Deck 13: Assessment Tools in Gerontological Nursing

Question 1

Which of the following should the nurse include in the psychosocial assessment of an older patient?

A) Comorbid diseases
B) Joint pain
C) Genetics
D) Family relationships

Answer 1

Family relationships

Question 2

Which of the following does the nurse do when preparing to perform a skilled and detailed assessment of an older adult that is not usually required when assessing a younger individual?

A) Provide for adequate privacy.
B) Allow more time for assessing.
C) Gather all needed supplies.
D) Complete the evaluation in one sitting.

Answer 2

Allow more time for assessing.

Question 3

Which question or command is a part of the Geriatric Depression Scale (GDS)?

A) "Do you have the coordination, balance, and strength to participate in day-to-day life?"
B) "How often does your family provide support for you?"
C) "Do you prefer to stay at home rather than go out and do things?"
D) "Please repeat the three words I asked you to remember."

Answer 3

"Do you prefer to stay at home rather than go out and do things?"

Question 4

Which of the following is considered a functional activity needed for independent living (an instrumental activity of daily living, or IADL)?

A) Feeding
B) Dressing
C) Washing clothes
D) Getting out of bed

Question 5

Which type of assessment tool gives the most reliable results for an older adult?

A) Medical history
B) Self-report
C) Observational
D) Report-by-proxy

Question 6

The FANCAPES model represents Fluids, Aeration, Nutrition, Communication, Activity, Pain, Elimination, and Socialization. When would this tool be used to assess an older adult?

A) To determine functional performance
B) To determine mental status
C) To determine physical assistance
D) To determine caregiver burden

Question 7

Which tool is used to assess an older adult's functional capability?

A) ADL
B) MMSE
C) OBRA
D) FIM

Question 8

Why should a new nurse use a standardized assessment tool?

A) It allows for electronic data collection and analysis.
B) It increases the likelihood of collecting the most accurate data.
C) It is a substitute for possessing refined interviewing skills.
D) It provides an automated means of choosing nursing diagnoses.

Question 9

The nurse assesses an older male adult who has Alzheimer's disease and his caregiver. Which information from the caregiver warrants further investigation by the nurse to assess the caregiver for strain?

A) The patient wants to stay home.
B) The patient sleeps on two pillows.
C) The patient sits in the chair all day.
D) The patient does not like to be alone.

Question 10

Which functional assessment tool asks about the mechanical and psychological factors affecting an older adult's ability to maintain an adequate diet?

A) Katz Index
B) FANCAPES
C) Functional Independence Measure
D) Older Americans Resources and Services

Question 11

Which assessment tool is the most comprehensive exam of an older adult's functional status?

A) Katz Index
B) Fulmer SPICES
C) The Functional APGAR Evaluation Tool
D) The Older Americans Resources and Services (OARS) instrument

Question 12

The nurse assesses an older female adult in midmorning and, in a normal-toned voice, asks her, "Do you walk to the library to borrow books?" How should this nurse improve an assessment of an older adult?

A) Assess her earlier in the day.
B) Get this data from the family.
C) Use a soft voice for questions.
D) Ask her how she obtains books.

Question 13

Which one of the following categories is not found in the Fulmer SPICES assessment tool?

A) Pain
B) Confusion
C) Falling
D) Incontinence