You are assessing an older adult's risk for falls. One of the questions you as is whether or not she has fallen in the past year. You ask this because individuals who have fallen:
Are most likely to have a balance disorder as compared to persons who did not fall in the past year
Have a higher risk of falling again than persons who did not fall in the past year
Are more likely to sustain injuries if they fall again than persons who did not fall in the past year
Have most likely developed a fear of falling as compared to persons who did not fall in the past year
The Correct Answer is B
A. While balance disorders can contribute to falls, asking about previous falls is not solely to identify balance issues.
B. Individuals who have fallen in the past year have a significantly higher risk of falling again, making this the primary reason for asking about past falls—it is a strong predictor of future falls.
C. Although prior falls may be associated with injury risk, the key concern is the increased likelihood of repeat falls, not necessarily the severity of injury.
D. Fear of falling is common among those who have fallen, but it is not the main reason for assessing fall history during a risk evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Poor foot care can lead to pain, ulcers, infections, and mobility issues, which can significantly reduce an older adult’s functional ability and independence.
B. Orthostatic hypotension is related to blood pressure regulation, not foot care.
C. While infection risk is real, proper nail trimming by trained personnel is important; avoiding trimming altogether is not a solution.
D. Postprandial hypotension is associated with blood pressure drops after meals, not with foot care.
Correct Answer is ["A","B","C","E"]
Explanation
A. Taking residents outside dailypromotes exposure to natural light, which supports healthy sleep-wake cyclesand improves mood and overall well-being.
B. Avoiding waking residents during the nighthelps prevent sleep fragmentation, which is common in older adults and can affect physical and mental health.
C. Limiting caffeine and fluids before bedtimehelps reduce sleep disturbancesand the need for nighttime bathroom visits, lowering fall risk.
D. Ensuring all residents are in bed by 8:00 pmis not appropriate, as it does not respect individual preferences and natural variations in sleep patterns; such rigidity can lead to disrupted sleepand reduced autonomy.
E. Instituting quiet timereduces environmental disturbances during the night and supports better sleep hygienein a long-term care setting.
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