Which statement is true about a safe, effective care environment ...

[nevelica]

Which statement is true about a safe, effective care environment for older adults?
 
  a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day.
  b. They are more likely to be in a fatal motor vehicle accident than younger drivers.
  c. Barrier-free buses and low fares make public transit a safe transportation option.
  d. A nurse's perception of temperature is a useful guide for patient thermal needs.

Question 2

During the night, an older woman complains to the nurse that she has not slept more than 2 hours since admission to the hospital. Which intervention should the nurse implement to increase the duration of this woman's sleep?
 
  a. Inquire about her sleep habits used at home.
  b. Suggest that she avoid napping during the day.
  c. Tell her that sleep is fragmented in older people.
  d. Offer a book to her or suggest watching a movie.

[Bsand8]

Answer to Question 1

B

Feedback
A Incorrect. Hot, heavy meals and alcohol should be avoided when ambient tem-peratures exceed 90 F.
B Correct. Although older adults have safer driving habits (less night driving, less driving in heavy traffic, shorter distances, less speeding or drunk driving) than younger drivers, physical and sensory changes of aging contribute to a higher incidence of fatal accidents for older adults.
C Incorrect. The fear of crime often deters elders from using public transit.
D Incorrect. The older adult's perception of temperature is the important factor.

Answer to Question 2

A
Hospitalization often disrupts normal sleeping patterns; therefore reestablishing those patterns is the best first step to improving the quality of sleep in the hospital. Avoiding napping during the day is a reasonable approach to complaints of sleeplessness, but it may not be this woman's problem. Sleep is increasingly fragmented in older adults; however, understanding that issue may or may not help this woman sleep for longer periods. A book or movie can help some people become drowsy, but becoming drowsy will not usually increase the quality or duration of sleep. In fact, books and movies can be stimulating and decrease the ability to fall asleep.