Difficulty: Medium
Average Score: 95%
Simulated
A nurse is reviewing incident reports on a psychiatric unit and notes an increase in client falls. Which of the following should be the nurse's first action to address this issue?
Correct answer
B
Rationale
Implementing a fall risk assessment protocol is the first step to identify at-risk clients and prevent falls, addressing the root cause. Increasing staff, training on restraints, or adding lighting are secondary and less directly tied to fall prevention without initial assessment.