Question 1

An elderly 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.Which assessment instrument is most appropriate for the nurse to choose at this time?

Accepted Answer

A)   The Lawton IADL instrument
B)   Hospital Admission Risk Profile (HARP) 
C)   The Mini-Cog
D)   The NEECHAM Confusion Scale B

Question 2

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

Accepted Answer

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

Question 3

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." B

Question 4

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)   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 5

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?

Accepted Answer

A)   Geriatric Depression Scale, Short Form
B)   The Physical Performance Test
C)   Mini-Cog
D)   The Get Up and Go Test

Question 6

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.

Question 7

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.

Question 8

The nurse is administering a test that is timed over 15 minutes and assesses a patient's upper body fine motor and coarse motor activities,balance,mobility,coordination,and endurance.During this test,activities such as dressing and stair climbing are timed.Which test is described by these activities?

Accepted Answer

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

Question 9

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

Question 10

When using the various instruments to assess an older person's activities of daily living (ADLs),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.

Question 11

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?

Accepted Answer

A)   The local senior center
B)   Her Medicare check
C)   Meals on Wheels meal delivery service
D)   Her neighbor, who visits with her daily

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 impairments 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

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

Accepted Answer

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

Question 14

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

Accepted Answer

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

Question 15

The nurse is assessing the abilities of an older adult.Which of these 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)   ToiletingF)  Grocery shopping

Question 16

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.

Exam 30: Functional Assessment of the Older Adult