Answer: a. Providing clear signage and wayfinding cues. Explanation: Patients with cognitive impairments may experience difficulties navigating their environment. Providing clear signage and wayfinding cues, such as directional arrows or visual cues, can help them safely navigate and reduce the risk of falls.

Incorrect choices: b. Patients with cognitive impairments may require assistance and supervision during ambulation to prevent falls.

c. The use of physical restraints is not recommended for fall prevention as they can lead to adverse effects and compromise patient dignity and mobility.

d. Bed alarms or chair alarms are effective interventions for patients at risk for falls but are not specific to patients with cognitive impairments.

Answer: b. "I will secure the gait belt snugly around the patient's waist." Explanation: When using a gait belt, it should be secured snugly around the patient's waist to provide proper support and prevent slipping or movement during transfers, ensuring patient safety.

Incorrect choices: a. Placing the gait belt over the patient's clothing may result in slippage or reduced effectiveness. It should be placed directly on the patient's waist.

c. Attaching the gait belt to the bed rail compromises the effectiveness of the gait belt and does not provide proper support during transfers.

d. The gait belt is not intended for lifting patients. It is used to provide stability and support during transfers.

Answer: b. Proximity of the bedroom to the bathroom. Explanation: The proximity of the bedroom to the bathroom is an important factor in fall risk assessment as it impacts the ease and safety of accessing the bathroom, especially during nighttime when urgency and limited visibility may increase the risk of falls.

Incorrect choices: a. Availability of advanced medical equipment may not directly contribute to fall risk in the home environment.

c. Distance to the nearest hospital or healthcare facility is not directly related to the risk of falls within the home.

d. Accessibility of outdoor recreational areas may not directly influence fall risk within the home environment.

Answer: c. Locking the wheels of the mechanical lift before transferring the patient. Explanation: Locking the wheels of the mechanical lift ensures stability and prevents movement during patient transfers, reducing the risk of falls.

Incorrect choices: a. Using a sling that is too loose compromises the effectiveness and safety of the mechanical lift. The sling should be properly fitted and secured.

b. Patient transfers using a mechanical lift typically require the assistance of multiple healthcare providers to ensure safety and proper technique.

d. Assessing the patient's weight-bearing status is essential before initiating a transfer to determine the appropriate lift technique and ensure patient safety.

Answer: c. Educating patients about potential side effects of medications. Explanation: Patient education about potential side effects of medications promotes awareness and helps patients recognize and report any adverse effects that may contribute to falls.

Incorrect choices: a. Administering medications with a large glass of water may facilitate swallowing but does not specifically address fall prevention related to medication side effects.

b. Patients should follow healthcare provider instructions for medication administration to ensure accurate and safe dosing. Self-administration should be assessed based on the patient's capability.

d. Mixing multiple medications in a single dose may compromise medication effectiveness and increase the risk of medication errors, but it does not directly address fall prevention related to medication side effects.

Answer: b. Providing nonskid footwear. Explanation: Providing nonskid footwear helps improve traction and stability, reducing the risk of slips and falls in patients with impaired mobility.

Incorrect choices: a. While regular exercise can improve mobility and strength, it should be tailored to the patient's abilities and done with proper supervision. It may not be suitable for all patients with impaired mobility.

c. The use of physical restraints is generally discouraged due to the risk of complications and adverse effects on patient safety and well-being.

d. Encouraging independent ambulation in patients with impaired mobility may not be appropriate and can increase the risk of falls. Assistance should be provided based on the patient's abilities and safety needs.

Answer: c. Securing furniture and equipment to prevent tipping. Explanation: Securing furniture and equipment is important in preventing accidents, such as tip-overs, which can pose a significant risk to pediatric patients.

Incorrect choices: a. Leaving electrical cords and wires in the patient's reach increases the risk of electrical injuries and entanglement hazards.

b. Baby walkers are associated with an increased risk of falls and injuries in pediatric patients and are not recommended.

d. Keeping toys with small parts accessible to all patients increases the risk of choking hazards, especially for younger children who are prone to putting objects in their mouths.

Answer: c. Conducting regular fire drills and staff training. Explanation: Conducting regular fire drills and staff training is an essential part of a comprehensive fire safety plan, promoting preparedness and ensuring appropriate response during fire emergencies.

Incorrect choices: a. Fire exits should never be blocked, as it hinders quick evacuation during emergencies.

b. Fire extinguishers should be easily accessible and properly maintained to facilitate prompt use in case of a fire.

d. Encouraging the use of open flames for aesthetic purposes increases the risk of fire hazards and should be avoided in healthcare facilities.