Chapter 8 (exam 1)

Question 1

Cleveland Scale for Activities of Daily Living

Answer 1

home assessments that are essential to identify the risk for falls and address environmental factors that positively and negatively affect overall function

Question 2

How do cognitive abilities affect an older adult’s functioning?

Answer 2

dementia, delirium, and depression can cause physical limitations (ie: ability to dress is limited by difficulties with processing information)

Question 3

How does the use of adaptive/assistive devices affect an older adult’s functioning?

Answer 3

improve functioning and independence in daily activities (ie: cane should be used on the AFFECTED/WEAK side for extra support)

Question 4

The _____ Scale for Activities of Daily Living (CSADL) can be used for older adults who are cognitively impaired

Answer 4

Cleveland

Question 5

______ addresses direct care issues (environmental factors, education/training for staff, institutional policies)

Answer 5

function-focused care

Question 6

Define ADLs (activities of daily living) (3)

Answer 6

• needed for on daily basis
• bathing, dressing, mouth care, hair care, diet, mobility, ambulation, bed mobility, bladder and bowel elimination
• if the older adult needs assistance in one or more areas, they need 24 hour support

Question 7

Define IADLs (instrumental activities of daily living) (2)

Answer 7

• complex tasks
• shopping, laundry, transportation, housekeeping, meal preparation, money management, medication management, phone use

Question 8

IADLs are included in some ______ to assist in complex tasks

Answer 8

in-home supportive services (IHSS)

Question 9

examples of in-home supportive services (IHSS) (4)

Answer 9

meal preparation: meals on wheels
telephone: LifeAlert
transportation: Access
medication: Home Health

Question 10

Define “functional assessment”

Answer 10

promotes wellness by identifying areas where function can be improved

Question 11

Functional assessments determines the current ______ and should document both the ______

Answer 11

1) needs of care and support
2) baseline and current levels of functioning

Question 12

Some decline in functional assessment may occur ______ and is NOT ______ and accompanies ______

Answer 12

1) progressively
2) reversible
3) chronic and terminal illness (cancer, stroke)

Question 13

“Functional decline” is influenced by (2)

Answer 13

• physiological age changes (ie: cognition, sensory capacity like vision and hearing)
• acute and chronic illness

Question 14

One of the most common manifestations of illness or an adverse medication effects is a _______

Answer 14

change in behavior or mental condition

Question 15

What is the goal for a functional assessment?

Answer 15

maximization of functional abilities

Question 16

________ provide a structure for assessing the person’s ability to perform ADLs and IADLs

Answer 16

functional assessment tools

Question 17

What is the best assessment to determine an older patient’s function?

Answer 17

direct observation

Question 18

what is health in terms of older adults?

Answer 18

how well they function

Question 19

What is the Fulmer SPICES?

Answer 19

assessment tool for older adults in the ACUTE CARE setting to identify common syndromes that require nursing interventions

Question 20

Define SPICES

Answer 20

• Sleep disorders
• Problems with eating/feeding
• Incontinence
• Confusion
• Evidence of falls
• Skin breakdown

Question 21

Outcomes of bed rest include loss of muscle ____ and lean muscle mass

Answer 21

strength

Question 22

An older adult patient’s ____ must provide sufficient protein and caloric intake to prevent further functional decline

Answer 22

DIET