Deck 6: Health Assessment in Gerontological Nursing

Question 1

When comparing the Older American's Resources and Services (OARS)with the Katz index of ADLs,what is true?

A) The Katz index and the OARS both measure only ADL performance.
B) The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz index measures only ADL performance.
C) The OARS is used only for older adults in the long-term care setting; the Katz index is used in all settings.
D) The OARS is not valid for use in older adults who are cognitively impaired,whereas the Katz index is.

Answer 1

The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz index measures only ADL performance.

Question 2

A 78-year-old man is being evaluated in the geriatric clinic.His daughter reports that he has been very forgetful lately,and she is concerned that he might be "senile." The advanced practice nurse administers the clock drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape.Based on his performance,the nurse concludes that the patient:

A) probably has Alzheimer's disease.
B) needs further evaluation.
C) probably has delirium.
D) needs a functional status assessment.

Answer 2

needs further evaluation.

Question 3

The FANCAPES assessment tool:

A) appraises the older adult's ability to meet his or her needs and the amount of assistance needed.
B) evaluates the older adult's ability to perform instrumental activities of daily living (IADLs).
C) assesses the older adult's cognitive abilities.
D) assesses the level of dementia present.

Answer 3

appraises the older adult's ability to meet his or her needs and the amount of assistance needed.

Question 4

A limitation of the Katz index of activities of daily living (ADLs)is that:

A) completion of the tool requires the joint efforts of the interdisciplinary team.
B) all ADLs are weighted equally,and the cutoff score is arbitrarily determined.
C) it puts a heavier weight on the cognitive abilities necessary to perform ADLs.
D) it is completed as a self-report by the patient.

Question 5

An 88-year-old woman with a new diagnosis of Alzheimer's disease is being cared for by her daughter,who is eager to honor her mother's wishes to be cared for at home and not be placed in a nursing home.The visiting nurse makes her initial home visit and administers the Family APGAR in order to assess the:

A) caregiver's perception of emotional and social support with a new diagnosis of Alzheimer's disease.
B) patient.
C) environmental changes needed to enhance function.
D) degree of physical assistance that the patient and caregiver need.

Question 6

You are a nurse on a medical unit in a large academic medical center and you care primarily for older adults.Your unit manager introduced the Fulmer SPICES assessment tool to the unit.This tool assesses all except:

A) sleep.
B) incontinence.
C) falls.
D) social support.

Question 7

What is true about instruments to assess for depression in older adults?

A) Older adults tend to score inaccurately low (indicating less depression)than younger adults on the Zung Self-Rating Depression Scale.
B) The Geriatric Depression Scale cannot be used in older adults with dementia or cognitive impairment.
C) The Beck Depression Inventory is designed for gerontological patients.
D) The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult.