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An older adult needs a balance baseline and uses a handrail for confidence. What is a suitable assessment approach?

  1. AHave a family member guard while the trainer scores from across the room
  2. BUse a guarded, safe protocol and record the handrail use
  3. CAllow the handrail but compare the score with unassisted norms
  4. DAllow the handrail for practice trials and remove it for the scored trial
Show answer and explanations

Answer

B

For an older adult, the assessment should be safe and guarded. If a handrail is used, it is recorded so later scores are compared under the same conditions and not against unassisted norms.

A

Guarding is the trainer's responsibility; a family member is not trained to prevent a fall during testing.

C

Handrail-assisted scores cannot be compared with norms collected without support.

D

Removing support for the scored trial exposes a hesitant older adult to fall risk and changes the conditions from practice.

B

For an older adult, the assessment should be safe and guarded. If a handrail is used, it is recorded so later scores are compared under the same conditions and not against unassisted norms.

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ID: ACSM-054