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Chapter 40: Common Physical Care Problems of the Older Adult
MULTIPLE CHOICE
1. The nurse takes into consideration that of all the physical changes that the older adult
experiences, the most common cause of most problems is that of:
a. visual disturbance.
b. hearing deficit.
c. loss of muscle mass.
d. impaired mobility.
ANS: D
Constipation, urinary incontinence, and alteration in nutrition and depression are all problems
that are complicated or caused by impaired mobility.
DIF: Cognitive Level: Knowledge REF: p. 817|Table 40-2
OBJ: Theory #1 TOP: Common Physical Care Problems with the Older Adult
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. While discussing ways to increase exercise with an older adult patient with no
musculoskeletal disorders, the nurse should encourage the patient to consider walking at a
frequency of:
a. 10 to 20 minutes once or twice a week.
b. 10 to 20 minutes four times a week.
c. 20 to 30 minutes once or twice a week.
d. 20 to 30 minutes three times a week.
ANS: D
It has been proven that walking for 20 to 30 minutes three times per week is very beneficial.
DIF: Cognitive Level: Comprehension REF: p. 816 OBJ: Theory #3
TOP: Mobility KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. The home health nurse assesses all of the following relative to a resident in her own home:
glasses with a missing eye piece, soft soled floppy house shoes, walker with wheels, a floor
devoid of rugs. The item that is most likely to cause a fall would be the:
a. broken glasses.
b. floppy house shoes.
c. rolling walker.
d. no rug on floor.
ANS: B
Safe ambulation requires that the patient have an assistive walker and sturdy shoes. A clear
floor is a positive step in the direction of fall prevention. The glasses, although they may
distort the resident’s perception, are not as dangerous as the nonsupportive shoes.
DIF: Cognitive Level: Analysis REF: p. 819 OBJ: Theory #4
TOP: Fall Prevention KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. An older adult patient is too weak to walk independently after surgery. Based on the services
available on the rehabilitation unit, the nurse should work collaboratively with:
a. an exercise physiologist.
b. a nutritionist.
c. a physical therapist.
d. an occupational therapist.
ANS: C
Physical therapists can assist patients with mobility and teach them to use assistive devices as
needed, such as walkers and canes.
DIF: Cognitive Level: Application REF: p. 816 OBJ: Theory #3
TOP: Mobility KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
5. The nurse adds to the nursing care plan for a resident with presbycusis. To better communicate
with the patient, the staff should use:
a. written notes.
b. a slower speed of speech.
c. a lower, deeper voice.
d. hand signals.
ANS: C
Speaking in a lower, deeper voice will allow the person with presbycusis to hear better since
these persons have difficulty picking up higher pitched sounds and spoken words.
DIF: Cognitive Level: Application REF: p. 823 OBJ: Theory #2
TOP: Presbycusis KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The nursing strategy that may be most helpful in preventing falls in older adult patients on a
skilled nursing unit would be to:
a. answer call bells promptly.
b. use vest restraints as needed.
c. keep lights dim for eye protection.
d. always keep bed rails up.
ANS: A
Nurses should answer call bells promptly to avoid patients’ unsafe attempts to get out of bed.
DIF: Cognitive Level: Analysis REF: p. 818 OBJ: Theory #3
TOP: Fall Prevention KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
7. The home health nurse assesses a hazard for a patient in the home setting. Which of the
following assessments is considered a safety hazard?
a. Scatter rugs present in all rooms.
b. Stairways with handrails.
c. Grab bars in the bathroom.
d. Nonskid tape in the bathtub.
Chapter 40: Common Physical Care Problems of the Older Adult
MULTIPLE CHOICE
1. The nurse takes into consideration that of all the physical changes that the older adult
experiences, the most common cause of most problems is that of:
a. visual disturbance.
b. hearing deficit.
c. loss of muscle mass.
d. impaired mobility.
ANS: D
Constipation, urinary incontinence, and alteration in nutrition and depression are all problems
that are complicated or caused by impaired mobility.
DIF: Cognitive Level: Knowledge REF: p. 817|Table 40-2
OBJ: Theory #1 TOP: Common Physical Care Problems with the Older Adult
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. While discussing ways to increase exercise with an older adult patient with no
musculoskeletal disorders, the nurse should encourage the patient to consider walking at a
frequency of:
a. 10 to 20 minutes once or twice a week.
b. 10 to 20 minutes four times a week.
c. 20 to 30 minutes once or twice a week.
d. 20 to 30 minutes three times a week.
ANS: D
It has been proven that walking for 20 to 30 minutes three times per week is very beneficial.
DIF: Cognitive Level: Comprehension REF: p. 816 OBJ: Theory #3
TOP: Mobility KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. The home health nurse assesses all of the following relative to a resident in her own home:
glasses with a missing eye piece, soft soled floppy house shoes, walker with wheels, a floor
devoid of rugs. The item that is most likely to cause a fall would be the:
a. broken glasses.
b. floppy house shoes.
c. rolling walker.
d. no rug on floor.
ANS: B
Safe ambulation requires that the patient have an assistive walker and sturdy shoes. A clear
floor is a positive step in the direction of fall prevention. The glasses, although they may
distort the resident’s perception, are not as dangerous as the nonsupportive shoes.
DIF: Cognitive Level: Analysis REF: p. 819 OBJ: Theory #4
TOP: Fall Prevention KEY: Nursing Process Step: Assessment
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. An older adult patient is too weak to walk independently after surgery. Based on the services
available on the rehabilitation unit, the nurse should work collaboratively with:
a. an exercise physiologist.
b. a nutritionist.
c. a physical therapist.
d. an occupational therapist.
ANS: C
Physical therapists can assist patients with mobility and teach them to use assistive devices as
needed, such as walkers and canes.
DIF: Cognitive Level: Application REF: p. 816 OBJ: Theory #3
TOP: Mobility KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
5. The nurse adds to the nursing care plan for a resident with presbycusis. To better communicate
with the patient, the staff should use:
a. written notes.
b. a slower speed of speech.
c. a lower, deeper voice.
d. hand signals.
ANS: C
Speaking in a lower, deeper voice will allow the person with presbycusis to hear better since
these persons have difficulty picking up higher pitched sounds and spoken words.
DIF: Cognitive Level: Application REF: p. 823 OBJ: Theory #2
TOP: Presbycusis KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The nursing strategy that may be most helpful in preventing falls in older adult patients on a
skilled nursing unit would be to:
a. answer call bells promptly.
b. use vest restraints as needed.
c. keep lights dim for eye protection.
d. always keep bed rails up.
ANS: A
Nurses should answer call bells promptly to avoid patients’ unsafe attempts to get out of bed.
DIF: Cognitive Level: Analysis REF: p. 818 OBJ: Theory #3
TOP: Fall Prevention KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
7. The home health nurse assesses a hazard for a patient in the home setting. Which of the
following assessments is considered a safety hazard?
a. Scatter rugs present in all rooms.
b. Stairways with handrails.
c. Grab bars in the bathroom.
d. Nonskid tape in the bathtub.
