Which of the following interventions would be appropriate to implement in a long-term care facility? (Select all that apply.)

Taking as many residents as possible outside for 30 minutes daily

Avoiding waking residents or routine care during the night

Limiting caffeine and fluids before bedtime

Ensuring that all residents receive evening care and are in bed by 8:00pm

Instituting quiet time (keep noise down, speak in hushed tones, (no overhead paging) between 9:00pm and 6:00 AM

Answer and Explanation

Correct Answer : A,B,C,E

A. Taking residents outside daily promotes exposure to natural light, which supports healthy sleep-wake cycles and improves mood and overall well-being.
B. Avoiding waking residents during the night helps prevent sleep fragmentation, which is common in older adults and can affect physical and mental health.
C. Limiting caffeine and fluids before bedtime helps reduce sleep disturbances and the need for nighttime bathroom visits, lowering fall risk.
D. Ensuring all residents are in bed by 8:00 pm is not appropriate, as it does not respect individual preferences and natural variations in sleep patterns; such rigidity can lead to disrupted sleep and reduced autonomy.
E. Instituting quiet time reduces environmental disturbances during the night and supports better sleep hygiene in a long-term care setting.

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Correct Answer is C

Explanation

A. Poor lightingis an extrinsic(environmental) factor that increases fall risk by making it difficult to see obstacles.
B. Height of bedis also an extrinsicfactor, as it relates to the physical environment and equipment setup.
C. Reduced visionis an intrinsicfactor because it is related to the individual's physical condition and internal health status.
D. Lack of support equipment for bathtubs and toiletsis an extrinsicfactor tied to environmental setup and safety aids.

A. Heart disease B. Stroke C. Type 2 diabetes D. Cardiac dysrhythmias

Correct Answer is C

Explanation

A. Heart diseaseis a known complication of untreated obstructive sleep apnea (OSA) due to chronic hypoxia and increased cardiovascular strain.
B. Strokerisk is elevated in individuals with untreated OSA because of vascular inflammation and hypertension.
C. Type 2 diabetesis associated with OSA but is not a directconsequence; while there is a correlation, OSA does not causediabetes in the same way it contributes to cardiovascular conditions.
D. Cardiac dysrhythmias, such as atrial fibrillation, can occur due to repeated oxygen desaturation and arousal episodes in OSA.

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Which of the following interventions would be appropriate to implement in a long-term care facility? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Individual fall risk factors can be categorized as either intrinsic or extrinsic. Which of the following is an example of an intrinsic fall risk factor?

Correct Answer is C

Explanation

Untreated OSA can lead to all of the following except:

Correct Answer is C

Explanation

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