2024 SAFETY CHAPTER 14 EXAM
WITH CORRECT ANSWERS
The nurse, planning care for older patients on a geriatric unit, realizes which
of the following health problems as occurring more frequently among older
adults than in younger adults? (Select all that apply.)
A) Cellulitis
B) Pneumonia
C) HIV/AIDS
D) Diverticulitis
E) Endocarditis - CORRECT-ANSWERSAns: B, D, E
Feedback:
The incidence of endocarditis, pneumonia, and diverticulitis is higher among
older adults. This is not the case with HIV and cellulitis.
During a home visit the nurse learns that an older patient with macular
degeneration restricts the intake of fluids after 6 pm. What would the nurse
suspect as a reason for the patient to limit fluids after this time?
A) A fear of falling at night
B) A lack of thirst perception
C) Lack of non-skid footwear
D) Problems differentiating shades of the same color - CORRECT-
ANSWERSAns: A
Feedback:
The patient's poor vision due to macular degeneration and age-related
urinary changes can contribute to frequent bathroom trips. The nurse could
easily correlate the patient's vision problems with a desire to minimize trips
to bathroom and reduce the potential of falling at night. The patient has
been avoiding fluids after 6 pm so it is unlikely that the patient has a lack of
thirst perception. A lack of non-skid footwear and problems differentiating
shades of the same color would not contribute to the patient's plan to limit
fluids after 6 pm.
The nurse visiting a patient living in the daughter's home finds the patient in
an old hospital bed that has bilateral full-length side rails. What should the
nurse do?
A) Present alternatives to the family
B) Recommend frequent repositioning
C) Discuss additional preventive measures
D) Commend the family on the use of this type of bed - CORRECT-
ANSWERSAns: A
Feedback:
, Bilateral full-length side rails can be considered a type of physical restraint
and should be avoided. The nurse should also discuss alternative, not
additional, methods of protecting the patient. Frequent positioning may or
may not be needed. The nurse should not commend the family on the use of
this type of bed.
The staff nurses are discussing ways to reduce safety risks for patients with
Alzheimer's disease. Which impairments could cause safety risks for these
patients? (Select all that apply.)
A) Diabetes
B) Dementia
C) Depression
D) Disorientation
E) Memory deficits - CORRECT-ANSWERSAns: B, C, D, E
Feedback:
Impairments that could heighten safety risks for the patient with Alzheimer's
disease include memory deficits, disorientation, dementia, and depression.
Diabetes is not identified as a disorder that heightens safety risks for the
patient with Alzheimer's disease.
The home care nurse is concerned that an older patient is at risk for a
kitchen fire. What actions can the nurse recommend to reduce the risk of this
occurring? (Select all that apply.)
A) Avoid placing electrical items near a water source
B) Instruct the patient to stay in the kitchen while cooking
C) Encourage the use of meal delivery services to reduce cooking
D) Recommend the use of a timer to check the food on the stove
E) Suggest a microwave be used to heat liquids and not the stove -
CORRECT-ANSWERSAns: B, D, E
Feedback:
Kitchen fires can result when unattended pots with boiling liquids become
dry because the person has forgotten them. Kitchen fires can be prevented
by staying in the kitchen while cooking, setting a timer to remind them to
check the pot, or using a microwave to heat liquids. Avoiding electrical items
near a water source will not reduce the risk of a kitchen fire but will reduce
the risk of electrocution. Encouraging the use of a meal delivery service to
reduce cooking would not support the patient's need to maintain
independence.
An older male patient is upset by having to be admitted to a skilled nursing
facility for extended care and renal dialysis treatments. What can the staff do
to minimize this patient's anger? (Select all that apply.)
A) Recommend counseling for anger issues
B) Respect the patient's private possessions
C) Offer to assist with basic needs and desires
D) Ask the patient to explain preferences for activities
WITH CORRECT ANSWERS
The nurse, planning care for older patients on a geriatric unit, realizes which
of the following health problems as occurring more frequently among older
adults than in younger adults? (Select all that apply.)
A) Cellulitis
B) Pneumonia
C) HIV/AIDS
D) Diverticulitis
E) Endocarditis - CORRECT-ANSWERSAns: B, D, E
Feedback:
The incidence of endocarditis, pneumonia, and diverticulitis is higher among
older adults. This is not the case with HIV and cellulitis.
During a home visit the nurse learns that an older patient with macular
degeneration restricts the intake of fluids after 6 pm. What would the nurse
suspect as a reason for the patient to limit fluids after this time?
A) A fear of falling at night
B) A lack of thirst perception
C) Lack of non-skid footwear
D) Problems differentiating shades of the same color - CORRECT-
ANSWERSAns: A
Feedback:
The patient's poor vision due to macular degeneration and age-related
urinary changes can contribute to frequent bathroom trips. The nurse could
easily correlate the patient's vision problems with a desire to minimize trips
to bathroom and reduce the potential of falling at night. The patient has
been avoiding fluids after 6 pm so it is unlikely that the patient has a lack of
thirst perception. A lack of non-skid footwear and problems differentiating
shades of the same color would not contribute to the patient's plan to limit
fluids after 6 pm.
The nurse visiting a patient living in the daughter's home finds the patient in
an old hospital bed that has bilateral full-length side rails. What should the
nurse do?
A) Present alternatives to the family
B) Recommend frequent repositioning
C) Discuss additional preventive measures
D) Commend the family on the use of this type of bed - CORRECT-
ANSWERSAns: A
Feedback:
, Bilateral full-length side rails can be considered a type of physical restraint
and should be avoided. The nurse should also discuss alternative, not
additional, methods of protecting the patient. Frequent positioning may or
may not be needed. The nurse should not commend the family on the use of
this type of bed.
The staff nurses are discussing ways to reduce safety risks for patients with
Alzheimer's disease. Which impairments could cause safety risks for these
patients? (Select all that apply.)
A) Diabetes
B) Dementia
C) Depression
D) Disorientation
E) Memory deficits - CORRECT-ANSWERSAns: B, C, D, E
Feedback:
Impairments that could heighten safety risks for the patient with Alzheimer's
disease include memory deficits, disorientation, dementia, and depression.
Diabetes is not identified as a disorder that heightens safety risks for the
patient with Alzheimer's disease.
The home care nurse is concerned that an older patient is at risk for a
kitchen fire. What actions can the nurse recommend to reduce the risk of this
occurring? (Select all that apply.)
A) Avoid placing electrical items near a water source
B) Instruct the patient to stay in the kitchen while cooking
C) Encourage the use of meal delivery services to reduce cooking
D) Recommend the use of a timer to check the food on the stove
E) Suggest a microwave be used to heat liquids and not the stove -
CORRECT-ANSWERSAns: B, D, E
Feedback:
Kitchen fires can result when unattended pots with boiling liquids become
dry because the person has forgotten them. Kitchen fires can be prevented
by staying in the kitchen while cooking, setting a timer to remind them to
check the pot, or using a microwave to heat liquids. Avoiding electrical items
near a water source will not reduce the risk of a kitchen fire but will reduce
the risk of electrocution. Encouraging the use of a meal delivery service to
reduce cooking would not support the patient's need to maintain
independence.
An older male patient is upset by having to be admitted to a skilled nursing
facility for extended care and renal dialysis treatments. What can the staff do
to minimize this patient's anger? (Select all that apply.)
A) Recommend counseling for anger issues
B) Respect the patient's private possessions
C) Offer to assist with basic needs and desires
D) Ask the patient to explain preferences for activities
