GERO-BC Practice Questions - ANCC Gerontological Nursing Board Certification Exam

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A 72-year-old patient with moderate dementia is being evaluated for fall risk. His Morse Fall Scale score is 65. Which intervention is MOST appropriate at this score?

No additional fall precautions needed since this is below the high-risk threshold Implement standard fall precautions including call light within reach Implement high-risk fall precautions including bed alarm, non-slip footwear, frequent surveillance, and fall risk signage Apply physical restraints to prevent ambulation without assistance

Correct Answer:

Implement high-risk fall precautions including bed alarm, non-slip footwear, frequent surveillance, and fall risk signage

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