological pain interventions to each client equally. C. A nurse fulfills a promise to a client that they will return with their pain medication. D. A nurse gives a client the choice of when to take a pain medication.

Correct Answer is D

Explanation

A. This action is based on the nurse's responsibility to manage the client's pain effectively, but it does not reflect the client's autonomy. Instead, it focuses on the nurse's duty to provide care.
B. While this demonstrates fairness and equality in care, it does not specifically address the autonomy of the clients. Autonomy involves allowing clients to make choices tailored to their individual preferences and needs, rather than applying the same approach to everyone.
C. This option reflects the nurse's commitment to their responsibilities and maintaining trust with the client. However, it does not exemplify autonomy, as it does not involve the client's choice or decision- making.
D. This is the best example of autonomy. By allowing the client to choose when to take their medication, the nurse respects the client's right to make decisions about their own care, which is a fundamental aspect of autonomy.

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What is an important strategy for fall prevention in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?

Correct Answer is B

Explanation

A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of autonomy?

Correct Answer is D

Explanation

A nurse is collecting data on an older adult client who is experiencing age related changes. Which of the following findings should the nurse expect?

What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?

A nurse is assisting with the care of a client. Exhibits A nurse in a provider's office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?

A nurse is teaching a client about the benefits of an electronic health record. Which of the following information should the nurse include in the teaching?

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?