Nurs 222 Chapter 27 Part 2 Exam Questions
and Answers with Verified Solutions | Latest
Updated 2026
What is the Morse Fall Scale score <25
for low fall risk?
What is the Morse Fall Scale score 25-45
for moderate fall risk?
What is the Morse Fall Scale score >45
for high fall risk?
What score indicates high risk on >13
the
Johns Hopkins Fall Risk Tool?
What score indicates moderate 6-13
risk
on the Johns Hopkins Fall Risk
Tool?
What score indicates low risk on 0-5
the
Johns Hopkins Fall Risk Tool?
, What score indicates high risk on ≥5
the
Hendrich II Fall Risk Model?
What is the key principle regarding Restraints are a last resort.
restraints?
What are physical restraints? Mechanical devices like wrist restraints,
ankle
restraints, safety vests, and lap belts.
What are chemical restraints? Medications used to control behavior.
What should be done before using Reorient patient, provide sitter, encourage
restraints? family
presence, and use diversion.
What is the nursing responsibility Renew every 24 hours.
regarding non-violent restraints?
What is the nursing responsibility Renew every 4 hours.
regarding violent/self-destructive
restraints for adults?
What is the nursing responsibility Renew every 2 hours.
regarding violent/self-destructive
restraints for ages 9-17?
What is the nursing responsibility Renew every 1 hour.
regarding violent/self-destructive
restraints for children under 9?
and Answers with Verified Solutions | Latest
Updated 2026
What is the Morse Fall Scale score <25
for low fall risk?
What is the Morse Fall Scale score 25-45
for moderate fall risk?
What is the Morse Fall Scale score >45
for high fall risk?
What score indicates high risk on >13
the
Johns Hopkins Fall Risk Tool?
What score indicates moderate 6-13
risk
on the Johns Hopkins Fall Risk
Tool?
What score indicates low risk on 0-5
the
Johns Hopkins Fall Risk Tool?
, What score indicates high risk on ≥5
the
Hendrich II Fall Risk Model?
What is the key principle regarding Restraints are a last resort.
restraints?
What are physical restraints? Mechanical devices like wrist restraints,
ankle
restraints, safety vests, and lap belts.
What are chemical restraints? Medications used to control behavior.
What should be done before using Reorient patient, provide sitter, encourage
restraints? family
presence, and use diversion.
What is the nursing responsibility Renew every 24 hours.
regarding non-violent restraints?
What is the nursing responsibility Renew every 4 hours.
regarding violent/self-destructive
restraints for adults?
What is the nursing responsibility Renew every 2 hours.
regarding violent/self-destructive
restraints for ages 9-17?
What is the nursing responsibility Renew every 1 hour.
regarding violent/self-destructive
restraints for children under 9?
