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Master Your Fall Risk Assessment Knowledge Test

Test Your Skills in Fall Hazard Evaluation

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art design for a quiz on Fall Risk Assessment Knowledge Test.

Looking to test your knowledge of fall risk assessment? This interactive quiz offers practical scenarios and multiple-choice questions to evaluate your understanding of fall prevention strategies. Ideal for nursing students, healthcare professionals, or safety officers seeking to refine their skills. You can also explore our Fall Prevention Knowledge Test or try the Slip and Fall Prevention Quiz for broader insights. All questions are fully editable in our quizzes editor, so you can tailor them to your learning needs.

Which of the following is a common intrinsic factor that increases a patient's risk of falling in healthcare settings?
Poor lighting
Muscle weakness
Wet floors
Loose handrails
Intrinsic factors are patient-specific conditions. Muscle weakness reduces stability and increases fall risk, unlike environmental hazards.
Which of the following is an extrinsic fall risk factor?
Vision impairment
Slippery floors
Cognitive decline
Medication side effects
Extrinsic factors are environmental hazards such as slippery surfaces. Intrinsic factors include vision impairment and medication effects.
Which assessment tool is comprised of six items including history of falling and gait?
Hendrich II Fall Risk Model
Braden Scale
Morse Fall Scale
Timed Up and Go
The Morse Fall Scale contains six weighted items such as history of falls and gait. Other tools measure different risks or use different parameters.
A patient scores 60 on the Morse Fall Scale. How should the nurse interpret this score?
High risk for falls
Low risk for falls
No risk for falls
Moderate risk for falls
On the Morse Fall Scale, scores above 45 indicate a high risk of falls. A score of 60 falls into the high-risk category.
Which immediate intervention helps reduce fall risk for a hospitalized patient?
Applying physical restraints
Dim lighting at night
Encouraging unsupervised ambulation
Ensuring the call light is within reach
Keeping the call light within reach allows patients to request assistance before moving. Restraints and poor lighting increase fall risk.
Which component of the Morse Fall Scale contributes the most points to a patient's fall risk score?
History of falls
IV therapy
Use of furniture as an aid
Impaired gait
In the Morse Fall Scale, using furniture as an ambulatory aid adds 30 points, the highest individual item weight. History of falls adds 25 points.
A patient's Morse Fall Scale score is 50. What is the appropriate classification?
Low risk
Minimal risk
No risk
High risk
A Morse score of 45 or higher indicates high fall risk. Therefore, a score of 50 places the patient in the high-risk category.
Which tool is specifically designed to evaluate a patient's balance and gait quickly in clinical settings?
Braden Scale
Functional Independence Measure
Timed Up and Go test
Norton Scale
The Timed Up and Go test measures mobility and balance by timing a standard chair - walk - return sequence. Other scales focus on pressure ulcer risk or broader functional assessment.
Which intrinsic intervention helps reduce fall risk related to musculoskeletal weakness?
Increasing nighttime lighting
Implementing a strength training exercise program
Applying floor mats
Installing grab bars in the bathroom
Strength training addresses muscle weakness, an intrinsic risk factor. While environmental changes help, they do not improve muscle strength directly.
A patient experiences dizziness upon standing, with a drop in blood pressure. This symptom is called:
Tachycardia
Hypoglycemia
Hyperthermia
Orthostatic hypotension
Orthostatic hypotension is defined as a significant drop in blood pressure when standing, leading to dizziness and increased fall risk.
Which environmental modification best reduces fall risk for patients with visual impairment?
Removing tactile signage
Increasing lighting along pathways
Painting contrasting stripes on walls
Using low-profile threshold mats
Improved lighting enhances visibility for visually impaired patients. Contrast stripes can help but are less effective than consistent bright illumination.
Which intervention is most effective for reducing the risk of bed-exit falls?
Using bed-exit alarms
Placing the call bell outside reach
Applying wrist restraints
Lowering the bed height only
Bed-exit alarms alert staff immediately when a patient leaves the bed. Restraints and counterproductive call bell placement raise safety concerns.
A nurse observes a patient starting to get up unassisted after lightheaded dizziness. What should the nurse do first?
Encourage the patient to continue walking
Apply a gait belt and observe
Offer fluid intake only
Assist the patient back to bed immediately
The priority is to safely return the patient to bed to prevent a fall. Other measures can follow once the patient is stabilized.
Which risk assessment model includes evaluation of confusion and use of benzodiazepines as risk factors?
Braden Scale
Hendrich II Fall Risk Model
Morse Fall Scale
Timed Up and Go
The Hendrich II model includes mental status changes and medication factors such as benzodiazepine use. Morse focuses on history and gait.
For a post-operative patient with a high fall risk, which footwear choice best reduces slipping?
No footwear when walking
Non-slip footwear with rubber soles
Standard hospital socks
Patient's own slippers
Non-slip footwear provides traction and stability, reducing fall risk better than socks or loose slippers.
A 78-year-old patient with Parkinson's disease has a Timed Up and Go test time of 14 seconds (cutoff >13.5s high risk) and a Morse score of 48. Which intervention should be prioritized?
Gait training with a physical therapist and use of a walker
Vitamin D supplementation only
Removing all mobility aids
Midnight bed rest without ambulation
Abnormal TUG and high Morse indicate mobility impairment. Gait training and assistive devices directly address balance and stability issues.
Which difference distinguishes the Hendrich II model from the Morse Fall Scale?
Scoring based on environmental hazards
Inclusion of medication assessment such as benzodiazepine use
Use of gait speed measurement
Requirement for laboratory data
Hendrich II includes medication classes like benzodiazepines and antiepileptics in its scoring, while Morse focuses on history and gait-related factors.
A patient with moderate cognitive impairment continues to exit bed at night despite bed alarms. Which is the most appropriate next step?
Apply soft restraints to prevent movement
Restrict patient to bed 24/7
Implement a one-to-one sitter during high-risk hours
Discontinue bed alarms and rely on call light
One-to-one observation reduces fall risk for cognitively impaired patients who may not respond to alarms. Restraints and strict bed restriction are not best practice.
A patient scores low risk on the Timed Up and Go test but high risk on the Morse Fall Scale. What does this discrepancy most likely indicate?
Mobility impairment is the sole determinant of falls
The TUG test is invalid for this patient
Environmental and history factors contribute more than mobility impairment
The Morse Scale overestimates risk for all patients
A low TUG indicates adequate mobility, but a high Morse score suggests non-mobility factors like history of falls or environmental hazards are driving the risk score.
A multidisciplinary team plans fall prevention for an older adult with vitamin D deficiency, muscle weakness, and poor lighting at home. Which combination of interventions is most comprehensive?
Calcium supplementation only
Vitamin D supplementation, progressive resistance exercise, and improved home lighting
Bed alarms, continuous sedation, and nighttime restraints
Installing high handrails only
A multifactorial approach targets intrinsic factors (deficiency and weakness) with supplementation and exercise plus extrinsic modification of home lighting for safety.
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Learning Outcomes

