The nurse is preparing to assess a client who has a history of falls.

The nurse is preparing to assess a client who has a history of falls. Which methods should the nurse use to assess this client’s risk for injury?

1. Cognitive awareness
2. Mobility
3. Nursing history
4. Physical examination
5. Health status

ANSWER

Correct Answer: 3, 4
Rationale 1: Cognitive awareness, mobility, and health status are factors affecting safety.
Rationale 2: Cognitive awareness, mobility, and health status are factors affecting safety.
Rationale 3: A nursing history and physical examination are methods to assess a client at risk for injury.
Rationale 4: A nursing history and physical examination are methods to assess a client at risk for injury.
Rationale 5: Cognitive awareness, mobility, and health status are factors affecting safety.