Question 1

What fall risk assessment tool would be the best tool for assessing the risk of falls by hospitalized acutely ill older adults?

Accepted Answer

A)  Hendrich Fall Risk Model II 
B)  STRATIFY Risk instrument 
C)  Timed Get Up and Go test 
D)  Medication Fall Risk tool 
A)  Hendrich Fall Risk Model II 
B)  STRATIFY Risk instrument 
C)  Timed Get Up and Go test 
D)  Medication Fall Risk tool B

Question 2

The incidence of hip fractures is greater in older women, but mortality from hip fractures if higher among older men.

Accepted Answer

A) True 
 B)False  True

Question 3

Surveillance interventions include purposeful hourly rounding of mobile patients closer to the nurses' station and assignment of sitters.

Accepted Answer

A) True 
 B)False  True

Question 4

Falls among older adults are a normal consequence of aging and are most often due to multiple predisposing factors.

Accepted Answer

A) True 
 B)False

Question 5

For patients who are able to rise from a seated position, what risk assessment tool may be used to evaluate strength, gait and balance, physical function, and fall risk?

Accepted Answer

A)  Hendrich Fall Risk Model II 
B)  STRATIFY Risk Instrument 
C)  Timed Get Up and Go Test 
D)  Morse Fall Scale 
A)  Hendrich Fall Risk Model II 
B)  STRATIFY Risk Instrument 
C)  Timed Get Up and Go Test 
D)  Morse Fall Scale

Question 6

For every one-point decrease on the Mini-Mental State Exam, by what percentage is the risk of falling increased?

Accepted Answer

A)  10% 
B)  20% 
C)  30% 
D)  40% 
A)  10% 
B)  20% 
C)  30% 
D)  40%

Question 7

Which organization has included patient falls as one of the top 10 nurse-sensitive quality indicators?

Accepted Answer

A)  Center for Medicaid and Medicare Services 
B)  American Nurses Association 
C)  The Joint Commission 
D)  U.S. Department of Health and Human Services 
A)  Center for Medicaid and Medicare Services 
B)  American Nurses Association 
C)  The Joint Commission 
D)  U.S. Department of Health and Human Services

Question 8

Older adults have a higher rate of falls in any setting, but are at a higher risk of falling in hospital settings.

Accepted Answer

A) True 
 B)False

Question 9

Two key prescribing principles for older adults are "less is more" and "start low and go slow," which refers to staring doses at lowest levels to reduce potential overdose of medications.

Accepted Answer

A) True 
 B)False

Question 10

What type of medications are an independent risk factor for older adult falls, meaning that the patient need have no other problems?

Accepted Answer

A)  Beta-blockers 
B)  Diuretics 
C)  Opiates 
D)  Benzodiazepines 
A)  Beta-blockers 
B)  Diuretics 
C)  Opiates 
D)  Benzodiazepines

Question 11

What member of the interdisciplinary team would typically use the Medication Fall Risk tool to assess fall risk?

Accepted Answer

A)  Nurse 
B)  Physician 
C)  Pharmacist 
D)  Physical therapist 
A)  Nurse 
B)  Physician 
C)  Pharmacist 
D)  Physical therapist

Question 12

A systematic review and meta-analysis revealed what fall-risk assessment tool to be the most sensitive?

Accepted Answer

A)  Hendrich Fall Risk Model II 
B)  STRATIFY Risk instrument 
C)  Timed Get Up and Go test 
D)  Medication Fall Risk tool 
A)  Hendrich Fall Risk Model II 
B)  STRATIFY Risk instrument 
C)  Timed Get Up and Go test 
D)  Medication Fall Risk tool

Question 13

The American Geriatrics Society has recommended dietary supplementation with what vitamin for reduction of osteoporosis and thus fractures if falls occur in older adults?

Accepted Answer

A)  Vitamin B12 
B)  Vitamin C 
C)  Vitamin D 
D)  Vitamin E 
A)  Vitamin B12 
B)  Vitamin C 
C)  Vitamin D 
D)  Vitamin E

Question 14

Which of the following would be classified as a nonmodifiable risk factor for falling?

Accepted Answer

A)  Gait 
B)  Balance 
C)  Age over 80 
D)  Muscle weakness 
A)  Gait 
B)  Balance 
C)  Age over 80 
D)  Muscle weakness

Question 15

What organization has described falls as a "major public health challenge that calls for global attention"?

