Problem: Mrs. Dorothy Johnson, a 78-year-old widow, was admitted to the medical-surgical unit after experiencing a fall at home. She has a history of hypertension, mild dementia, and osteoarthritis. Mrs. Johnson lives alone and uses a cane for mobility. Her daughter visits once a week. On admission, Mrs. Johnson appeared alert but slightly confused about the date and time. Her blood pressure was 150/88 mmHg, and she had a small bruise on her left hip but no fractures. She stated, "I got up in the night and slipped in the bathroom." She was wearing non-slip socks but said the floor was "too shiny." The nurse noted that the bathroom light was not on when Mrs. Johnson fell. A fall risk assessment score placed her at moderate risk. The plan of care includes: fall precautions, medication review, orientation to surroundings, and assistance with ambulation. Critical Thinking Questions Assessment and Prioritization What are the primary safety concerns for Mrs. Johnson? Which factors may have contributed to her fall? What should the nurse prioritize in her plan of care for the next 24 hours? Analysis and Interpretation Based on Mrs. Johnson's history and the scenario, what patterns or clinical cues suggest increased fall risk? How might her dementia influence her ability to remain safe? Inference and Evaluation What additional questions should the nurse ask to better understand the fall? What would you evaluate to determine if fall prevention strategies are effective? Action and Reflection. Need Assignment Help?