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Fall Prevention 

Fall Prevention 

A. Definition: Fall prevention involves identifying patients at risk for falls and implementing interventions to minimize the occurrence of falls and related injuries. 

B. Risk Assessment: 

1. Assessment Tools: Using validated tools, such as the Morse Fall Scale or Hendrich II Fall Risk Model, helps identify patients at risk for falls. 

2. Factors Contributing to Falls: Assessing factors such as advanced age, impaired mobility, history of falls, cognitive impairment, medications, and environmental hazards aids in determining fall risk. 

C. Interventions: 

1. Environmental Modifications: 

a. Removing obstacles and clutter: Ensuring clear pathways and removing tripping hazards reduces the risk of falls. 

b. Adequate lighting: Maintaining well-lit areas helps patients see potential hazards and improves safety. 

c. Grab bars and handrails: Installing grab bars in bathrooms and handrails along corridors and stairways provides support for patients. 

2. Assistive Devices: a. Mobility aids: Providing appropriate assistive devices, such as canes, walkers, or wheelchairs, assists patients with impaired mobility. 

b. Alarms and sensors: Using bed or chair alarms, pressure sensors, or motion detectors alerts healthcare providers when patients attempt to rise unassisted. 

3. Patient Education: 

a. Teaching about fall risks: Educating patients and their families about fall risks and the importance of following safety measures. 

b. Call light usage: Encouraging patients to use call lights to request assistance before attempting to move independently. 

c. Footwear: Emphasizing the need for patients to wear proper footwear with good traction and support. 

D. Documentation: 

1. Accurate and thorough documentation of fall risk assessments, interventions implemented, patient responses, and any incidents or near-misses related to falls. 

2. Sharing information with the healthcare team to ensure continuity of care and appropriate interventions.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Questions on Fall Prevention 

Correct Answer is C

Explanation

<p><strong>Choice D reason:</strong> The absence of chronic health conditions reduces the risk of falls. Chronic conditions like arthritis, diabetes, and heart disease can impair mobility and balance, increasing fall risk.</p>

Correct Answer is A

Explanation

<p><strong>Limiting bathroom access can lead to discomfort, compromised hygiene, and increased risk of falls. Adequate access to toileting facilities should be ensured.</strong></p>

Correct Answer is D

Explanation

<p><strong>I will avoid using my walking cane to maintain my balance.&quot; Explanation: The use of assistive devices, such as a walking cane, can provide support and help maintain balance, reducing the risk of falls. Avoiding the use of an assistive device when needed indicates a lack of understanding of fall prevention.</strong></p>

<p><strong>Encouraging family members to bring pets to the patient&#39;s room for companionship can introduce potential fall hazards and distractions, increasing the risk of falls.</strong></p>

<p><strong>Regular maintenance of assistive devices, such as canes or walkers, ensures their proper functioning and reduces the risk of falls related to device malfunctions.</strong></p>
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