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6. Macular Degeneration is a sensory change that involves the fingers and toes.
A) True
B) False

7. "Rocking chairs" help with balance and rigidity.
A) True
B) False

8. Side effects of cough/cold medicines containing antihistamines can be daytime drowsiness.
A) True
B) False

9. An environmental concern that contributes to falls is clutter in the resident's room.
A) True
B) False

10, 11. What were two of Mr. Berg's health concerns which contributed to his risk for falling?
** select two **
A) Blindness.
B) Lack of sleep.
C) Amputated left leg.
D) Wandering.

12, 13. What are two ways residents with dementia try to hide their memory loss?
** select two **
A) They don't. It is very clear that they cannot remember past or recent events.
B) They ramble in an attempt to answer what they think you have asked.
C) They have highly developed social skills to hide forgetfulness.
D) They are aware of their forgetfulness so they take copious notes while you are talking.

14. A resident with depression may have an inability to focus/concentrate on a task at hand or on what someone is saying to him.
A) True
B) False

15. Dementia is a recent mental status change that can come on suddenly.
A) True
B) False

16. Dementia residents fall up to three times more often than those without cognitive impairment.
A) True
B) False

17. The Federal Regulation F323, (which followed Great Research for Sleep) allows the suggestion regarding use of electric blankets to be permitted.
A) True
B) False

18. One suggestion for promoting good sleep, especially in the elderly, is to give two Tylenol PM tablets at bedtime since they contain Benadryl, a very strong sleep aid.
A) True
B) False

19. Mr. Berg's sleep aids should start with melatonin, chamomile tea, and milk at bedtime.
A) True
B) False

20. Blood pressure that drops when one changes position (such as coming from a seated position to standing) is called...
A) Hypertension.
B) Orthostatic hypotension.
C) Peripheral neuropathy.
D) Sleep apnea.

21, 22. What were two of Mrs. Alden's problems which made her a risk for falls?
** select two **
A) Back brace.
B) Dementia.
C) She takes Lasix (a diuretic).
D) Incontinence.

23. If your facility received a deficiency under F329 or F428 under Medication Regimen Review pertaining to Mrs. Alden, what drug could possibly be cited?
A) Morphine.
B) Insulin.
C) Lasix.
D) Benadryl.

24. A resident with glaucoma has only peripheral vision and no central vision.
A) True
B) False

25. Mrs. Henshaw was able to move about using a...
A) Wheelchair.
B) Walker.
C) Cane.
D) She didn't move around, she was bedridden.

26, 27. Two of Mrs. Henshaw's problems which could contribute to falls were...
** select two **
A) Edema in her legs.
B) Glaucoma.
C) Bedridden.
D) New to facility.

28. Diabetes is responsible for 60% of lower limb amputations.
A) True
B) False

29. Exercise improves safety in walking and reducing falls in diabetics by decreasing blood sugar.
A) True
B) False

30. Why are proper fitting shoes preferable to bedroom slippers?
A) They help reduce pressure ulcers.
B) They help reduce falls.
C) They keep feet, which do not have proper sensory receptors intact, from being injured.
D) All of the above.

31, 32. List two musculoskeletal problems which can contribute to a fall.
** select two **
A) Glaucoma.
B) Pacemakers.
C) Muscle weakness.
D) Muscle spasms.

33, 34. Two measures that a facility can take to make the environment safer and help residents avoid falls are...
** select two **
A) Night lights.
B) Place assistive devices beside the bed.
C) Separate dining rooms based on mental status.
D) Pet therapy.

35. Body padding is a choice for preventing injuries for Alzheimer's residents.
A) True
B) False

36. Sedation should always be used with dementia and Alzheimer's patients at risk for falls.
A) True
B) False

37. I have completed this test without help from others.*
True
False

38. Please rate the learning objectives and content material of this course.
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39. Please rate the appropriateness of the topic and content of this course to long term care.
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40. Please rate the usefulness of the knowledge/skills acquired from this course.
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41. Please rate your overall satisfaction with this course.
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Falls Update

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