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Exam Review

Introduction

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Total Questions : 5

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Question 1:

Which intervention is essential for a nurse to implement to promote safety and prevent falls in a healthcare setting?

A. Encouraging clients to walk independently without assistance. B. Implementing regular safety inspections of the facility. C. Administering sedative medications to promote relaxation. D. Allowing clients to wear loose-fitting clothing for comfort.

Answer and Explanation

Choice A:

Encouraging clients to walk independently without assistance may increase the risk of falls if they have mobility issues or require assistance.

Choice B:

Implementing regular safety inspections of the facility. Explanation: Regular safety inspections help identify potential hazards and ensure a safe environment for clients, reducing the risk of falls and promoting overall safety.

Choice C:

Administering sedative medications can potentially increase the risk of falls as it may affect the client's alertness and coordination.

Choice D:

Allowing clients to wear loose-fitting clothing may increase the risk of falls due to tripping hazards.

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Question 2:

Which action is an example of a primary prevention strategy for fall prevention?

A. Assisting clients with mobility and transfers. B. Providing education on fall risk factors and prevention. C. Installing handrails in bathrooms and hallways. D. Using bed alarms to monitor client movement.

Answer and Explanation

Choice A:

Assisting clients with mobility and transfers is an example of secondary prevention, which focuses on minimizing the impact of falls once they occur.

Choice B:

. Providing education on fall risk factors and prevention. Explanation: Providing education on fall risk factors and prevention measures is a primary prevention strategy aimed at preventing falls before they occur by increasing awareness and implementing preventive measures.

Choice C:

Installing handrails in bathrooms and hallways is an example of environmental modification, which is a secondary prevention strategy.

Choice D:

Using bed alarms to monitor client movement is an example of secondary prevention, aimed at detecting falls or attempted movement to prevent injury

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Question 3:

Which statement by a client indicates an understanding of fall prevention measures?

A. "I prefer walking alone without using my walking aid." B. "I'll keep my room dark to improve sleep quality." C. "I'll ask for assistance when reaching for items on high shelves." D. "I'll wear high-heeled shoes for special occasions."

Answer and Explanation

Choice A:

"I prefer walking alone without using my walking aid" indicates a potential disregard for safety and an increased risk of falls.

Choice B:

"I'll keep my room dark to improve sleep quality" may increase the risk of falls as adequate lighting is necessary for safe movement.

Choice C:

. "I'll ask for assistance when reaching for items on high shelves." Explanation: Asking for assistance when reaching for items on high shelves demonstrates an understanding of fall prevention by recognizing the need for assistance to avoid potential falls.

Choice D:

. "I'll wear high-heeled shoes for special occasions" increases the risk of falls due to the instability and decreased balance associated with high-heeled footwear.

What is the primary goal of fall risk assessment?

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Question 4:

What is the primary goal of fall risk assessment?

A. Identifying clients at risk of falling. B. Implementing bed restraints for high-risk clients. C. Administering sedative medications to prevent falls. D. Restricting client mobility to prevent falls.

Answer and Explanation

Choice A:

Identifying clients at risk of falling. Explanation: The primary goal of fall risk assessment is to identify clients who are at risk of falling, enabling healthcare providers to implement appropriate fall prevention strategies.

Choice B:

Implementing bed restraints for high-risk clients is a secondary prevention strategy and may have negative physical and psychological consequences.

Choice C:

Administering sedative medications may increase the risk of falls rather than prevent them.

Choice D:

Restricting client mobility without addressing fall risk factors does not effectively prevent falls and can negatively impact a client's functional independence.

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Question 5:

What is the rationale behind implementing environmental modifications for fall prevention?

A. To restrict client movement and prevent falls. B. To create a visually stimulating environment. C. To minimize potential hazards and promote safety. D. To encourage client independence and self-care.

Answer and Explanation

Choice A:

Restricting client movement and preventing falls is not the purpose of environmental modifications, as they should promote independence and safety.

Choice B:

Creating a visually stimulating environment is not the primary goal of fall prevention. Instead, the focus is on creating a safe and hazard-free environment.

Choice C:

To minimize potential hazards and promote safety. Explanation: Implementing environmental modifications aims to minimize potential hazards, such as removing tripping obstacles, improving lighting, and securing handrails, to create a safe environment and promote fall prevention.

Choice D:

While encouraging client independence and self-care is important, it is not the primary rationale behind implementing environmental modifications specifically for fall prevention.

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Total Questions : 5

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