Quiz on Nursing Care Plan for Older Adults with High Fall Risk

What is a common predictor of falls among older adults?

• Cognitive impairment

• High blood pressure

• Diabetes

• Asthma

Which assessment tool is used to evaluate fall risk?

• Oxygen Saturation Meter

• Heart Rate Monitor

• Blood Pressure Monitor

• Morse Fall Scale

What is one goal of the nursing care plan for patients at risk of falls?

• Client will avoid physical therapy

• Client will not use assistive devices

• Client will increase medication intake

• Client will remain free from falls during hospitalization

Which nursing intervention helps to minimize the risk of falls?

• Increase room clutter

• Encourage patients to walk unassisted

• Remove all assistive devices

• Keep bed in lowest position with brakes locked

What is the rationale for using non-skid socks or footwear?

• Increases foot size

• Enhances comfort

• Promotes fashion

• Improves traction and reduces slipping

How should a nurse assess a patient's cognitive function?

• Counting the number of medications

• Using tools like the MMSE or MoCA

• Measuring blood pressure

• Asking the patient to walk

What is a strategic nursing intervention for a patient with cognitive impairment?

• Limit communication with family

• Increase environmental stimuli

• Encourage solitary activities

• Provide frequent observation or assign a sitter if needed

Which of the following is a goal related to impaired physical mobility?

• Client will demonstrate increased mobility within the next 3 days

• Client will avoid all physical activity

• Client will remain in bed all day

• Client will not participate in physical therapy

What is the purpose of collaborating with physical therapy for patients at risk of falls?

• Promotes functional improvement and safe ambulation

• Increases medication dosage

• Reduces the need for nursing care

• Limits patient mobility

What should be included in the evaluation of a patient’s fall prevention strategies?

• Patient increased fall incidents

• Patient did not experience any falls during care period

• Patient did not understand fall prevention strategies

• Patient refused to use assistive devices