Exam 31: Functional Assessment of the Older Adult

An older patient has been admitted to the intensive care unit (ICU) after falling at home.Within 8 hours, his condition has stabilized, and he is transferred to a medical unit.The family is wondering whether he will be able to go back home.The nurse will need to complete a comprehensive assessment of the patient's: (Select all that apply.)

When using the various instruments to assess an older person's ADLs, the nurse needs to remember that a disadvantage of these instruments includes:

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

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

A 68-year-old patient with dementia is requesting information about medical assistance in dying.The nurse informs the patient that to be eligible for medical assistance in dying, the individual must: (Select all that apply.)

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.The nurse will perform which test 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.The nurse should screen the wife using the:

The nurse is assessing the forms of support an older patient has before she is discharged.Which of these examples is an informal source of support?

During a health history interview with an 88-year-old female patient and daughter who is the caregiver, the nurse notes that the daughter appears stressed and her responses are abrupt.The nurse uses STOPHARM to:

The nurse needs to assess a patient's ability to perform activities of daily living (ADLs) and should choose which tool for this assessment?

The nurse is preparing to perform a functional assessment with an older patient and knows that a good approach would be to:

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 assessing an older adult's functional ability.The nurse will need to determine the patient's:

During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.Which test is appropriate for assessing the patient's mental status?

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 is working with the older adult population and recognizes that polypharmacy can increase the risk for the older adult for:

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?

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