Question 1

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) "Do you consider yourself to be a spiritual person?" 
C) "What religious faith do you follow?" 
D) "Do you believe in the power of prayer?" 
A) "Do you believe in God?" 
B) "Do you consider yourself to be a spiritual person?" 
C) "What religious faith do you follow?" 
D) "Do you believe in the power of prayer?" B

Question 2

The nurse is assessing the abilities of an older adult.Which of the following activities are considered instrumental activities of daily living? Select all that apply.

Accepted Answer

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

Question 3

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

Accepted Answer

A) the reliability of the tools. 
B) self or proxy report of functional activities. 
C) lack of confidentiality during the assessment. 
D) insufficient detail about the deficiencies identified. 
A) the reliability of the tools. 
B) self or proxy report of functional activities. 
C) lack of confidentiality during the assessment. 
D) insufficient detail about the deficiencies identified. B

Question 4

Which definition correctly describes one's functional ability?

Accepted Answer

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

Question 5

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 go outside alone safely.The nurse will perform which test to assess this?

Accepted Answer

A) The Up and Go Test 
B) The Performance Activities of Daily Living 
C) The Physical Performance Test 
D) Tinetti Gait and Balance Evaluation 
A) The Up and Go Test 
B) The Performance Activities of Daily Living 
C) The Physical Performance Test 
D) Tinetti Gait and Balance Evaluation

Question 6

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

Accepted Answer

A) Direct Assessment of Functional Abilities (DAF
A)  
B) Lawton and Brody IADL 
C) Barthel Index 
D) Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OARS-IADL) 
A) Direct Assessment of Functional Abilities (DAF
A)  
B) Lawton and Brody IADL 
C) Barthel Index 
D) Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OARS-IADL)

Question 7

During a morning assessment,the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.The nurse administers the Mini Mental State Examination,which will screen for:

Accepted Answer

A) dementia. 
B) depression. 
C) delirium. 
D) psychosis. 
A) dementia. 
B) depression. 
C) delirium. 
D) psychosis.

Question 8

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

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.

Question 9

The nurse is assessing an older adult's advanced activities of daily living,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 10

During a functional assessment of an older person's home environment,which statement 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 11

Which statement about the Lawton IADL instrument is true?

Accepted Answer

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

Question 12

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

Question 13

During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.In addition,the woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which action by the nurse is appropriate?

Accepted Answer

A) Ask the son for details about the nature of the patient's injuries. 
B) Recognize that older people are often unsteady on their feet and that falls do occur. 
C) Notify the authorities of a potential abusive situation. 
D) Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed. 
A) Ask the son for details about the nature of the patient's injuries. 
B) Recognize that older people are often unsteady on their feet and that falls do occur. 
C) Notify the authorities of a potential abusive situation. 
D) Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.

Question 14

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 assess the caregiver for signs of possible caregiver burnout,such as:

Accepted Answer

A) depression. 
B) weight gain. 
C) hypertension. 
D) social phobias. 
A) depression. 
B) weight gain. 
C) hypertension. 
D) social phobias.

Exam 30: Functional Assessment of the Older Adult

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 of the following activities are considered instrumental activities of daily living? Select all that apply.

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

Which definition correctly describes one's functional ability?

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 go outside alone safely.The nurse will perform which test to assess this?

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

During a morning assessment,the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.The nurse administers the Mini Mental State Examination,which will screen for:

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

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

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

Which statement about the Lawton IADL instrument is true?

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?

During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.In addition,the woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which action by the nurse is appropriate?

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 assess the caregiver for signs of possible caregiver burnout,such as:

Critical Thinking in Health Assessment

Developmental Tasks and Health Promotion Across the Life Cycle

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Status Assessment

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Pain Assessment: the Fifth Vital Sign

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts 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: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

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