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

In life care communities, which condition is most likely to lead to a transfer from assisted living to long-term care?

1. Depression

2. Falls

3. Urinary incontinence

4. Dementia

The correct answer is: Falls

The most likely condition to lead to a transfer from assisted living to long-term care is falls. This is due to the increased risk and potential complications associated with falls in individuals living in assisted living environments. When a resident experiences frequent falls, it may indicate a decline in their physical capabilities or mobility, which can create safety concerns. Assisted living communities typically provide a degree of independence and support, but if a resident is unable to maintain their safety or if their health declines significantly, it may be necessary to transfer them to a long-term care facility. Long-term care facilities are equipped to provide more intensive support and supervision, addressing the needs of individuals who are at a heightened risk of falls and who may require assistance with daily activities, medical needs, and safety monitoring. While conditions like depression, urinary incontinence, and dementia can also contribute to a resident's care needs and may require additional support, they do not often necessitate an immediate transfer to a higher level of care in the way that repeated falls do. Advanced dementia may lead to increased care needs over time, but falls are a more immediate risk that can create a pressing need for more intensive oversight and care.