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 resident characteristics indicates the highest risk?
- AA resident who enjoys daily walks around the facility.
- BA resident who can independently transfer from bed to chair.
- CA resident with a history of dizziness and impaired balance.
- DA resident who prefers to read in their room most of the day.
Show answer & explanationAnswer & explanation
Correct answer: C. A resident with a history of dizziness and impaired balance.
Dizziness and impaired balance directly increase a resident's risk of falling due to instability and reduced ability to maintain an upright position. This characteristic is a primary indicator for fall risk assessments.
Why the other options are wrong
- A. Regular activity can actually improve balance and strength, reducing fall risk.
- B. Independent transfers suggest good mobility and strength, which decreases fall risk.
- D. While sedentary, this characteristic does not inherently increase fall risk as much as impaired balance.
Fall Risk Factors
Factors that increase a resident's likelihood of experiencing a fall, which can lead to injury.
- Impaired balance or gait disturbances
- Dizziness or vertigo
- Medication side effects (e.g., sedation, orthostatic hypotension)
- Muscle weakness, vision impairment, cognitive impairment
Memory trick: Dizzy seniors often need a spotter, or they'll tumble.