39 Questions
Why is determining why a fall occurred important?
To prevent future falls
Which of the following is not a condition considered as intrinsic fall risk factors for elders?
Urinary incontinence
What is a common post-fall assessment instrument used in acute and long-term care settings?
Morse Fall Scale
Which of the following is an extrinsic fall risk factor for elders?
Improper use of assistive devices
When should a postfall assessment be conducted according to the text?
Whenever there is a change in condition
Which of the following is NOT a risk factor for falls in elders?
Excellent vision and hearing
A patient with orthostatic hypotension is at increased risk of falls due to which of the following?
Sudden drop in blood pressure upon standing, leading to dizziness
Which of the following cognitive impairments is LEAST likely to increase fall risk in elders?
Exceptional memory and concentration
A patient with bunions and hammertoes is at increased risk of falls due to which of the following?
Impaired proprioception and balance
Which of the following vision problems is MOST likely to increase fall risk in elders?
Cataracts
What tool is used to determine a safe exercise program for older adults based on their underlying physical conditions?
The Exercise and Screening for You (EASY) Tool
Which model includes the Get-Up-and-Go test for assessing mobility, gait, and gait speed?
Hendrich II Fall Risk Model
What should nurses be knowledgeable about in terms of promoting healthy aging interventions?
Guidelines for teaching about exercise
Which of the following is presented in Box 18.4 for adults 65 years and older who are generally fit?
Guidelines for physical activity
What is emphasized as important in the context of promoting healthy aging interventions?
Incorporating exercise into daily routines
What is the leading cause of both fatal and nonfatal injuries among people older than 65 years?
Falls
Which of the following is NOT one of the seven types of fall classifications mentioned in the text?
Decreased muscle strength
Which of the following is the most important risk factor for future falls among older adults?
A history of falls
What percentage of hip fractures are caused by falls in older adults?
95%
Which of the following is NOT a key factor in maintaining function for hospitalized older adults?
Allowing the patient to remain sedentary during their hospital stay
Older adults who experience significant loss of total, lean, and fat mass strength during hospitalization are at greater risk for which of the following?
Gait and foot disturbances
Which of the following interventions has been shown to have positive effects for maintaining function in long-term care settings?
Providing opportunities for social interaction
Which of the following is a key tip for function-focused care in acute care settings?
Encouraging a multidisciplinary approach to care
Which of the following is a risk factor for falls in older adults that should be addressed in acute care settings?
Decreased muscle strength and mass
Which of the following is NOT a typical age-related change that can contribute to mobility issues in older adults?
Increased cartilage in the joints
An older adult with cognitive impairment would likely benefit most from which type of exercise recommendation?
Gentle, low-impact exercises like chair yoga or Tai Chi
Which of the following is a key risk factor for falls in older adults that is related to vision and hearing changes?
All of the above
Which of the following is the LEAST important factor to assess when evaluating an older adult's fall risk?
Cognitive function
An older adult experiences a sudden drop in blood pressure when standing up, a condition known as orthostatic hypotension. Which of the following is the MOST important step to take to help reduce their fall risk?
Advise them to stand up slowly and hold onto a surface for support
Which of the following is NOT a common risk factor for falls in older adults?
Maintaining a regular exercise routine
Which of the following is a potential consequence of orthostatic hypotension in older adults?
Increased risk of falls
Which of the following is a common gait disturbance in older adults?
Shuffling gait
Which of the following is NOT a common foot disturbance in older adults?
Webbed toes
Which of the following is a potential consequence of cognitive impairment in older adults?
Increased risk of falls
Which of the following is NOT a common vision problem in older adults?
Astigmatism
Which of the following is a potential consequence of hearing loss in older adults?
Increased risk of falls
Which of the following is a common foot deformity in older adults?
Claw toes
Which of the following is a potential risk factor for falls in older adults with cognitive impairment?
Inability to recognize hazards
Which of the following is a potential consequence of foot deformities in older adults?
Increased risk of falls
Study Notes
- Falls among older adults are a significant concern, with risk factors including chronic conditions, medication use, fear of falling, and environmental hazards.
- Fall risk assessments are crucial in primary health care and acute/long-term care settings, utilizing tools like STEADI, Morse Fall Scale, and Hendrich II Scale.
- Post-fall assessments are essential to determine the cause of falls and should include incident reporting and documentation.
- Interventions to reduce fall risk include vision screening, medication management, hip protectors, education, and environmental modifications.
- Restraint-free care is becoming a standard practice in healthcare, with a focus on alternative strategies to restraints for patient safety.
- Mobility screening tools like the Hendrich II Fall Risk Model can assess mobility, gait, and speed to prevent falls among older adults.
- Physical activity is crucial for healthy aging, with guidelines provided for exercise programs and incorporating physical activity into daily routines for older adults.
Test your knowledge on falls as the leading cause of morbidity and mortality for people over 65. Learn about the consequences like hip fractures and traumatic brain injuries, along with prevention strategies. Understand the multifactorial etiology of falls.
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