True or false: Keeping a patient on bed rest for the rest of an admission is an appropriate substitute for an individualized fall-prevention plan.
4 Nursing Interventions for Fall Prevention Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Nursing Interventions for Fall Prevention, test your knowledge, and prepare for your next test or exam.
Reassess a fall-prevention plan after a fall, a change in condition, a medication change, or a change in .
A patient's current assistive device or ability to use it appears unsuitable. Which rehabilitation discipline may be consulted to assess the patient's needs?
A patient reaches for a walker across the room while a loose cord crosses the route to the bathroom. What should the nurse do first?
- A
Tell the patient to use nearby furniture for support while you move the walker.
- B
Assist the patient to a safe position, then move the walker within reach and clear the route.
- C
Apply a bed alarm and leave the cord and walker where they are.
- D
Ask the patient to walk independently to test whether the hazards are a problem.
True or false: A bed alarm by itself makes an unsafe room setup acceptable.
- A
True
- B
False
An older adult develops dizziness and daytime sleepiness after a medication dose change. The medication list includes a sedative, an antihypertensive, and an over-the-counter antihistamine. What is the most appropriate nursing action?
- A
Tell the patient to stop every medication that could cause dizziness.
- B
Document the symptoms, assess safety and relevant findings, and request a review with the prescriber or pharmacist.
- C
Reassure the patient that nonprescription medicines cannot contribute to falls.
- D
Recommend an extra dose of the antihypertensive at bedtime.
An older adult is unsteady, has a history of falls, feels light-headed on standing, takes a sleeping medication, and needs the bathroom urgently at night. Which actions best address these individual risks? Select all that apply.
- A
Assess gait, balance, fall history, and lying-to-standing blood pressure.
- B
Arrange prompted toileting and assistance during identified high-risk times.
- C
Review medications with the prescriber or pharmacist rather than stopping one independently.
- D
Keep needed items within reach and make the route and footwear safer.
- E
Keep the patient on bed rest for the remainder of the admission.
After revising a patient's fall-prevention plan, communicate the changes to the care .
A patient has fallen while rushing to the bathroom at night and needs one-person assistance to walk. Which outcome best supports evaluation of an individualized plan?
- A
The patient will be safe.
- B
The patient will not get out of bed.
- C
During the next shift, the patient will use the call light for bathroom assistance and transfer with the assistance specified in the plan; staff will document assistance and any near-falls.
- D
Staff will remind the patient to be careful.
Which safety events, in addition to falls, can be tracked when evaluating whether a fall-prevention plan is working?
A patient says the call light is difficult to reach and therefore does not use it before getting up. What is the best nursing response?
- A
Ask what makes the call light difficult to use, make it accessible, and work with the patient and care team on a workable plan.
- B
Tell the patient to follow the current plan without asking about the difficulty.
- C
Remove the call light because the patient is not using it.
- D
Restrict the patient to bed indefinitely.
A patient with nighttime toileting urgency needs one-person assistance to walk. Which interventions are appropriate for an individualized plan? Select all that apply.
- A
Arrange scheduled or prompted toileting around the patient's nighttime needs.
- B
Make sure the call light and needed items are within reach.
- C
Provide the planned assistance during identified high-risk times and keep the route clear and appropriately lit.
- D
Tell the patient to walk to the bathroom alone to maintain independence.
- E
Keep the patient in bed throughout the admission.
A patient continues trying to walk alone to the bathroom despite a fall-prevention plan and has had two near-falls. Explain how the nurse should respond and how the revised plan should be evaluated.
Which approach best supports consistent implementation of a fall-prevention plan for a patient whose risks and needs differ from those of other patients?
- A
Use the same plan for every patient to ensure consistency.
- B
Ask the patient and care team what is working, tailor actions to the patient's risks, and communicate the plan.
- C
Add warnings without assessing whether the interventions address the patient's risks.
- D
Wait until the next scheduled review even if the patient's condition changes.
A patient who uses a walker is reaching for it across a dim room. A loose cord crosses the route to the bathroom. What should the nurse do?
- A
Ask the patient to use the furniture for support while the nurse finds the walker.
- B
Assist the patient to a safe position, then place the walker within reach, remove the cord, and improve the lighting.
- C
Leave the room unchanged and activate a bed alarm.
- D
Ask the patient to walk to the bathroom independently so the nurse can assess balance.
A patient with new leg weakness says they plan to hold onto a bedside table instead of using their prescribed walker. What is the nurse’s best response?
- A
Use the bedside table if moving slowly feels safer.
- B
Use the prescribed walker and call for the assistance specified in the plan; check that the walker is positioned correctly before standing.
- C
Walk without support to build leg strength.
- D
Switch to a cane because it is easier to maneuver.
An older adult reports new dizziness and daytime sleepiness after a dose change. The medication list includes a sedative, an antihypertensive, and an over-the-counter antihistamine. What is the most appropriate nursing action?
- A
Tell the patient to stop all listed medicines immediately.
- B
Document the symptoms, assess safety and relevant findings, and request a medication review with the prescriber or pharmacist.
- C
Reassure the patient that nonprescription medicines cannot affect fall risk.
- D
Recommend an extra dose of the antihypertensive at bedtime.
If a patient has near-falls but no injury after a fall-prevention plan begins, the plan can be left unchanged because no harm occurred.
- A
True
- B
False
A patient reports feeling light-headed when standing. What blood-pressure assessment should the nurse include?
A patient’s urgent bathroom trips tend to occur at predictable high-risk times. Name one planned toileting approach that can help address this risk.
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