Quiz 93: Home Care Safety
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
Instructor Verified Answers Included
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1. Patients who require home care often experience physical alterations that require changes in their home environment. In the case of older adults, what is the best way to implement these changes?
a. Quickly in order to prevent problems.
b. Limit the patient’s need to move around.
c. Complement the patient’s strengths.
d. Without consideration of the patient’s previous sense of personal space.
2. The nurse is assessing a patient for mobility problems that could lead to falls. The nurse has the patient perform a timed up and go (TUG) test and uses this test to gauge:
a. the patient’s ability to perform advanced ambulation maneuvers.
b. whether the patient can walk 30 feet without fatiguing.
c. whether the patient can tolerate the activity for longer than 30 seconds.
d. how quickly the patient can perform the test.
3. When teaching an elderly patient about safety in the bathroom, which of the following recommendations should the nurse make?
a. Use bath oils to maintain skin integrity and suppleness.
b. Hang towels on grab bars for easy access.
c. Make sure the bathroom door can be locked from the inside only for privacy.
d. Shower using a shower stool and a handheld sprayer.
4. Which of the following is a safety measure that the patient should implement in the home environment?
a. Using fluorescent lighting
b. Wearing extra clothing for padding
c. Obtaining a large fire extinguisher
d. Installing additional towel bars for support in the shower
5. When discussing safety measures for the home environment, the nurse should remind the patient of which key element?
a. Set the hot water heater to only 160° F.
b. Turn on the cold water faucet first.
c. Use small throw rugs on slippery wood floors.
d. Put high-wattage bulbs into all lamps.
6. The patient has been brought to the emergency department by a family member, who states that she just “doesn’t know what to do.” The patient often forgets where he is and refuses to bathe or change clothes. He will put things on the stove and forget that he has something cooking. She is obviously concerned for her loved one’s safety. The nurse is likely to interpret these symptoms as signs of:
d. Alzheimer’s disease.
7. While performing a home visit with an elderly patient, the nurse notices that the patient’s dress is less tidy than in previous visits, finds an open orange juice container in the pantry cabinet instead of the refrigerator and a roll of paper towels in the refrigerator. How should the nurse respond?
a. Begin rearranging the patient’s storage, and show her how it needs to be done.
b. Tell the patient that this is not acceptable.
c. Complete a Mini-Mental State Examination (MMSE) or short Geriatric Depression Scale (GDS).
d. Realize that elderly patients do things differently.
8. A patient with a cognitive deficit becomes agitated and upset about not being able to remember daily activities. How should the nurse respond to this agitation?
a. Tell the patient not to worry about it.
b. Provide an easy-to-follow calendar and reinforce the information.
c. Explain that becoming upset is not going to help the situation.
d. Remind the patient that now is the time to rest and relax.
9. When communicating with a patient with a cognitive deficit, what is the best way for the nurse to respond?
a. “You managed all of your medications very well today.”
b. “Your family should really take over the cooking. It’s too hard for you to do.”
c. “I don’t see how you will be able to shop for yourself anymore. Someone will have to do it for you.”
d. “This schedule will be too difficult for you to remember. I better write it all down.”
10. The nurse is visiting an elderly patient who lives with his wife and daughter. He takes several daily medications, including antihypertensives, antiarrhythmics, diuretics, and pain medication. The patient’s wife states that he takes all of the pills in the morning and some at night. The nurse should examine the pills and suggest which of the following?
a. Take the antiarrhythmics and antihypertensives together in the morning to prevent hypotension during sleep.
b. Take the diuretics at bedtime.
c. Increase the different types of pain medication to prevent addiction to one.
d. Administer at bedtime medications that are likely to cause confusion.
11. Which assistive device would most benefit a patient with a neuromuscular weakness?
a. Large-print labels
b. A syringe with a magnifier
c. Screw-top medication containers
d. Color-coded tops for medications
12. The patient is on neutral protamine Hagedorn (NPH) insulin and regular insulin at home. How should the nurse teach the patient and the patient’s caregiver to store the insulin?
a. In the refrigerator and removed only for administration
b. In a warm place such as in a cabinet above the stove
c. In the dairy bin of the refrigerator with the cheese and eggs
d. At room temperature for up to 30 days
13. When teaching about medication use in the home, what instructions should the nurse provide to the patient?
a. Always keep insulin in the refrigerator.
b. Put used needles in double paper bags.
c. Put all of the medication to be taken in one bottle.
d. Discard unused or expired medication in a bag containing coffee grounds.
1. Common causes of falls in older patients include which of the following? (Select all that apply.)
a. Gait disturbances
b. Muscle weakness
c. Visual impairments
d. Environmental hazards
2. In determining the causes of falls or other injuries within the home, the nurse should assess for which of the following? (Select all that apply.)
a. Symptoms at time of fall and history of previous falls
b. Location of fall and activity at the time of the fall
c. Time of fall
d. Trauma post fall
3. The nurse is assessing the home of an elderly patient for safety issues. Which of the following actions would reassure the nurse? (Select all that apply.)
a. Cleaning the stove top
b. Putting a shower chair in the bathroom
c. Installing adequate lighting in all living areas
d. Placing emergency numbers close to the telephone
4. When a caregiver is communicating with a patient, which of the following actions may facilitate communication? (Select all that apply.)
a. Face the patient who has a hearing impairment.
b. Avoid eye contact.
c. Use simple words.
d. Be aware of nonverbal gestures.
1. ___________ is a generalized impairment of intellectual functioning, with the most common form being Alzheimer’s disease.
2. Activities of daily living (ADLs) include the patient’s ability to bathe, dress, go to the toilet, transfer, maintain continence, and feed himself; _______ include the ability to use a telephone, prepare meals, travel, do housework, take medication, and shop.
3. Dementia is characterized by a gradual, progressive, irreversible _______ dysfunction.