Geriatric Syndrome: Falls Quiz
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Questions and Answers

Why is determining why a fall occurred important?

  • To assign blame for the fall
  • To prevent future falls (correct)
  • To justify medical expenses
  • To ensure proper documentation
  • Which of the following is not a condition considered as intrinsic fall risk factors for elders?

  • Fear of falling
  • Urinary incontinence (correct)
  • Osteoporosis
  • Chronic pain
  • What is a common post-fall assessment instrument used in acute and long-term care settings?

  • Hendrich II Scale
  • Morse Fall Scale (correct)
  • STEDI
  • Symptom Severity Scale
  • Which of the following is an extrinsic fall risk factor for elders?

    <p>Improper use of assistive devices (C)</p> Signup and view all the answers

    When should a postfall assessment be conducted according to the text?

    <p>Whenever there is a change in condition (C)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for falls in elders?

    <p>Excellent vision and hearing (A)</p> Signup and view all the answers

    A patient with orthostatic hypotension is at increased risk of falls due to which of the following?

    <p>Sudden drop in blood pressure upon standing, leading to dizziness (B)</p> Signup and view all the answers

    Which of the following cognitive impairments is LEAST likely to increase fall risk in elders?

    <p>Exceptional memory and concentration (C)</p> Signup and view all the answers

    A patient with bunions and hammertoes is at increased risk of falls due to which of the following?

    <p>Impaired proprioception and balance (B)</p> Signup and view all the answers

    Which of the following vision problems is MOST likely to increase fall risk in elders?

    <p>Cataracts (A)</p> Signup and view all the answers

    What tool is used to determine a safe exercise program for older adults based on their underlying physical conditions?

    <p>The Exercise and Screening for You (EASY) Tool (C)</p> Signup and view all the answers

    Which model includes the Get-Up-and-Go test for assessing mobility, gait, and gait speed?

    <p>Hendrich II Fall Risk Model (B)</p> Signup and view all the answers

    What should nurses be knowledgeable about in terms of promoting healthy aging interventions?

    <p>Guidelines for teaching about exercise (C)</p> Signup and view all the answers

    Which of the following is presented in Box 18.4 for adults 65 years and older who are generally fit?

    <p>Guidelines for physical activity (C)</p> Signup and view all the answers

    What is emphasized as important in the context of promoting healthy aging interventions?

    <p>Incorporating exercise into daily routines (A)</p> Signup and view all the answers

    What is the leading cause of both fatal and nonfatal injuries among people older than 65 years?

    <p>Falls (C)</p> Signup and view all the answers

    Which of the following is NOT one of the seven types of fall classifications mentioned in the text?

    <p>Decreased muscle strength (B)</p> Signup and view all the answers

    Which of the following is the most important risk factor for future falls among older adults?

    <p>A history of falls (A)</p> Signup and view all the answers

    What percentage of hip fractures are caused by falls in older adults?

    <p>95% (A)</p> Signup and view all the answers

    Which of the following is NOT a key factor in maintaining function for hospitalized older adults?

    <p>Allowing the patient to remain sedentary during their hospital stay (A)</p> Signup and view all the answers

    Older adults who experience significant loss of total, lean, and fat mass strength during hospitalization are at greater risk for which of the following?

    <p>Gait and foot disturbances (A)</p> Signup and view all the answers

    Which of the following interventions has been shown to have positive effects for maintaining function in long-term care settings?

    <p>Providing opportunities for social interaction (B)</p> Signup and view all the answers

    Which of the following is a key tip for function-focused care in acute care settings?

    <p>Encouraging a multidisciplinary approach to care (B)</p> Signup and view all the answers

    Which of the following is a risk factor for falls in older adults that should be addressed in acute care settings?

    <p>Decreased muscle strength and mass (C)</p> Signup and view all the answers

    Which of the following is NOT a typical age-related change that can contribute to mobility issues in older adults?

    <p>Increased cartilage in the joints (B)</p> Signup and view all the answers

    An older adult with cognitive impairment would likely benefit most from which type of exercise recommendation?

    <p>Gentle, low-impact exercises like chair yoga or Tai Chi (C)</p> Signup and view all the answers

    Which of the following is a key risk factor for falls in older adults that is related to vision and hearing changes?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is the LEAST important factor to assess when evaluating an older adult's fall risk?

    <p>Cognitive function (B)</p> Signup and view all the answers

    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?

    <p>Advise them to stand up slowly and hold onto a surface for support (D)</p> Signup and view all the answers

    Which of the following is NOT a common risk factor for falls in older adults?

    <p>Maintaining a regular exercise routine (A)</p> Signup and view all the answers

    Which of the following is a potential consequence of orthostatic hypotension in older adults?

    <p>Increased risk of falls (C)</p> Signup and view all the answers

    Which of the following is a common gait disturbance in older adults?

    <p>Shuffling gait (D)</p> Signup and view all the answers

    Which of the following is NOT a common foot disturbance in older adults?

    <p>Webbed toes (A)</p> Signup and view all the answers

    Which of the following is a potential consequence of cognitive impairment in older adults?

    <p>Increased risk of falls (C)</p> Signup and view all the answers

    Which of the following is NOT a common vision problem in older adults?

    <p>Astigmatism (C)</p> Signup and view all the answers

    Which of the following is a potential consequence of hearing loss in older adults?

    <p>Increased risk of falls (B)</p> Signup and view all the answers

    Which of the following is a common foot deformity in older adults?

    <p>Claw toes (B)</p> Signup and view all the answers

    Which of the following is a potential risk factor for falls in older adults with cognitive impairment?

    <p>Inability to recognize hazards (D)</p> Signup and view all the answers

    Which of the following is a potential consequence of foot deformities in older adults?

    <p>Increased risk of falls (A)</p> Signup and view all the answers

    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.

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    Description

    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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