Which is (are) assessed in a fall prevention assessment of an older adult?

a. Environment
b. Physical status
c. Financial status
d. Functional status
e. Medical history
f. Occupational history


A, B, D, E

a. Correct. The nurse uses information about lighting, flooring, apparel, and other issues from the environmental assessment of an older adult to plan individualized fall prevention measures.
b. Correct. The nurse examines flexibility, muscle strength, vital signs, and other clinical in-dicators in the physical assessment of an older adult to plan individualized fall prevention measures.
c. Incorrect. Financial issues are not related directly to a risk for falls.
d. Correct. The nurse uses information about gait, balance, and ability to perform activities of daily living in the functional status assessment of an older adult to plan individualized fall prevention measures.
e. Correct. The nurse examines medications, previous accidents and falls, comorbid condi-tions, and other factors in the historical assessment of an older adult to plan individualized fall prevention measures.
f. Incorrect. Occupational history is not related directly to a risk for falls.

Nursing

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