Author Question: An ambulatory patient is admitted to the extended care facility with a diagnosis of Alzheimer's ... (Read 41 times)

OSWALD · **on:** Jul 22, 2018

An ambulatory patient is admitted to the extended care facility with a diagnosis of Alzheimer's disease. In using a fall assessment tool, the nurse knows that which one of the following is the greatest indicator of risk for falls?

a. Confusion
b. Impaired judgement
c. Sensory deficit
d. History of falls

Question 2

A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include?

a. The nurse is the center of the health care team.
b. If you still do not understand, ask again.
c. Ask a nurse to be your advocate or supporter.
d. Inappropriate medical tests are the most common mistakes.

triiciiaa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D

Feedback
A According to the fall assessment tool, the second leading risk factor for falls is confusion.
B According to the fall assessment tool, impaired judgement is the fourth leading risk factor for falls.
C According to the fall assessment tool, sensory deficit is the fifth leading risk factor for falls.
D According to the fall assessment tool, the greatest indicator of risk for falls is a history of falls.

Answer to Question 2

B
If you still do not understand, ask again is part of the S portion of the Speak Up Initiatives. Speak up if you have questions or concerns. You (the patient) are the center of the health care team, not the nurse. Ask a trusted family member or friend to be your advocate (advisor or supporter), not a nurse. Medication errors are the most common health care mistakes, not inappropriate medical tests.