Fall Risk Assessment And Prevention
.
- 1.An 87-year-old woman comes into your MSK clinic with a complaint of R shoulder pain. She says that she fell 3 days ago at home while walking out of her bathroom. She landed on her R shoulder and denies hitting her head. She has a past medical history of type 2 diabetes with peripheral neuropathy, hypertension, and osteoarthritis. She takes glipizide for her diabetes, lisinopril for her hypertension, amitriptyline for neuropathy, and acetaminophen as needed for joint pain. On exam, her postural vital signs are unremarkable. An evaluation of her gait shows her to have some mild swaying on ambulation only.
- 2.What are some of the interventions you may include in a patient’s individualized care plan?
- A.
Frequent/Hourly Rounding to assess needs of the patient
- B.
Communicate high risk to other care givers when handing-off
- C.
Engage the patient and family in education regarding the risk of falls and how to prevent falls
- D.
All of the above
- 3.Staying “within arm’s reach” of a patient at risk for falls while toileting is defined as beingright outside the room to give the patient privacy.
- A.
True
- B.
False
- 4.What are some of the interventions shown to assist with preventing falls? (Select all thatapply)
- A.
Shift or Safety Huddles to review high risk patients
- B.
Patient Communication Boards
- C.
Environmental Rounds
- D.
Completing a falls risk assessment
- 5.Medications that a patient is administered play a very small role in whether a patient is at riskfor falls.
- A.
True
- B.
False
- 6.Falls with injury can cause lasting pain, limit activities of daily living, and increase thelikelihood of skilled nursing placement.
- A.
True
- B.
False
- 7.Which of these would be a good first step to decrease her risk of repeat falls?
- A.
Recommend she purchase hip protectors.
- B.
Start an exercise program directed by your physical therapist.
- C.
Lower her dose of glipizide.
- D.
Change amitriptyline to another drug for neuropathy.
- 8.Which of the following is true regarding falls in the elderly?
- A.
A patient should not use a walker to ambulate if their motor strength is intact.
- B.
Hip fractures are not the most frequent type of fall-related fractures.
- C.
A motorized scooter is a better option to prevent falls in the elderly.
- D.
Medication use may contribute to increased fall risk.
- 9.Patients who fall, even if they are uninjured, are at risk of another fall.
- A.
True
- B.
False
- 10.One way to standardize an approach to fall risk identification is through the use of a falls riskscreening tool or assessment.
- A.
True
- B.
False
- 11.What patients are at the highest risk for falling? (Select all that apply)
- A.
History of falls
- B.
Impaired cognition
- C.
Impaired mobility
- D.
Patient in a cluttered room
- 12.Which of the following is true regarding falls in the elderly?
- A.
A patient should not use a walker to ambulate if their motor strength is intact.
- B.
Hip fractures are not the most frequent type of fall-related fractures.
- C.
A motorized scooter is a better option to prevent falls in the elderly.
- D.
Medication use may contribute to increased fall risk.
- 13.What are the most common risk factors for a fall?
- A.
Inappropriate footwear
- B.
Weak muscles & poor balance
- C.
Consuming too much alcohol
- D.
All of the above
- 14.A fall in people with osteoporosis can result in fractures. What can help prevent osteoporosis?
- A.
Regular exercise & increased calcium and vitamin D intake
- B.
Sedentary lifestyle - why take the risk
- C.
It runs in the family. It’s impossible.
- D.
Increase fluid intake
- 15.Fear of falling can lower your quality of life and stop you from:
- A.
Doing the activities you enjoy
- B.
Visiting friends and family
- C.
Leading an active life
- D.
All of the above
- 16.The nurse is planning care with an older adult who is at risk for falling because of postural hypotension. Which of the following will be most effective in preventing falls in this client?
- A.
Complete a fall diary.
- B.
Attach a sensor to the client that will alarm when client attempts to get up.
- C.
Encourage a family member to stay with the client.
- D.
Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
- 17.What are the most serious consequences of a fall?
- A.
Hip fractures
- B.
Head injuries
- C.
Pressure sores
- D.
Muscle rigidity
- 18.Wearing the right footwear is important. What is the ideal footwear?
- A.
Firm back and cover with adjustable fastening, ankle support and non-slip sole
- B.
Soft leather sole which is flexible
- C.
Soft, cushioned material with a tight fit
- D.
Loose footwear
- E.
Shoes with high or block heels
- 19.What do you would advise if your feel dizzy when he/she standing up in the morning?
- A.
Stay in bed. There is no need to get up.
- B.
Sit up in the bed for a few minutes before standing up. Stand up for a minute before walking.
- C.
Get up quickly and walk around until you feel better.
- D.
Its common, do nothing about it.
- 20.Which of the following can help prevent falls in the elderly?
- A.
Get GP to review medication
- B.
Remove clutter from indoors and outdoors
- C.
Install lights in dark hallways and stairways
- D.
Keep feet healthy
- E.
Wear appropriate footwear
- F.
Eat a balanced diet
- G.
Exercise regularly
- H.
All of the above
Questions: 10 | Attempts: 14911 | Last updated: Mar 22, 2022
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