  1. Analyse common fall risk factors in healthcare settings.
  2. Identify appropriate assessment tools and techniques.
  3. Evaluate patient risk scores and interpret results.
  4. Apply best practices for fall prevention strategies.
  5. Demonstrate decision-making in selecting interventions.

Cheat Sheet

  1. Spot the Common Fall Risks - Falls don't pick favorites; they happen to anyone with balance issues, muscle weakness, or sneaky medication side-effects. Learning to recognize these culprits is like having a secret superpower for prevention. Stay one step ahead and turn those risk factors into prevention wins! Preventing Falls in Older Persons | AAFP
  2. Preventing Falls in Older Persons | AAFP
  3. Master the Morse Fall Scale - Think of the Morse Fall Scale as your favorite detective toolkit to gauge a patient's fall likelihood based on history, gait, and other clues. It covers six key factors so you won't miss a beat - or stumble. Crack the code to weigh risks and craft better care plans! Morse Fall Scale
  4. Morse Fall Scale
  5. Try the Timed Up-and-Go Test - This fun challenge measures how quickly someone pops out of a chair, strolls, and returns - taking 12 seconds or more might signal extra fall risk. It's like timing a mini race with safety in mind! Use it to boost mobility and keep everyone on their toes. Fall Risk Assessment: MedlinePlus Medical Test
  6. Fall Risk Assessment: MedlinePlus Medical Test
  7. Count on the 30-Second Chair Stand Test - How many stands can you conquer in half a minute? Fewer reps point to lower-body strength gaps and higher chances of a face-plant. Amp up those quads with fun exercises and watch your confidence - and muscles - grow! Fall Risk Assessment: MedlinePlus Medical Test
  8. Fall Risk Assessment: MedlinePlus Medical Test
  9. Balance Like a Boss with the 4-Stage Test - From standing like a flamingo to toe-to-heel challenges, these four poses check your balance game. If wobble wins, gear up with targeted training to stand tall and steady. Your future self will high-five you for skipping those trips! Fall Risk Assessment: MedlinePlus Medical Test
  10. Fall Risk Assessment: MedlinePlus Medical Test
  11. Embrace Multifactorial Assessments - Mixing gait analysis, vision checks, and brain power quizzes creates a 360° risk profile that's tough to beat. It's like building a custom shield against falls by covering every angle. Dive into all the details for knockout prevention plans! Assessment and prevention of falls in older people - concise guidance
  12. Assessment and prevention of falls in older people - concise guidance
  13. Mind the Medication Side-Effects - Sedation and dizziness are uninvited party crashers that spike fall risk in a snap. Schedule regular med reviews to spot and swap risky prescriptions. Keep everyone alert, stable, and ready for action! 15.6 Preventing Falls - Nurse Refresher
  14. 15.6 Preventing Falls - Nurse Refresher
  15. Get Moving with Proven Interventions - Balance-boosting classes and strength-building workouts aren't just for gyms - they're your secret weapon against falls. Regular exercises turn wobble into swagger and have been shown to slash fall rates. Let's get sweaty and stay steady! Falls Prevention in Community-Dwelling Older Adults: Interventions
  16. Falls Prevention in Community-Dwelling Older Adults: Interventions
  17. Transform Spaces for Safety - Clear those tripping hazards, amp up the lighting, and toss out clutter for a home that's as safe as it is stylish. These tweaks turn danger zones into dance floors of secure movement. Your surroundings can be your sidekick in fall prevention! Preventing Falls in Older Persons | AAFP
  18. Preventing Falls in Older Persons | AAFP
  19. Empower with Patient Education - Knowledge is the MVP of prevention - teach folks about risk factors, safe strategies, and how to stay on their feet. When patients become co-pilots in safety, everyone wins. Spread the word, rock the workshops, and watch confidence soar! Which fall prevention practices do you want to use?
  20. Which fall prevention practices do you want to use?
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