An older adult is confused and attempts to get out of bed wi… | MyMerci
Accident/Error/Injury PreventionBCC
Question
An older adult is confused and attempts to get out of bed without help. Which intervention best reduces fall risk?
1Keep the bed in the highest position for easier observation.
2Leave the room dark so the client can sleep.
3Place the call light across the room to encourage mobility.
4Keep the bed low, activate the bed alarm, and place needed items within reach.✓ Correct answer
Explanation
Fall prevention includes a low bed, alarm when indicated, clear pathways, non-skid footwear, adequate lighting, and items within reach. High beds, darkness, and unreachable call lights increase fall risk. Confusion requires proactive safety measures.
In-depth explanation
Clinical Judgment Fall prevention modifies the environment before the client falls.
Memory Tip Low bed, light, alarm, call light.
Clinical scenario
Clinical Practice Guide Fall precautions are individualized based on cognition, mobility, medications, toileting needs, and prior falls.
Caution Restraints are not routine fall-prevention tools.
Key concepts
Fall Risk — Likelihood of falling based on individual and environmental factors.
Bed Alarm — A device that alerts staff when a client attempts to get up.
Environmental Safety — Reducing hazards in the care setting.