The nurse is assessing several clients. Which clients does the nurse identify as being at high risk for falls? (Select all that apply.) The client:
a. With visual impairment such as presbyopia
b. Who is reluctant to use a cane while walking
c. Who performs Tai Chi exercise daily
d. Who wears a hearing aid and glasses
e. Who has difficulty arising from a sitting position
f. Who is male and over 55 years of age
A, B, E
Vision, hearing, and mobility difficulties are associated with increased fall risk. Tai Chi improves balance and mobility. Wearing a hearing aid and glasses would lessen problems with auditory impairment. Being a male over 55 years of age is not considered a risk factor for falls.
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