AND ANSWERS 100% CORRECT
Ch 9
The home health nurse who cares for primarily older adults knows the age-related change of
diminished peripheral vision affects her patients in which manner?
A. Decreased visual acuity
B. Decreased depth perception
C. Decreased ability to see at night
D. Decreased enjoyment in hobbies requiring fine detail - ANSWER - ANSWER:
B. Decreased depth perception
RATIONALE:
Diminished peripheral vision leads to decreased depth perception and an increased risk for falls.
Although older adults may experience decreased visual acuity, night vision, and enjoyment in
fine-detail hobbies, these changes are not due to diminished peripheral vision.
REF: Page 165
Ch 9
The home health nurse knows patients with which disorder are at an increased risk for heat
stroke due to the medications that are often prescribed as treatment?
A. Type 2 diabetes mellitus
B. Parkinson's disease
C. Hypercholesterolemia
D. Peripheral vascular disease - ANSWER - ANSWER:
B. Parkinson's disease
RATIONALE:
, The anticholinergic medications used to treat Parkinson's disease can disrupt heat dissipation
by interfering with perspiration. Medications for type 2 diabetes, hypercholesterolemia, and
peripheral vascular disease are less likely to contribute to heat stroke.
REF: Page 173
Ch 9
The nurse in the long term care facility knows patients with which comorbidities are at an
increased risk for falls? (Select all that apply.)
A. Diabetes
B. Hypertension
C. Hypercholesterolemia
D. Parkinson's disease
E. Cerebrovascular accident
F. Myocardial infarction - ANSWER - ANSWERS:
A. Diabetes
D. Parkinson's disease
E. Cerebrovascular accident
RATIONALE:
Patients with diabetes are at an increased risk for falls due to decreased sensation in their
extremities. Parkinson's disease and cerebrovascular accidents cause neurologic and
musculoskeletal changes that lead to gait and balance alterations.
REF: Page 167
Ch 9
The home health nurse knows many older adults experience presbyopia. This age-related
change puts the older adult at an increased risk for which event?
A. Falls