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An Evidence-Based Approach to Fall Risk Assessment

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1.  Which of these is not a risk factor for falls? Co-morbid conditions Poor hearing Medications and polypharmacy Postural hypotension

2.  Which of the following is considered to be the most common type of fall? Anticipated physiologic Unanticipated Accidental Tripping accidents

3.  Which of these is true regarding risk prediction tools? Should add value beyond clinical observation of the client Should be easy to complete Should have evidence-based scoring All of the above

4.  Which of the following is considered to be an intrinsic risk factor for falls? Peripheral neuropathy Assistive devices Lighting Flooring surfaces

5.  Characteristics of fallers include all of the following EXCEPT: Narrow base of support Tendency to stop talking while walking Prolonged single limb stance Uneven step length

6.  Ambulatory individuals can use all but which of the following reflexive postural adjustment strategies to maintain limits of stability and avoid falling? Stepping Knee Hip Ankle

7.  Which of the following tests would not be used to assess balance/gait related to fall risk? Berg Balance Test Dynamic Gait Index Fukuda Step Test Functional Reach Test

8.  Which of the following types of medications can cause an increased risk for falls? Sedatives Psychotropic medications Anticholinergic medications All of the above

9.  Which of the following is an extrinsic risk for falls? Previous fall Advanced age Fracture Assistive devices

10.  Which of these is true regarding evidence-based assessment guidelines? Screening should include at least one question about the patient's perception of difficulty with balance or walking A post-fall assessment should be completed 48 hours after a fall Only a nurse can ask about the details of a fall after it as occurred Even a single fall should be followed by a multifactorial fall risk assessment