When a nurse reviews a newly admitted patient's history, which finding(s) will alert the nurse that the patient is at risk for falls? Select all that apply

A. Visual impairment significantly increases fall risk by preventing the patient from identifying environmental hazards, such as spills or furniture. Reduced depth perception and peripheral vision make it difficult to navigate uneven surfaces or changes in flooring levels. Maintaining adequate lighting and ensuring the use of corrective lenses are critical nursing interventions for this population. C. Older age is a major risk factor due to physiological changes such as decreased muscle mass, slower reaction times, and orthostatic hypotension. These factors, combined with a higher prevalence of chronic conditions, make elderly individuals more susceptible to loss of balance. Age-related changes in the vestibular system also compromise the body's ability to maintain an upright posture. D. Cognitive impairment, including dementia or acute delirium, prevents patients from recognizing their physical limitations or the need for assistance. They may attempt to ambulate without help despite being unstable or forget to use assistive devices like walkers. Impaired judgment and impulsivity in cognitively impaired patients make them one of the highest-risk groups for inpatient falls. E. Impaired mobility, resulting from musculoskeletal disorders, neurological deficits, or deconditioning, directly impacts a patient's center of gravity and gait stability. Difficulty with weight-bearing or poor coordination increases the likelihood of a trip or stumble during ambulation. Assessing the need for assistive devices and physical therapy is essential for managing this specific risk factor.