Page 66 nursing.elitecme.com Complete Your CE Test Online - Click Here FALLS: ASSESSMENT AND PREVENTION Self-Evaluation Exercises Select the best answer for each question and check your answers at the bottom of the page. You do not need to submit this self-evaluation exercise with your participant sheet. 1. Falls are a significant health problem globally, with research showing that: a. Most falls occur in high-income countries. b. 420,000 fatal falls occur every year. c. The highest fall morbidity occurs in people between the ages of 30 and 50. d. Falls are seldom severe enough to require medical attention. 2. Which of the following statements pertaining to falls in hospitals in the United States is accurate? a. To meet the definition of a patient fall, injury must occur. b. Less than 50,000 patients are hospitalized annually because of a fall. c. Falls are the most common cause of traumatic brain injury. d. In the United States, falls are not reported as sentinel events. 3. A staff nurse has attended a class on fall prevention. Which of the following statements shows that the nurse needs more education? a. The Centers for Medicare and Medicaid will reimburse hospitals for fall related costs. b. One out of 5 falls leads to a serious injury. c. Fear is another cost of falling. d. Direct medical costs for fall injuries are about $2 billion dollars annually. 4. When teaching a group of newly licensed nurses about fall risk factors, the educator explains that: a. Age is becoming less and less of a risk factor for falling. b. Research shows that females suffer the highest rate of fatal falls. c. Occupation has not been linked to fall risk. d. Poverty and young maternal age have been linked to an increased risk for falls. 5. All of the following have been linked to an increased risk for falling, EXCEPT: a. Lower extremity weakness. b. Vitamin C deficiency. c. Foot pain. d. Alcohol use. 6. When identifying fall risk nurses must know that: a. Most falls are due to a single risk factor. b. There is equal gender risk for falling throughout the world. c. Older women and younger children are more prone to increased severity of injury from falls. d. Home assessment is not the concern of inpatient staff. 7. A gait and balance assessment tool that consists of a 14-item scale used to measure adult’s balance in a clinical setting is the: a. Berg Balance Scale. b. Dynamic Gait Index. c. Timed Up and Go. d. Tinetti Performance Oriented Mobility Assessment. 8. Which of the following issues must be considered during fall risk assessment? a. Fear of falling. b. Cognition. c. Depression. d. All of the above. 9. The Agency for Healthcare Research and Quality recommends that when putting a new fall prevention program into action: a. There should be a process for putting new practices into global operation. b. A system for pilot testing the program should be developed. c. Measuring fall rates is not part of the fall prevention program. d. Education and training should be provided for clinical staff only. 10. Which of the following statements regarding general fall prevention strategies is accurate? a. Using color-coded identification bracelets violates confidentiality. b. Alarm fatigue should be addressed when developing the fall prevention program. c. Rounds should be performed at least every two hours. d. Posting fall risk signs should be avoided. Answers: 1.B 2.C 3.A 4.D 5.B 6.C 7.A 8.D 9.B 10.B