A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

A. Involves respiratory therapy for altered breathing from severe anxiety levels: This behavior demonstrates collaboration with other healthcare professionals but does not directly relate to a team approach for managing mobility issues.
B. Delegates assessment of lung sounds to nursing assistive personnel: Delegation of tasks such as assessing lung sounds is a nursing responsibility but does not involve the broader team approach necessary for comprehensive care.
C. Becomes solely responsible for modifying activities of daily living: Handling all aspects of a patient's care individually does not reflect a team approach, which involves collaborating with various specialists.
D. Consults physical therapy for strengthening exercises in the extremities: This behavior exemplifies a team approach by involving physical therapy specialists to address mobility issues. It reflects collaboration with other disciplines to provide comprehensive care.

A. Bone density: Passive range of motion exercises do not significantly impact bone density. Weight-bearing exercises are more effective for increasing bone density.
B. Joint flexibility: Passive range of motion exercises help maintain or improve joint flexibility by moving the joints through their full range of motion.
C. Muscle mass: Passive range of motion does not increase muscle mass. It is used to maintain flexibility and prevent contractures rather than to build muscle.
D. Muscle strength: Passive range of motion exercises do not increase muscle strength. Active range of motion or resistance exercises are required to improve muscle strength.