2015 APRIL FALLS QUIZ
QUESTIONS AND RESOURCES
We have grouped the questions in themes to facilitate
your learning or teaching - please note that they do
not appear here in the same order they are in the Quiz.
Find the 2015 April Falls Quiz for the full wording of
the questions here.
QUIZ QUESTIONS
RESOURCES
Preventability of falls
Q1
How strongly do you agree or disagree that a significant
proportion of falls in older people can be prevented?
Topic 1: Falls in older people the impacts; PDF
Q14
How strongly do you agree that your unit/ workplace
collects data on falls, analyses it, plans what actions to
take, evaluates the results and adjusts practices to
improve care?
Topic 5: After a fall: what should
happen?; PDF
Incidence of fall-related injuries: hip fracture
Q2
How many hospital admissions for fall-related hip fracture
in people aged 65 and older were there in 2013?
Calculate figure from Table 1 on
the Atlas falls domain page
Q3
Among older people, for every fall-related hip fracture
that occurs in hospital, there are about 30 fall-related hip
fractures that occur outside hospital. True/False
Use figures from Table 1 on the
Atlas falls domain page, and in
Serious Adverse Events report
2012–13 here.
Q8
Compared with those without dementia, older people
living with dementia have a higher rate of falls, fractures
and mortality after a fracture. True/False
Topic 6: Why hip fracture
prevention and care matters
Q13
What is the proportion of hip fracture patients who have
previously had an osteoporotic fracture?
Topic 6: Why hip fracture
prevention and care matters
What counts as a fall
Q4
For …three scenarios, use this operational definition of a
fall from interRAI assessment tools: ‘Any unintentional
change in position where the person ends up on the floor,
ground, or lower level; includes falls that occur while
being assisted by others’.
Topic 5: After a fall: what should
happen?; PDF
Q5
Please re-consider Scenario 2 ...some provider
organisations would see this scenario as a ‘near miss
fall’...
Topic 5: After a fall: what should
happen?; PDF
QUIZ QUESTIONS
RESOURCES
Risk assessment and care planning
Q6
In my unit / workplace, I would estimate that older
people aged 75+ are assessed for their risk of falling...
Q7
In my unit / workplace, I would estimate that the care
plans for older people aged 75+ at risk of falling contain
specific interventions and supports tailored to their risk...
Q11
How strongly do you agree or disagree with this
statement? Each risk factor identified in an older person's
fall risk assessment should be addressed by an
intervention or support appropriate for the individual.
Topic 3: Falls risk assessment
and care planning - what really
matters?; PDF
Q18
Which of these two statements best reflects what 'an
individualised care plan for an older person at risk of
falling' means to you?
Topic 3: Falls risk assessment
and care planning - what really
matters? ; PDF


Topic 2: Which older person is
at risk of falling? Ask, assess,
act; PDF and Topic 3: Falls risk
assessment and care planning what really matters?; PDF
Each older person at risk of falling needs the same set
of interventions to ensure nothing is missed.
Each older person at risk of falling needs different
interventions because every person is different.
Safe care and safe environment
Q9
Older people living with dementia may not remember the
advice they've been given. Which ...approaches do you
think could be effective in helping reduce their risk of
falling or harm if they fall?
Topic 4: Safe environment and
safe care: essential in
preventing falls; PDF
Q10
Mr Smith has become acutely confused... he is considered
to have a higher risk of falling, but is normally able to
mobilise safely with supervision. Which actions would
increase his safety and reduce his risk of falling?
Topic 4: Safe environment and
safe care: essential in
preventing falls; PDF
Q17
Use of bedrails increases the risk of harm associated with
falling from bed. True/False
Appropriate use of bedrails at
First, Do No Harm
Q19
Since having a fall threatens an older person's
independence, how strongly do you agree or disagree
with this statement? We should encourage older people
to take actions which make them safe in their own homes,
for example, taking the actions listed in the ACC home
safety checklist.
Topic 4: Safe environment and
safe care: essential in
preventing falls?
See also Appropriate use of
bedrails at First, Do No Harm
QUIZ QUESTIONS
RESOURCES
Risk factors and interventions
Q11 Prescribed vitamin D supplements for older people likely
to be deficient (frail, institutionalised or housebound)
improves neuromuscular and psychomotor performance;
this is thought to be why vitamin D supplementation may
reduce falls. True/False
Topic 7: Vitamin D and falls:
what you need to know; PDF
Q14 Match the following medication type (anticoagulants,
benzodiazepines, antihypertensives, antipsychotics) with
the MAIN side effects (increased risk of bleeding, risk of
dizziness, risk of drowsiness) that are associated with
increased risk of falling, or harm if a fall happens.
Topic 8: Medicines: balancing
benefits and falls risks; PDF
Q15 Mrs Jones is an independent 87 year old who has these
medicines prescribed: Digoxin 62.5microgram daily,
Simvastatin 20mg daily, Bendrofluazide 2.5mg daily,
Risperidone 500microgram nocte, Warfarin as per INR. Her
use of medicines should be reviewed because …
Topic 8: Medicines: balancing
benefits and falls risks; PDF
Exercise interventions
Q20 Overall, which do you think is the MOST important
element in an effective exercise programme for
preventing falls in older people?
Topic 9: Improving balance and
strength to prevent falls; PDF
Q21 Effective exercise programmes for older people improve
balance and strength. What other benefits are also
associated with effective exercise programmes?
Topic 9: Improving balance and
strength to prevent falls; PDF
Q22 How strongly do you agree or disagree with this
statement?
Cost benefit analysis
The monetary cost of providing exercise programmes for
older people is a great deal less than the cost of treating
the fall-related injuries they prevent.
Falling costs: the case for
investment; summary PDF
Download a comprehensive overview of the 10 Topics with brief
descriptions and links to related resources (including videos) here.
More about the background and development of the 10 Topics here,
including this project's aims of

raising awareness about the impact of falls in older people

providing learning activities to support falls prevention efforts

supporting the national falls programme and national patient safety
campaign.