Which of the following is not a risk factor for falls among older adults?
Poor balance and muscle weakness.
Vision impairment.
Medications that cause dizziness.
Regular physical activity.
The Correct Answer is D
Choice A rationale
Poor balance and muscle weakness are significant risk factors for falls among older adults. These conditions can make it difficult for individuals to maintain stability and recover from a loss of balance, increasing the likelihood of falls.
Choice B rationale
Vision impairment is a well-known risk factor for falls. Poor vision can make it difficult for individuals to see obstacles and navigate their environment safely, leading to an increased risk of falls.
Choice C rationale
Medications that cause dizziness are a common risk factor for falls. Many medications, including those for blood pressure, pain, and anxiety, can have side effects that affect balance and coordination, increasing the risk of falls.
Choice D rationale
Regular physical activity is not a risk factor for falls. In fact, regular exercise can improve strength, balance, and coordination, reducing the risk of falls. Physical activity is often recommended as a preventive measure to help older adults maintain their mobility and independence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Assuming the client understands and proceeding with the regimen is incorrect. It does not verify the client’s understanding and could lead to non-compliance or errors in medication administration.
Choice B rationale
Repeating the instructions using different words may help, but it does not ensure that the client has understood the information. It is important to verify understanding through the client’s response.
Choice C rationale
Documenting that the client has full understanding of the regimen without verification is incorrect. It assumes understanding without confirmation, which could lead to potential errors.
Choice D rationale
Asking the client to verbally respond to the questions is the best action. It ensures that the client has understood the information and allows the nurse to clarify any misunderstandings.
Correct Answer is A
Explanation
Choice A rationale
“I can see this is very difficult for you.”. This response is appropriate as it acknowledges the client’s emotions and provides validation. It demonstrates empathy and encourages the client to express their feelings, which is essential in therapeutic communication.
Choice B rationale
“Please don’t cry, it’s not good for you.”. This response is inappropriate as it dismisses the client’s emotions and may make them feel invalidated. Crying is a natural response to emotional distress, and the nurse should support the client in expressing their feelings.
Choice C rationale
“Why are you crying?” This response is also inappropriate as it may come across as judgmental or dismissive. It does not provide the support and empathy the client needs during a difficult moment.
Choice D rationale
“Let’s move on to a different topic to distract you.”. This response is not appropriate as it avoids addressing the client’s emotions and may make the client feel that their feelings are not important. The nurse should focus on supporting the client through their emotional experience.
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