Asked by Jordan Paige on May 07, 2024



An ambulatory patient is admitted to the extended-care facility with a diagnosis of Alzheimer's disease.In the Hendrich II Fall Risk Model,what is the most significant indicator of risk for falls?

A) Confusion/disorientation/impulsivity.
B) Dizziness/vertigo.
C) Symptomatic depression.
D) Altered elimination.


A state of being unclear, puzzled, or not able to understand or remember things properly, often a symptom of various medical or mental conditions.

Hendrich II Fall Risk Model

The Hendrich II Fall Risk Model is a tool used in healthcare settings to assess the risk of falling in hospitalized patients, guiding interventions to prevent falls.

Alzheimer's Disease

A progressive neurological disorder that affects memory, thinking, and behavior.

  • Ascertain the risk contributors to falls and employ tactics to avert falls and resultant injuries.
  • Enact appropriate measures for patients at jeopardy of harm due to ecological, physiological, or mental conditions.

Verified Answer

Allante Cotton

May 12, 2024

Final Answer :
Explanation :
According to the Hendrich II Fall Risk Model,the most significant indicator of risk for falls is confusion/disorientation/impulsivity.Dizziness/vertigo,symptomatic depression,and altered elimination are also risk factors;however,they are not the most significant indicators.