Accepted Answer

A)  National Institutes of Health 
B)  American Medical Association 
C)  World Health Organization 
D)  Centers for Disease Control and Prevention 
A)  National Institutes of Health 
B)  American Medical Association 
C)  World Health Organization 
D)  Centers for Disease Control and Prevention

Question 16

The HELP program has been shown to reduce what medical condition by 23% and decrease length of stay by 7 days?

Accepted Answer

A)  Anxiety 
B)  Delirium 
C)  Depression 
D)  Hypertension 
A)  Anxiety 
B)  Delirium 
C)  Depression 
D)  Hypertension

Question 17

A minimum 6 months of treatment with calcium and vitamin D supplementation is recommended to maintain healthy bones and assist in prevention or slowing of osteoporosis.

Accepted Answer

A) True 
 B)False

Question 18

Risk and benefits of side rails are outlined by the information on medical devices issue by what agency?

Accepted Answer

A)  Center for Medicaid and Medicare Services 
B)  Centers for Disease Control and Prevention 
C)  U.S. Food and Drug Administration 
D)  U.S. Department of Health and Human Services 
A)  Center for Medicaid and Medicare Services 
B)  Centers for Disease Control and Prevention 
C)  U.S. Food and Drug Administration 
D)  U.S. Department of Health and Human Services

Question 19

What medical professional is often a member of the interdisciplinary team in hospitals and can review medications and make recommendation to the fall team regarding changing, reducing, or discontinuing high-risk medications?

Accepted Answer

A)  Nurse 
B)  Social worker 
C)  Pharmacist 
D)  Psychiatrist 
A)  Nurse 
B)  Social worker 
C)  Pharmacist 
D)  Psychiatrist

Exam 12: Falls in Older Adults

What fall risk assessment tool would be the best tool for assessing the risk of falls by hospitalized acutely ill older adults?

The incidence of hip fractures is greater in older women, but mortality from hip fractures if higher among older men.

Surveillance interventions include purposeful hourly rounding of mobile patients closer to the nurses' station and assignment of sitters.

Falls among older adults are a normal consequence of aging and are most often due to multiple predisposing factors.

For patients who are able to rise from a seated position, what risk assessment tool may be used to evaluate strength, gait and balance, physical function, and fall risk?

For every one-point decrease on the Mini-Mental State Exam, by what percentage is the risk of falling increased?

Which organization has included patient falls as one of the top 10 nurse-sensitive quality indicators?

Older adults have a higher rate of falls in any setting, but are at a higher risk of falling in hospital settings.

Two key prescribing principles for older adults are "less is more" and "start low and go slow," which refers to staring doses at lowest levels to reduce potential overdose of medications.

What type of medications are an independent risk factor for older adult falls, meaning that the patient need have no other problems?

What member of the interdisciplinary team would typically use the Medication Fall Risk tool to assess fall risk?

A systematic review and meta-analysis revealed what fall-risk assessment tool to be the most sensitive?

The American Geriatrics Society has recommended dietary supplementation with what vitamin for reduction of osteoporosis and thus fractures if falls occur in older adults?

Which of the following would be classified as a nonmodifiable risk factor for falling?

What organization has described falls as a "major public health challenge that calls for global attention"?

The HELP program has been shown to reduce what medical condition by 23% and decrease length of stay by 7 days?

A minimum 6 months of treatment with calcium and vitamin D supplementation is recommended to maintain healthy bones and assist in prevention or slowing of osteoporosis.

Risk and benefits of side rails are outlined by the information on medical devices issue by what agency?

What medical professional is often a member of the interdisciplinary team in hospitals and can review medications and make recommendation to the fall team regarding changing, reducing, or discontinuing high-risk medications?

Introduction to Gerontological Nursing

The Aging Population

Theories of Aging

Review of the Aging of Physiological Systems

Teaching and Communication With Older Adults and Their Families

Comprehensive Assessment of the Older Adult

Promoting Healthy Aging, Independence, and Quality of Life

Identifying and Preventing Common Risk Factors in the Elderly

Management of Common Illnesses, Diseases, and Health Conditions

Nursing Management of Dementia

Polypharmacy

Delirium

Anxiety and Depression in the Older Adult

Urinary Incontinence

Sleep Disorders

Dysphagia and Malnutrition

Pressure Ulcers

The Gerontological Nurse As Manager and Leader Within the Interprofessional Team

Ethical and Legal Principles and Issues

Technology and Care of Older Adults

Culture and Spirituality

Sexuality

Elder Abuse and Mistreatment

Pain Management and Alternative Health Modalities

Disaster Preparation, Response, and Recovery

End-Of-Life Care

Care Transitions, System Models, and Health Policy in Aging

Appendix

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