chapter 7 Flashcards
True or False: Assessments take more time than it does with younger adults because of their increased medical, functional, and social complexities, and of simply having lived longer
True
page 77
What marks the beginning of the nurse-patient relationship in the assessment process?
Health History
page 78
What may be the most difficult parts of the health history?
Functional status, because it deals with the degree of a person’s ability to manage independently
(page 78)
It is important that the social history includes what?
Information about those who are involved in health care-decision making
(page 78)
What is the final part of the health history?
Review Of the Systems or the person’s Report Of Symptoms
page 78
What is followed by ROS?
The physical assessment, depending on the stamina of the patient or other time constraints
(page 78)
when a comprehensive assessment is needed it is often done over the course of 2 appointments depending on the level of complexity of the current health problems & functional status
What are the 2 mnemonics to help remember the parts of the physical exam?
FANCAPES & SPICES
page 81
What does FANCAPES stand for?
Fluid Aeration Nutrition Communication Activity Pain Elimination Social skills (page 81-82)
What does SPICES stand for?
Sleep disorders Problems with eating Incontinence Confusion Evidence of falls Skin breakdown (page 82)
What is the disadvantaged of using the Katz Index & Lawton IADL Scale?
Cannot show change in any one area
page 83
What is the Barthel Index (BI)?
It’s a quick reliable instrument for the assessment of both mobility & the ability to perform ADLs
(page 83)
It is sensitive enough to identify when a person first needs help & to measure progress or decline
What is the Functional Independence Measure (FIM)?
Designed to assess a persons’ need for assistance with ADLs during inpatient stays & for discharge planning
(page 83)
What is Functional Assessment Staging Tool (FAST)?
Specific to the functional changes seen & anticipated in persons with a progressive dementia such as Alzheimer’s disease
(pahe 83)
What is the Mini-Mental State Examination?
MMSE-2 (revision of the original) is used to screen for & monitor a wide range of cognitive skills (orientation, short-term memory & attention, calculation ability, language, & construction)
(page 84)
Which groups of people is the Clock Drawing Test not appropriate for?
Those who are blind or have limiting conditions, such as tremors or a stroke that affects their dominant hand
(page 84)
