The cause of a fall is often an interaction between patient’s risk, the environment, and patient risk behavior. Increase in hazardous environments increases the risk of falls. The use of a patient identifier (e.g., identification bracelet) helps to highlight to staff those patients at risk for falls. A fall risk assessment should include review of history of falls, mobility problems, medications, mental status, continence, and other patient risks. 5. Patients with impaired mobility should be: Confined to bed Encouraged to mobilize with assistance Assisted with transfers Referred for exercise program or prescription of walking aids as appropriate 6. The management of the acutely confused patient should include all of the following except: Moving patients away from the nursing station Involving family members to sit with the patient Orienting patients to the hospital environment Reinforcing activity limits to patients and their families 7. of the following statements is false? Fall prevention efforts are solely the nurses’ responsibility. A patient who is taking four or more oral medications is at risk for falling. A patient who is taking psychotropic medication is at higher risk for falling. Testing or treatment for osteoporosis should be considered in patients who are at high risk for and fractures. 8. In hospital settings, intervention programs should include: Staff education on fall precautions Provision and maintenance of mobility aids Postfall analysis and problem-solving strategy Bed alarms for all patients, regardless of risk 9. When assessing patients, which of the following statements is false? All patients should be assessed for fall risk factors at admission, at a change in status, after a fall, and at regular intervals. Medication review should be included in the assessment. All patients should have their activities of daily living and mobility assessed. Environmental assessment is not important in the hospital as it is all standardized.
The cause of a fall is often an interaction between patient’s risk, the environment, and patient risk behavior. Increase in hazardous environments increases the risk of falls. The use of a patient identifier (e.g., identification bracelet) helps to highlight to staff those patients at risk for falls. A fall risk assessment should include review of history of falls, mobility problems, medications, mental status, continence, and other patient risks. 5. Patients with impaired mobility should be: Confined to bed Encouraged to mobilize with assistance Assisted with transfers Referred for exercise program or prescription of walking aids as appropriate 6. The management of the acutely confused patient should include all of the following except: Moving patients away from the nursing station Involving family members to sit with the patient Orienting patients to the hospital environment Reinforcing activity limits to patients and their families 7. of the following statements is false? Fall prevention efforts are solely the nurses’ responsibility. A patient who is taking four or more oral medications is at risk for falling. A patient who is taking psychotropic medication is at higher risk for falling. Testing or treatment for osteoporosis should be considered in patients who are at high risk for and fractures. 8. In hospital settings, intervention programs should include: Staff education on fall precautions Provision and maintenance of mobility aids Postfall analysis and problem-solving strategy Bed alarms for all patients, regardless of risk 9. When assessing patients, which of the following statements is false? All patients should be assessed for fall risk factors at admission, at a change in status, after a fall, and at regular intervals. Medication review should be included in the assessment. All patients should have their activities of daily living and mobility assessed. Environmental assessment is not important in the hospital as it is all standardized.
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