When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

Hearing

Vision

Cognitive disorders

Preprandial hypotension

Orthostatic hypotension

Answer and Explanation

Correct Answer : B,C,D,E

A. Hearing.

While hearing impairment can affect overall awareness, it is not as directly linked to the risk of falls as vision, cognitive disorders, and blood pressure-related issues.

B. Vision.

Correct. Visual impairment can contribute to an increased risk of falls.

C. Cognitive disorders.

Correct. Cognitive impairment or disorders can impact a person's awareness and ability to navigate their environment safely.

D. Preprandial hypotension.

Correct. Low blood pressure before meals (preprandial hypotension) can contribute to dizziness and falls, especially in older adults.

E. Orthostatic hypotension.

Correct. Orthostatic hypotension, a drop in blood pressure upon standing, is a risk factor for falls.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Optimize physical health

Explanation: A person-centered community focuses on promoting and optimizing the physical health of its residents. This may include access to healthcare services, wellness programs, and activities that support overall well-being.

B. Provide financial assistance

Explanation: While financial considerations can impact an individual's overall well-being, providing financial assistance is not a standard component of a person-centered community. The focus is more on holistic care, social engagement, independence, and addressing basic needs. Financial assistance is often managed through external programs or services.

C. Provide social engagement

Explanation: Social engagement is a crucial component of person-centered care. Communities that prioritize person-centered care create environments that foster social interaction, community involvement, and meaningful connections among residents.

D. Maximize independence

Explanation: Person-centered communities aim to maximize the independence of their residents. This involves tailoring care and support to the individual's needs while empowering them to maintain autonomy and control over their daily lives.

E. Address basic needs

Explanation: Addressing basic needs is fundamental in a person-centered community. This includes ensuring that residents have access to essential necessities such as food, shelter, and personal care to create a supportive and dignified living environment.

A. The Global Deterioration Scale B. Mini Mental State Exam (MMSE) C. Older American's Resources and Services (OARS) D. Mini-Cog E. The Barthel Index

Correct Answer is ["A","B","D"]

Explanation

A. The Global Deterioration Scale

Explanation: The Global Deterioration Scale (GDS) is a tool used to assess the cognitive function and stage of cognitive decline in individuals, especially those with dementia.

B. Mini Mental State Exam (MMSE)

Explanation: The Mini Mental State Exam (MMSE) is a widely used tool to assess cognitive function and screen for cognitive impairment. It evaluates various cognitive domains, including orientation, memory, attention, and language.

C. Older American's Resources and Services (OARS)

Explanation: The Older American's Resources and Services (OARS) is not a cognitive assessment tool. It is a comprehensive assessment tool that covers various domains, including physical health, mental health, and social resources.

D. Mini-Cog

Explanation: The Mini-Cog is a brief cognitive screening tool that includes a three-item recall test for memory and a clock-drawing task. It is used to quickly assess cognitive function and detect potential cognitive impairment.

E. The Barthel Index

Explanation: The Barthel Index is not a cognitive assessment tool. It is a tool used to assess an individual's ability to perform activities of daily living (ADLs), providing information about their functional independence rather than cognitive status.

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When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What components are included in a person-centered community? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse assesses an older adult's cognitive status using a standard assessment instrument. Which of the following are cognitive assessment tools? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

An older adult client who was a veteran of World War II has just died. His widowed wife did not work and does not have sufficient funds to afford supplemental Medicare insurance. You would recommend which one of the following?

The nurse wants to suggest exercise program options for an older client who is recovering losing her balance and falling. Which nursing intervention is suitable for this older adult?

Which option is part of a program that addresses bowel incontinence in an older adult client?

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Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?

Which patient assessment data does the nurse recognize could contribute to an older adult's risk of hyperthermia?

In reviewing an older adult's insurance history, you find that he is on Medicaid. What do you know that Medicaid is used for?