CNA Certification (Written Exam)Infection Control and SafetyEasy
A nurse aide is asked to identify a resident who is at high risk for falls. Which of the following factors would indicate the highest risk?
- AThe resident enjoys daily walks in the hallway.
- BThe resident wears corrective eyeglasses.
- CThe resident has a history of multiple falls in the past month.
- DThe resident prefers to sleep with the room light on.
Show answer & explanationAnswer & explanation
Correct answer: C. The resident has a history of multiple falls in the past month.
A history of multiple falls is the single strongest predictor of future falls. It indicates underlying issues with balance, mobility, or environmental safety that have not been adequately addressed.
Why the other options are wrong
- A. Daily walks can improve strength and balance, generally reducing fall risk, assuming they are supervised if needed.
- B. Corrective eyeglasses can actually reduce fall risk by improving vision, unless they are improperly fitted or dirty.
- D. Sleeping with the light on is a personal preference and does not directly indicate a high fall risk, although poor lighting during nighttime ambulation can be a risk factor.
Fall Risk Factors
Characteristics or conditions that increase a resident's likelihood of experiencing a fall.
- History of falls is the strongest predictor.
- Impaired mobility, balance, and gait.
- Medication side effects (drowsiness, dizziness).
- Environmental hazards (clutter, poor lighting).
Memory trick: Past falls predict future tumbles, pay attention to those grumbles!