The nurse assesses the quality of which patient characteristic when applying the Get Up and Go test from the Hendrich II Fall Risk Model?
a. Stride
b. Speed
c. Balance
d. Flexibility
C
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A Incorrect. The stride is not assessed specifically in this test, although it is an as-pect of gait and can be a factor in balance.
B Incorrect. The older adult's speed is not assessed in this test.
C Correct. Using the Get Up and Go Test, the quality of the older adult's move-ments are assessed: the nurse instructs the individual to rise from a chair, walk, and return to the chair and be seated.
D Incorrect. Flexibility is not assessed specifically in this test, although it can be an important factor in balance.
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