Chapter 22- Mobility and Safety Complete Solution Q&A 2023.

Origin: Chapter 22- Mobility and Safety, 1 1.A nurse is teaching health interventions to an older adult with osteoarthritis. Which of these statements indicates that the individual needs additional teaching? A) "I will avoid high-impact exercises." B) "I will get adequate intake of calcium and vitamin D." C) "I will try to limit my use of walkers and assistive devices." D) "I will lose weight if it turns out that I need to." Ans: C Feedback: Walkers and other assistive devices help relieve stress on weight-bearing joints and improve balance. Individuals with osteoarthritis need to participate in supervised, lowimpact exercises and avoid high-impact activities. Vitamin D is essential for absorption of calcium. The individual needs to lose weight if appropriate. Origin: Chapter 22- Mobility and Safety, 2 2.A nurse is teaching older adults at a senior center how to reduce the incidence of falls. Which of the following statements indicates that the nurse's teaching has been effective? A) "Benadryl is a safe medication to take for sleep." B) "It is safe to have rugs in my kitchen and bathroom." C) "It is safe to take a low dose of Ativan when I am anxious." D) "I understand that over-the-counter medications can cause falls." Ans: D Feedback: Numerous prescription and over-the-counter medications are implicated in falls. Benzodiazepines have been studied, and it is suggested that their effect on psychomotor function increases the incidence of falls. Benadryl (diphenhydramine) has been associated with significant adverse effects on psychomotor skills. Origin: Chapter 22- Mobility and Safety, 3 3.A 99-year-old resident has fallen. Which of the following functional consequences of this fall most strongly impacts the plan of care? A) A 99-year-old is at much higher risk of a fracture from a fall than a younger person. B) A 99-year-old is more likely to have limited range of motion, impacting performance of some activities of daily living (ADLs). C) A 99-year-old who has fallen is unlikely to develop fear of falls. D) A 99-year-old will have diminished muscle strength related to muscle mass loss. Ans: A Feedback: The functional consequence of the fall is risk for future falls which may include a risk for fractures. Osteoporotic fractures occur with little or no trauma to the older adult, and risk of fractures increases in direct relation to age. While a 99-year-old may have slowed performance of ADLs and decreased muscle mass, the high risk for falls is the most important factor (also note these are not consequences of the fall). Fear of falling is a major concern that impacts many residents of long-term care facilities