CH 32 Functional Assessment OA Flashcards
The nurse is assessing an older adults functional ability. Which definition correctly describes ones functional ability? Functional ability:
a. Is the measure of the expected changes of aging that one is experiencing.
b. Refers to the individuals motivation to live independently.
c. Refers to the level of cognition present in an older person.
d. Refers to ones ability to perform activities necessary to live in modern society.
d. Refers to ones ability to perform activities necessary to live in modern society.
The nurse is preparing to perform a functional assessment of an older patient and knows that a good
approach would be to:
a. Observe the patients ability to perform the tasks.
b. Ask the patients wife how he does when performing tasks.
c. Review the medical record for information on the patients abilities.
d. Ask the patients physician for information on the patients abilities.
a. Observe the patients ability to perform the tasks.
- The nurse needs to assess a patients ability to perform activities of daily living (ADLs) and should choose which tool for this assessment?
a. Direct Assessment of Functional Abilities (DAFA)
b. Lawton Instrumental Activities of Daily Living (IADL) scale
c. Barthel Index
d. Older Americans Resources and Services Multidimensional Functional Assessment QuestionnaireIADL (OMFAQ-IADL)
c. Barthel Index
- The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which statement about the Lawton IADL instrument is true?
a. The nurse uses direct observation to implement this tool.
b. The Lawton IADL instrument is designed as a self-report measure of performance rather than ability.
c. This instrument is not useful in the acute hospital setting.
d. This tool is best used for those residing in an institutional setting.
b. The Lawton IADL instrument is designed as a self-report measure of performance rather than ability.
- The nurse is assessing an older adults advanced activities of daily living (AADLs), which would include:
a. Recreational activities.
b. Meal preparation.
c. Balancing the checkbook.
d. Self-grooming activities.
a. Recreational activities.
When using the various instruments to assess an older persons ADLs, the nurse needs to remember that a disadvantage of these instruments includes:
a. Reliability of the tools.
b. Self or proxy reporting of functional activities.
c. Lack of confidentiality during the assessment.
d. Insufficient details concerning the deficiencies identified.
b. Self or proxy reporting of functional activities.
A patient will be ready to be discharged from the hospital soon, and the patients family members are concerned about whether the patient is able to walk safely outside alone. The nurse will perform which test to assess this?
a. Get Up and Go Test
b. Performance ADLs
c. Physical Performance Test
d. Tinetti Gait and Balance Evaluation
a. Get Up and Go Test
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?
a. Local senior center
b. Patients Medicare check
c. Meals on Wheels meal delivery service
d. Patients neighbor, who visits with her daily
d. Patients neighbor, who visits with her daily
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:
a. Depression.
b. Weight gain.
c. Hypertension.
d. Social phobias.
a. Depression.
During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterdays events. Which test is appropriate for assessing the patients mental status?
a. Geriatric Depression Scale, short form
b. Rapid Disability Rating Scale-2
c. Mini-Cog
d. Get Up and Go Test
c. Mini-Cog
An older 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?
a. Lawton IADL instrument
b. Hospital Admission Risk Profile (HARP)
c. Mini-Cog
d. NEECHAM Confusion Scale
b. Hospital Admission Risk Profile (HARP)
During a functional assessment of an older persons home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?
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. Do you have a relative or friend who can help to install grab bars in your shower?
When beginning to assess a persons spirituality, which question by the nurse would be most appropriate?
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?
b. How does your spirituality relate to your health care decisions?
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?
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.
c. Alleviating pain should be a priority over other aspects of the assessment.
The nurse is assessing the abilities of an older adult. Which activities are considered IADLs?Select all that apply.
a. Feeding oneself
b. Preparing a meal
c. Balancing a checkbook
d. Walking
e. Toileting
f. Grocery shopping
b. Preparing a meal
c. Balancing a checkbook
f. Grocery shopping
