A nurse uses the Functional Consequences Theory to assess older adults. Which of the following situations best demonstrates the effect of physical environment on the older adult?
A) A resident of a care facility experiences a fall because there are not grab bars outside his bathtub.
B) A hospital client develops Clostridium difficile–related diarrhea because a care provider did not perform adequate handwashing.
C) An older adult cannot afford a wheeled walker and suffers a fall while trying to ambulate using a cane.
D) An assisted living resident requires care for emphysema that resulted from a 70 pack-year history of cigarette smoking.
Ans: A
An adverse health effect that results from the inadequacy of one's surroundings (such as the lack of safety devices) is an example of the domain of environment. Although the use of incorrect equipment, health problems caused by lifestyle factors, and infections that result from caregiver negligence create risk factors for older adults, these problems are not situated within the domain of environment.
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