American Nurses Credentialing Center (ANCC) Practice Exam 2026 – Comprehensive All-in-One Guide for Exam Success!

A history of previous falls is the most commonly associated factor with an increased risk of falls in community-dwelling older adults. This relationship can be understood through several important concepts in geriatric health.

Older adults who have experienced falls in the past may have underlying issues, such as balance problems, muscle weakness, or impaired vision, which can predispose them to future falls. Additionally, the experience of falling can lead to a fear of falling again, potentially resulting in decreased physical activity and further deterioration of strength and balance. This creates a cycle where past falls lead to increased vulnerability to future incidents.

While living alone, osteoporosis, and the use of assistive devices can influence fall risk, they are not as strongly correlated as a history of previous falls. For instance, living alone may increase the risk of adverse outcomes after a fall (such as not getting timely help), but it does not inherently cause falls. Osteoporosis can contribute to the severity of injuries when falls do occur, but it does not directly cause falls themselves. The use of assistive devices can actually reduce the risk of falls when used correctly, providing support and stability rather than increasing risk.

This highlights the critical importance of monitoring fall history in older adults as a key indicator for preventative