# An older adult is confused and attempts to get out of bed without help. Which intervention best reduces fall risk?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394163&lang=en  
> language: en  
> subject: Accident/Error/Injury Prevention  
> category: BCC

## Question

An older adult is confused and attempts to get out of bed without help. Which intervention best reduces fall risk?

## Option

1. Keep the bed in the highest position for easier observation.
2. Leave the room dark so the client can sleep.
3. Place the call light across the room to encourage mobility.
4. Keep the bed low, activate the bed alarm, and place needed items within reach. **✔ Correct answer**

**Correct answer: 4**

## 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.

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