1. A sign on the door of a patient’s room noting fall risk, the words”fall risk” on the patient’s wr

1. A sign on the door of a patient’s room noting fall risk, the words”fall risk” on the patient’s wristband, and notes in the patient’s chart are all examples of:a) Present physical hazards for fallsb) Fall assessment strategies.c) Visual communication of risk for falls.d) Noncompliance with HIPAA regulations.2. What are the ABCs that should be considered in assessing fall risk?a) Age, body mass index, cognition, sensory overloadb) Age, bone, coagulation, surgeryc) ASHD, body movement, coagulation therapy, senilityd) ASHD, bone, cognition, sensory deficit 3. “Teaching back” has proven to be a successful teaching strategy with patients and families when educating them on fall prevention. Which of the following is an example of teaching back?a) The nurse asks the patient and family, “Just to make sure I did a good job in teaching you how to prevent a fall, while you are here, can you tell me the most important thing you can do to prevent a fall?”b) The nurse teaches the family about fall prevention, and then the family teaches the patient the content.c) The patient and family each complete the Fall Risk Assessment Tool, and differences in answers are incorporated into the teaching plan.d) A picture of a stairwell without handrails is given to the patient. The patient checks either “fall risk” or “not a fall risk.”4. Yes, this is an example of teaching back a key concept to prevent falls.a) Upon admission, after the start of coagulation therapy, 2 hours after NPO (nothing by mouth) is initiated, and at change of shiftb) Upon admission, upon discharge, before surgery, and before the start of coagulation therapyc) Upon admission, upon discharge, at change of shift, and when there has been a change in the patient’s conditiond) Upon admission, at change of shift, when there are not two family members to help the patient to the bathroom, and when the electronic medical record indicates the need for assessment. Health Science Science Nursing NURSING 410 Share QuestionEmailCopy link Comments (0)

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