Chapter 20: Safety and Security Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. The nurse is preparing educational material concerning fire safety in the home. What research
data will be included in the material? a. Most fires occur during the daytime hours. b. Fire mortality is highest in adults older than 80 years of age. c. Most people who die in fires are killed by the flames. d. Most fires occur outside the home. ANS: B
Fire-related mortality is three times higher in individuals over age 80. Most deaths in fires are caused by smoke injuries. Most fires occur within the home, and most fires occur at night. DIF: Cognitive Level: Applying REF: p. 266 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Safety and Infection Control 2. The nurse is recommending that a client diagnosed with moderate stage Alzheimer’s disease
attend a support group when he becomes defensive about not driving his automobile and the effects it will have on “being stuck at home.” Which is the priority outcome expected for this client when attending the group sessions? a. Facilitates socialization thus minimizing the effects of social isolation b. Helps with minimizing the loss as a factor in causing depression c. Provides caregivers with respite while assuring the client is well attended to d. Allows for the opportunity for a mental health professional to assess the client ANS: B
Participants attending the driving cessation support groups had an improvement in depression scores, were less angry, and were happier. Support groups designed specifically to deal with loss of driving privileges among individuals with dementia may be important in alleviating depressive symptoms and other negative outcomes associated with cessation of driving. The remaining options represent possible outcomes but they do not have the priority that minimizing depression has for this client. DIF: Cognitive Level: Analyzing REF: pp. 271–272 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Safety and Infection Control 3. A 79-year-old client resides independently in the community. The visiting home health nurse
finds that despite it being 90 degrees Fahrenheit outside, the windows are closed and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to: a. cognitive changes that diminish the individual’s awareness of temperature changes. b. age-related neurosensory changes that diminish awareness of temperature changes. c. a delirium-related acute illness that is affecting body heat production. d. age-related motor deficiencies that result in self-neglect.