Question 1

The nurse is assessing an older adult's functional ability. Which definition correctly describes one's functional ability?

Accepted Answer

A)  It denotes an older person's cognitive level. 
B)  It is the measure of the expected changes of aging that one is experiencing. 
C)  It describes the individual's motivation to live independently. 
D)  It refers to one's ability to perform activities necessary to live in modern society. 
A)  It denotes an older person's cognitive level. 
B)  It is the measure of the expected changes of aging that one is experiencing. 
C)  It describes the individual's motivation to live independently. 
D)  It refers to one's ability to perform activities necessary to live in modern society. D

Question 2

When using the various instruments to assess an older person's ADLs, what should the nurse keep in mind as a disadvantage of these instruments?

Accepted Answer

A)  Reliability of the tools 
B)  Lack of confidentiality during the assessment 
C)  Self or proxy reporting of functional activities 
D)  Insufficient details concerning the deficiencies identified 
A)  Reliability of the tools 
B)  Lack of confidentiality during the assessment 
C)  Self or proxy reporting of functional activities 
D)  Insufficient details concerning the deficiencies identified C

Question 3

When beginning to assess a person's spirituality, which question by the nurse would be most appropriate?

Accepted Answer

A)  "Do you believe in God?" 
B)  "What religious faith do you follow?" 
C)  "Do you believe in the power of prayer?" 
D)  "How does your spirituality relate to your health care decisions?" 
A)  "Do you believe in God?" 
B)  "What religious faith do you follow?" 
C)  "Do you believe in the power of prayer?" 
D)  "How does your spirituality relate to your health care decisions?" D

Question 4

The nurse is assessing the abilities of an older adult. Which activities are considered IADLs? (Select all that apply.)

Accepted Answer

A)  Walking 
B)  Toileting 
C)  Feeding oneself 
D)  Preparing a meal 
E)  Grocery shopping
F) Balancing a checkbook 
A)  Walking 
B)  Toileting 
C)  Feeding oneself 
D)  Preparing a meal 
E)  Grocery shopping
F) Balancing a checkbook

Question 5

The nurse is assessing an older adult's advanced activities of daily living (AADLs), which would include

Accepted Answer

A)  Recreational activities 
B)  Meal preparation 
C)  Balancing the checkbook 
D)  Self-grooming activities 
A)  Recreational activities 
B)  Meal preparation 
C)  Balancing the checkbook 
D)  Self-grooming activities

Question 6

During a functional assessment of an older person's home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?

Accepted Answer

A)  "These low toilet seats are safe because they are nearer to the ground in case of falls." 
B)  "Do you have a relative or friend who can help to install grab bars in your shower?" 
C)  "These small rugs are ideal for preventing you from slipping on the hard floor." 
D)  "It would be safer to keep the lighting low in this room to avoid glare in your eyes." 
A)  "These low toilet seats are safe because they are nearer to the ground in case of falls." 
B)  "Do you have a relative or friend who can help to install grab bars in your shower?" 
C)  "These small rugs are ideal for preventing you from slipping on the hard floor." 
D)  "It would be safer to keep the lighting low in this room to avoid glare in your eyes."

Question 7

The nurse needs to determine an older adult's competence and maintenance of life skills in order to determine the most suitable living situation for them. What tool should the nurse use for this assessment?

Accepted Answer

A)  Katz Index of ADL 
B)  Lawton IADL scale 
C)  Montreal Cognitive Assessment (MoC
A)  
D)  Mini-Mental State Examination (MMS
E)  
A)  Katz Index of ADL 
B)  Lawton IADL scale 
C)  Montreal Cognitive Assessment (MoC
A)  
D)  Mini-Mental State Examination (MMS
E)

Question 8

During a routine well-person checkup, the daughter of an older patient mentions to the nurse notices she has noticed her mother is less attentive and sometimes unable to recall events from a previous day. The daughter said this does not happen all the time, but that she has noticed it twice in the last month. Which test would be best to assess this patient's mental status?

Accepted Answer

A)  Timed Up and Go Test (TUG) 
B)  Montreal Cognitive Assessment (MoC
A)  
C)  Mini-Mental State Examination (MMS
E)  
D)  Geriatric Depression Scale, short form 
A)  Timed Up and Go Test (TUG) 
B)  Montreal Cognitive Assessment (MoC
A)  
C)  Mini-Mental State Examination (MMS
E)  
D)  Geriatric Depression Scale, short form

Question 9

The nurse is preparing to assess an older adult and discovers that the older adult is in severe pain. Which statement about pain and the older adult is true?

