Falls Prevention
What assessment tool helps identify fall risk?
An approved fall-risk assessment tool per organizational policy.
What scale is commonly used to assess pressure injury risk?
The Braden Scale
Pain is considered what type of experience?
Whatever the patient says it is; a subjective experience.
How can nurses confirm understanding?
Teach-back.
When should discharge planning begin?
At admission or as early as possible.
What intervention should be individualized based on fall risk?
The patient fall-prevention plan.
What should be performed routinely for at-risk patients?
Skin assessment.
After interventions according to policy.
What should be documented about education?
Who participates in discharge planning?
The patient, the family, and the interdisciplinary team.
How often should fall risk be reassessed?
What intervention reduces pressure injury risk?
Regular repositioning and pressure redistribution.
What should be documented after pain treatment?
The patient response and effectiveness.
Why assess learning needs before teaching?
To individualize education.
What should be reconciled before discharge?
Medications.
What patient factors increase fall risk?
History of falls, medications, weakness, confusion, and mobility limitations.
What should nurses document regarding skin care?
Assessment findings and interventions.
What is a non-pharmacologic pain intervention?
Language, literacy, cognition, and readiness
Why is follow-up information important?
Supports continuity of care.
After a fall occurs, what should be completed?
Assessment, documentation, notification, and post-fall review.
Why is early identification important?
It prevents progression of tissue injury.
What is the goal of individualized pain Management?
Improve comfort, function, and safety.
What should discharge education include?
What is the primary goal of discharge planning?
A safe transition to the next level of care.