The Geriatric Nurse's Decision to Identify a Specific Patient as a Falls

Multiple Choice

The geriatric nurse's decision to identify a specific patient as a falls risk is primarily based on the:

A) presence of visual deficiencies and musculoskeletal weakness.
B) results determined by cognitive and physiologic assessment tools.
C) degree of frailty and functional limitation observed.
D) inability to follow instructions and communicate effectively.