Health Promotion and MaintenanceQuestion 102 of 2368
At a clinic visit, an older adult answers "yes" to the question "Have you fallen in the past year?" What is the next step?
- Take no action because only two "yes" answers matter
- Apply fall precautions only after a fall in the clinic
- Refer the client for restraint evaluation
- Perform a further assessment of fall risk factors
Show answer
Correct answer: Perform a further assessment of fall risk factors
A yes to any of the three screening questions calls for further assessment of risk factors.
Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Safety: Preventing Falls. Licensed under CC BY 4.0.
Practice the topic "Health Promotion and Maintenance"Questions last reviewed: 18 October 2026