Deck 6: Comprehensive Assessment of the Older Adult

Question 1

The most commonly reported illness among older adults is osteoarthritis, and it is more likely to occur in the weight-bearing joints such as the hips and knees.

Answer 1

True

Question 2

The perceived stigma of hearing loss and attendant shame may lead some older adults to deny this loss and reject hearing assessment and the use of hearing aids.

Answer 2

True

Question 3

The oral glucose tolerance test is of little value by itself because the older adult may have impaired glucose tolerance but not diabetes.

Answer 3

True

Question 4

Which of the following was originally developed to differentiate organic from functional disorders and to measure change in cognitive impairment, but it was no intended to be used as a diagnostic tool?

A) The Mini-Cog
B) The Up and Go Test
C) The Physical Performance Test
D) The Mini-Mental State Examination

Question 5

Which of the following is an area of assessment of older adults with dementia that has not been well attended to?

A) Cognitive ability
B) Physical ability
C) Social ability
D) Psychological ability

Question 6

Which of the following is the most common mental health problem among older adults, which often goes undetected because clinicians attribute it to age-associated changes, chronic physical illness, medication side effects, or pain?

A) Alzheimer's disease
B) Parkinson's disease
C) Clinical depression
D) Tourette's syndrome

Question 7

Which of the following assessment tools contains 10 items, 3 of which have been found to differentiate those older adults who are isolated and those who are not?

A) The Mini-Cog
B) The Up and Go Test
C) The Lubben Social Network Scale
D) The Mini-Mental State Examination

Question 8

Which of the following is an integral part of a comprehensive assessment and provides a basis for an individualized plan of care?

A) Cognitive assessment
B) Physical assessment
C) Psychological assessment
D) Spiritual assessment

Question 9

What screening tool consists of a three-item recall and a drawing test that can assist nurses with early assessment of cognitive problems?

A) The Mini-Cog
B) The Geriatric Depression Scale
C) The Lubben Social Network Scale
D) The Mini-Mental State Examination

Question 10

What medical condition is the leading cause of severe vision loss in older adults in the United States?

A) Glaucoma
B) Cataracts
C) Macular degeneration
D) Diabetic retinopathy

Question 11

Literature suggests that when family members act as proxies for health information, there can be underestimates and overestimates of functional ability, cognition, and social functioning.

Question 12

AADL assessment tools tend to be used more often by nurses and less often by occupational therapists and recreation workers to address specific areas of social tasks.

Question 13

Older women and their caregivers may mistakenly believe that because the childbearing years have passed or because of sexual inactivity, a gynecologic exam in no longer needed.

Question 14

The original ADL tool was developed by Katz and his colleagues during an 8-year period at the Benjamin Rose Hospital, a geriatric hospital in Cleveland, Ohio, using observation of patients with what medical condition and their performance of activities during recovery?

A) Alzheimer's disease
B) Parkinson's disease
C) Hip fractures
D) Multiple sclerosis

Question 15

In attempting to move away from a disease perspective and toward a health perspective, the WHO discontinued using what term and made definitional changes, creating a new International Classification of Functioning, Disability, and Health in 2001?

A) Handicap
B) Disability
C) Impairment
D) Affliction

Question 16

The ICIDH-2 uses what term to reflect limitations in activities based on an interaction between the individual's health and the physical, social, and attitudinal environment?

A) Handicap
B) Disability
C) Impairment
D) Affliction

Question 17

What assessment tool seems to combine elements of ADLs, IADLs, and AADLs?

A) Functional Independence Measure
B) Canadian Occupational Performance Measure
C) Physical Performance Test
D) Barthel Index

Question 18

What medical condition and associated symptoms of fatigue, forgetfulness, and cold sensitivity may be seen as normal "slowing down" with age and go undetected?

A) Hypoglycemia
B) Diabetes mellitus
C) Hyperthyroidism
D) Hypothyroidism

Question 19

What widely used ADL tool was designed to measure functional levels of self-care and mobility, and it rates the ability to feed and groom oneself, bathe, go to the toilet, walk, climb stairs, and control bowel and bladder?

A) Functional Independence Measure
B) Canadian Occupational Performance Measure
C) Physical Performance Test
D) Barthel Index

Question 20

Which of the following is the most common ADL scale used in rehabilitation of older adults and is performed at admission, discharge, and several times in between to assess progress in rehabilitation?

A) Functional Independence Measure
B) Canadian Occupational Performance Measure
C) Physical Performance Test
D) Barthel Index