Which of the following is(are) assessed in a fall prevention assessment of an older adult? (Select all that apply.)
a. Environment
b. Physical status
c. Financial status
d. Functional status
e. Medical history
f. Occupational history
A, B, D, E
The nurse uses information about lighting, flooring, apparel, and other issues from the environ-mental assessment of an older adult to plan individualized fall prevention measures. The nurse examines flexibility, muscle strength, vital signs, and other clinical indicators in the physical as-sessment of an older adult to plan individualized fall prevention measures. The nurse uses infor-mation about gait, balance, and ability to perform activities of daily living in the functional status assessment of an older adult to plan individualized fall prevention measures. The nurse examines medications, previous accidents and falls, co-morbid conditions, and other factors in the histori-cal assessment of an older adult to plan individualized fall prevention measures. Financial issues and occupational history are not directly related to a risk for falls.
You might also like to view...
Order: Cardizem at 15 mg/hr Available: Cardizem 125 mg in 125 mL D5W The IV flow rate for this dosage is _______________
a. 1.5 mL/hr b. 30 mL/hr c. 150 mL/hr d. 15 mL/hr
A nurse is caring for a client who has been the victim of elder abuse by her son. According to the transgenerational violence theory of elder mistreatment, which of the situations would have occurred?
A) The care of the client has overwhelmed the son. B) The client was abusive to her son when he was a child. C) The son is an alcoholic. D) The son witnessed his father beating his mother while he was a child.
A woman who is pregnant with twins says, "There are lots of twins in my family, but most of them are not identical." How would the nurse respond?
1. "Usually when twins run in families they are identical twins." 2. "Some women have a genetic tendency to release two eggs each month." 3. "Identical twins are very rare." 4. "Many people think that twinning runs in families, but that has not been scientifically proven."
A nurse is caring for four patients. The nurse would be concerned about which patient develop-ing a substance use disorder?
a. A college student who reports having ex-perimented with marijuana in the past year b. An older adult patient with terminal can-cer who requires twice the normal dose of morphine for pain relief c. A patient in moderate to severe pain after a total hip replacement who asks for pain medication an hour before the next dose is due d. A patient whose history indicates the use of prescription narcotic analgesics for back and headache pain