American Association of Critical-Care Nurses (AACN) Certification Practice Test

What would a total score of less than 19 on the Tinetti Assessment Tool indicate?

1. Low risk of falls

2. No risk of falls

3. High risk of falls

4. Moderate risk of falls

The correct answer is: High risk of falls

A total score of less than 19 on the Tinetti Assessment Tool is indicative of a high risk of falls. The Tinetti Assessment Tool is specifically designed to evaluate an individual's gait and balance to predict fall risk in older adults. It consists of two sections: a balance assessment and a walking assessment, with a maximum score of 28 points. Scores are generally interpreted as follows: higher scores suggest better balance and a lower risk of falling, while lower scores indicate deteriorating balance and functional mobility. A score under 19 suggests significant instability and a higher likelihood of falls, thereby reflecting considerable risk factors associated with falls in this population. This scoring threshold is well-established in clinical practice and research as a reliable measure for determining individuals who may need more comprehensive fall prevention strategies or interventions to enhance their safety and mobility.