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Fall Management: Evidence-Based Interventions for Screening and Intervention

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1.  The benefits of performing yoga with older adults include: Reduces symptoms of anxiety Decreases body fat Increases muscle and bone strength All of the above

2.  Who is appropriate to participate in A Matter of Balance? Older adults with significant cognitive deficits Individuals aged 60+ who are ambulatory, able to problem solve, and have restricted their activities because of concerns about falling Older adults who fall due to severely impaired vision, some neurologic conditions, or who have early stage dementia Community dwelling adults aged 50-55

3.  Some common reasons for falls include: Medications Muscle weakness Environmental hazards All of the above

4.  Practicing tai chi may decrease an individual’s risk of falling because: It improves joint range of motion (lumbar, hips, knees) and lower extremity muscle function (knee extensors) It relies on isolated movements of upper extremities first and then lower extremities It focuses solely on static balance Lack of vestibular input and stimulation makes the person feel safer

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

6.  Characteristics of fallers include which of the following: Narrow base of support Even step length Tendency to stop walking while talking Prolonged single limb stance

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

8.  Which of these is true regarding evidence-based assessment guidelines? 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 has occurred Screening should include at least one question about the patient's perception of difficulty with balance or walking Even a single fall should be followed by a multifactorial fall risk assessment

9.  Which of these is not a home safety hazard that may impact falls? Clutter/objects on the stairs/floor Often used kitchen objects on the counter Slippery tub/shower floor Poor lighting

10.  Which of these is true regarding patient education? Education should not be provided as a single intervention to reduce falls Education should be tailored to individual cognitive function and language Education can be provided in an individual or group setting All of the above