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    Wgu rn hesi health assessment proctored exam

    A nurse performs a Tinetti assessment on an older adult client and calculates a balance score of 12 and a gait score of 8. Which do these results indicate?

    Explanation & Rationale

    A. A score indicating an increased risk for falling does not necessarily indicate the need for a walker unless mobility is severely impaired. B. Parkinson's disease may cause gait and balance issues but cannot be definitively diagnosed from a Tinetti score alone. C. A Tinetti balance score of 12 and a gait score of 8 suggest that the client has significant balance and gait impairment, which places them at increased risk for falls. D. These scores are not expected results for an older adult, as they indicate a higher risk for falls.

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