# A nurse is implementing the CDC STEADI fall-prevention initiative for community-dwelling older adults. Which interventions are evidence-based components of fall prevention? Select all that apply.

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=en  
> language: en  
> subject: Reduction of Risk Potential  
> category: ROR

## Question

A nurse is implementing the CDC STEADI fall-prevention initiative for community-dwelling older adults. Which interventions are evidence-based components of fall prevention? Select all that apply.

1

Recommend a community-based exercise program emphasizing balance and strength training (such as tai chi or otago).

2

Review and deprescribe high-risk medications (benzodiazepines, anticholinergics, sleep aids, antihypertensives causing orthostasis) when possible.

3

Discourage installing grab bars and enhanced lighting because these modifications can confuse the older adult and increase disorientation.

4

Assess vitamin D status and supplement if deficient, in addition to optimizing vision and footwear.

5

Use the Timed Up and Go (TUG) test as a quick functional screen; > 12 seconds suggests increased fall risk and warrants further evaluation.

## Explanation

STEADI fall-prevention bundle: TUG test (> 12 sec = increased risk), medication review and deprescribing of high-risk drugs, evidence-based balance/strength exercise (tai chi reduces falls 20-30%), vitamin D repletion if deficient, vision/footwear optimization, home safety assessment. Choice 3 is wrong — home modifications (grab bars, lighting, removing throw rugs, raised toilet seats) are a core STEADI intervention; they REDUCE falls, not increase confusion.

## In-depth explanation

STEADI is the CDC framework most likely to appear on NCLEX. Memorize: SCREEN (TUG, ask about falls), ASSESS (gait, meds, vision, postural BP, vitamin D, home), INTERVENE (deprescribe, exercise, supplement, modify home, refer PT). The "home modification confuses the elderly" trap is wrong on every level.

## Clinical scenario

**72-year-old at outpatient wellness visit**; no recent falls but unsteady gait noted. The clinic uses the **CDC STEADI** (Stopping Elderly Accidents, Deaths and Injuries) toolkit for fall prevention.

## Key concepts

- **STEADI** — CDC initiative for fall prevention in community-dwelling older adults — Screen, Assess, Intervene.
- **Timed Up and Go (TUG)** — Patient stands from a chair, walks 3 m, turns, returns and sits; > 12 seconds suggests fall risk.
- **High-risk fall medications** — Benzodiazepines, anticholinergics, sedating antihistamines, certain antipsychotics, polypharmacy, antihypertensives with orthostasis.

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