Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?
Improper assistive device use contributes to older adult falls.
Older adults save money by adopting assistive devices from their friends.
A walker can be used when climbing stairs.
Cane tips should be smooth.
None of the above.
The Correct Answer is A
Choice A reason: Improper assistive device use contributes to older adult falls is a true statement, as it is supported by evidence from web search results. According to the Age Space guide to assistive technology for the elderly, "it is important to ensure that the device is used correctly and safely, as improper use can increase the risk of falls and injuries." Similarly, according to the AAFP article on mobility assistive device use in older adults, "improper use of assistive devices can lead to falls, injuries, and decreased mobility."
Choice B reason: Older adults save money by adopting assistive devices from their friends is not a true statement, as it is not recommended by experts. According to the AAFP article on mobility assistive device use in older adults, "borrowing devices from friends or family members is not advised because devices may not be properly fitted or maintained, and may not meet the patient's needs."
Choice C reason: A walker can be used when climbing stairs is not a true statement, as it is not safe or feasible. According to the NICHD article on types of assistive devices and their use, "walkers are not designed for use on stairs or escalators."
Choice D reason: Cane tips should be smooth is not a true statement, as it is contrary to the best practice. According to the AAFP article on mobility assistive device use in older adults, "cane tips should have a nonskid surface to prevent slipping."
Choice E reason: None of the above is not the correct answer, as there is one choice that is a true statement about assistive devices to aid older adults with impaired mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: Isolated systolic hypertension is not a result of end-organ damage from chronic hypertension, but rather a risk factor for it. Isolated systolic hypertension is a condition where the systolic blood pressure is elevated (>140 mmHg) while the diastolic blood pressure is normal (<90 mmHg). It is common in older adults due to the stiffening of the arteries, and can increase the risk of cardiovascular and cerebrovascular events.
Choice B reason: Atrial fibrillation is a result of end-organ damage from chronic hypertension. Atrial fibrillation is an irregular and often rapid heart rate that can cause poor blood flow and increase the risk of stroke and heart failure. Chronic hypertension can damage the heart muscle and the electrical system of the heart, leading to atrial fibrillation.
Choice C reason: Renal insufficiency is a result of end-organ damage from chronic hypertension. Renal insufficiency is a condition where the kidneys are unable to filter waste and fluid from the blood adequately. Chronic hypertension can damage the blood vessels and the nephrons of the kidneys, leading to renal insufficiency.
Choice D reason: Stroke is a result of end-organ damage from chronic hypertension. Stroke is a sudden interruption of blood supply to the brain, causing brain cell death and neurological deficits. Chronic hypertension can damage the blood vessels in the brain, making them prone to rupture (hemorrhagic stroke) or blockage (ischemic stroke).
Choice E reason: Cardiac disease is a result of end-organ damage from chronic hypertension. Cardiac disease is a broad term that encompasses various disorders of the heart, such as coronary artery disease, heart attack, heart failure, and cardiomyopathy. Chronic hypertension can damage the heart by increasing the workload and the oxygen demand of the heart, causing the heart to enlarge and weaken over time.
Correct Answer is ["A","B"]
Explanation
Choice A reason: Grab bars in place are important for preventing falls, as they provide support and stability for the patient when moving around the room, especially in the bathroom. Grab bars can help the patient maintain their balance and avoid slipping or tripping.
Choice B reason: Appropriate footwear is important for preventing falls, as it can reduce the risk of slipping, sliding, or stumbling. Appropriate footwear should fit well, have non-skid soles, and be comfortable and easy to put on and take off.
Choice C reason: Outdoor grounds are not a factor in the patient care environment that should be routinely assessed to decrease the risk of falls, as they are not part of the indoor setting where most falls occur. However, outdoor grounds may pose a fall hazard for patients who go outside for recreation or therapy, and should be checked for uneven surfaces, obstacles, or slippery conditions.
Choice D reason: All four bed rails raised are not a factor in the patient care environment that should be routinely assessed to decrease the risk of falls, as they may actually increase the risk of falls and injuries. Bed rails may create a false sense of security, encourage the patient to climb over them, or entrap the patient between the rails and the mattress. Bed rails should be used only when indicated and with the patient's consent.
Choice E reason: None of the above is not the correct answer, as there are two factors in the patient care environment that should be routinely assessed to decrease the risk of falls.
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