When Assessing an Older Adult for Intrinsic Risk Factors That

Multiple Choice

When assessing an older adult for intrinsic risk factors that increase the risk for falls, the nurse is particularly interested in which of the following? Select all that apply.

A) An unsteady gait when asked to walk without assistance
B) The inability to smoothly move from sitting to walking
C) The client's report that he wears corrective lenses
D) A history of osteoarthritis in left knee and ankle
E) Evidence of short-term memory deficient