Accepted Answer

A)  Pain is inevitable with aging. 
B)  Older adults with cognitive impairments feel less pain. 
C)  Alleviating pain should be a priority over other aspects of the assessment. 
D)  Completion of the assessment should take priority so that care decisions can be made. 
A)  Pain is inevitable with aging. 
B)  Older adults with cognitive impairments feel less pain. 
C)  Alleviating pain should be a priority over other aspects of the assessment. 
D)  Completion of the assessment should take priority so that care decisions can be made.

Question 10

A patient will be ready to be discharged from the hospital soon, and the patient's family members are concerned about whether the patient is able to walk safely outside alone. Which tool or test would be best to assess this?

Accepted Answer

A)  Lawton IADL scale 
B)  Timed Up and Go Test 
C)  Katz Index of ADL scale 
D)  Geriatric Depression Test 
A)  Lawton IADL scale 
B)  Timed Up and Go Test 
C)  Katz Index of ADL scale 
D)  Geriatric Depression Test

Question 11

An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife is at his bedside. She tells the nurse that she is his primary caregiver. What should the nurse assess the patient's wife for as a sign of possible caregiver burnout?

Accepted Answer

A)  Depression 
B)  Weight gain 
C)  Hypertension 
D)  Social phobias 
A)  Depression 
B)  Weight gain 
C)  Hypertension 
D)  Social phobias

Question 12

The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which statement about the Lawton IADL instrument is true?

Accepted Answer

A)  The nurse uses direct observation to implement this tool. 
B)  The Lawton IADL instrument is designed as a self-report measure of performance rather than ability. 
C)  This instrument is not useful in the acute hospital setting. 
D)  This tool is best used for those residing in an institutional setting. 
A)  The nurse uses direct observation to implement this tool. 
B)  The Lawton IADL instrument is designed as a self-report measure of performance rather than ability. 
C)  This instrument is not useful in the acute hospital setting. 
D)  This tool is best used for those residing in an institutional setting.

Question 13

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

Accepted Answer

A)  Observe the patient's ability to perform the tasks. 
B)  Ask the patient's wife how he does when performing tasks. 
C)  Review the medical record for information on the patient's abilities. 
D)  Ask the patient's physician for information on the patient's abilities. 
A)  Observe the patient's ability to perform the tasks. 
B)  Ask the patient's wife how he does when performing tasks. 
C)  Review the medical record for information on the patient's abilities. 
D)  Ask the patient's physician for information on the patient's abilities.

Exam 32: Functional Assessment of the Older Adult

The nurse is assessing an older adult's functional ability. Which definition correctly describes one's functional ability?

When using the various instruments to assess an older person's ADLs, what should the nurse keep in mind as a disadvantage of these instruments?

When beginning to assess a person's spirituality, which question by the nurse would be most appropriate?

The nurse is assessing the abilities of an older adult. Which activities are considered IADLs? (Select all that apply.)

The nurse is assessing an older adult's advanced activities of daily living (AADLs), which would include

During a functional assessment of an older person's home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?

The nurse needs to determine an older adult's competence and maintenance of life skills in order to determine the most suitable living situation for them. What tool should the nurse use for this assessment?

The nurse is preparing to assess an older adult and discovers that the older adult is in severe pain. Which statement about pain and the older adult is true?

A patient will be ready to be discharged from the hospital soon, and the patient's family members are concerned about whether the patient is able to walk safely outside alone. Which tool or test would be best to assess this?

An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife is at his bedside. She tells the nurse that she is his primary caregiver. What should the nurse assess the patient's wife for as a sign of possible caregiver burnout?

The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which statement about the Lawton IADL instrument is true?

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

Evidence-Based Assessment

Cultural Assessment

The Interview

The Complete Health History

Mental Status Assessment

Substance Use Assessment

Domestic and Family Violence Assessment

Assessment Techniques and Safety in the Clinical Setting

General Survey and Measurement

Vital Signs

Pain Assessment

Nutrition Assessment

Skin, Hair, and Nails

Head, Face, and Neck, and Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts, Axillae, and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus, Rectum, and Prostate

Female Genitourinary System

The Complete Health Assessment: Adult

The Complete Physical Assessment: Infant, Young Child, and Adolescent

Bedside Assessment and Electronic Documentation

The Pregnant Woman

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