A nurse is conducting a mobility assessment on a patient.
The patient can stand up from a seated position using a cane for support.
Which of the following activity levels should the nurse assign to the patient?
Minimal assistance
Moderate assistance
No assistance
Maximum assistance
Maximum assistance
The Correct Answer is C
Choice A rationale
Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case, the patient is able to stand up from a seated position using a cane for support, which suggests that they do not need assistance.
Choice B rationale
Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane.
Choice C rationale
No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support.
Choice D rationale
Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While the thickness of the tympanic membranes can indeed change with age, it typically increases rather than decreases. Thickening of the tympanic membranes can contribute to hearing loss by reducing the ability of the ear to transmit sound vibrations.
Choice B rationale
Tinnitus, or ringing in the ears, is not typically decreased in older adults. In fact, tinnitus is often more common in older individuals and can be a sign of age-related hearing loss.
Choice C rationale
A decreased ability to hear high-frequency sounds is a common physiological change associated with aging. This is often one of the first signs of age-related hearing loss.
Choice D rationale
Decreased ear wax is not typically associated with aging. In fact, some older adults may produce more ear wax, which can contribute to hearing problems if it becomes impacted.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale
As people age, the stiffness of the arterial system increases, leading to left ventricle hypertrophy, increased afterload on the left ventricle, and an increase in systolic blood pressure. This is a physiological change that occurs with aging.
Choice B rationale
With aging, the number of cells in the kidneys decreases markedly, which can affect the functioning of the urinary tract, including the bladder. This can lead to a reduced bladder capacity.
Choice C rationale
This statement is incorrect. As people age, they often experience a decrease in visual acuity and an increased sensitivity to glare. This can make it more difficult for older adults to see, especially in brightly lit environments.
Choice D rationale
Dehydration of intervertebral discs is a common occurrence with aging. This can lead to a decrease in height and changes in the curvature of the spine.
Choice E rationale
As people age, their cough reflex can become reduced. This can increase the risk of aspiration and pneumonia, especially in individuals with other health conditions that affect swallowing.
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