midterm quiz - HEALTH ASSESSMENT

Question 1

Assessment tools do not always identify the source of information, and even experienced nurses sometimes rely too much on secondary sources such as family members and caregivers rather than focusing on the older adult as the primary source of information. (Luborsky, 1997). TRUE OR FALSE

Answer 1

TRUE

Question 2

In assessing and providing care to older adults, nurses are members of a health care team that does not includes physicians, therapists, social workers, spiritual care workers, pharmacists, nutritionists. Nurses should draw upon the knowledge of other team members to enhance the assessment process. TRUE OR FALSE

Answer 2

FALSE (Healthcare team includes physicians, therapists, etc.)

Question 3

The health and health care needs of older adults are simple, deriving from a combination of age-related changes, age-associated and other diseases, heredity and lifestyle. TRUE OR FALSE

Answer 3

FALSE (The health and health care needs of older adults are COMPLEX)

Question 4

Enhanced skills in comprehensive geriatric assessment can improve health outcomes, in- crease nursing assessment confidence, and provide a role model for health care teams. (Stolee et al.,2003) TRUE OR FALSE

Answer 4

TRUE

Question 5

Information that can be gathered using the senses of vision, hearing, touch, and smell.

Answer 5

Objective data

Question 6

Collected by means of direct observation, physical examination, and laboratory or diagnostic tests.

Answer 6

Objective data

Question 7

Information gathered from the older person’s point of view.

Answer 7

Subjective data

Question 8

Best described in the individual’s own words.

Answer 8

Subjective data

Question 9

PREPARING THE PHYSICAL SETTING (DLFPTA)

Answer 9

-Distractions should be minimal
-Lighting should be diffuse
-Furniture should be comfortable
-Privacy is very important
-The room should be comfortably warm and should be free from drafts
-Assist resident to the bathroom or mention that a bathroom is available nearby if needed

Question 10

In establishing rapport, Use of the individual’s first name only without the person’s consent is presumptuous and overly familiar. TRUE OR FALSE

Answer 10

TRUE

Question 11

In establishing rapport, It is most appropriate to begin the interview by greeting the older person and introducing yourself. Also,
the Appropriate use of names indicates respect and helps build rapport TRUE OR FALSE

Answer 11

TRUE

Question 12

In establishing rapport, The nurse should thoroughly explain the purpose of the interview so that the individual will know what to expect. TRUE OR FALSE

Answer 12

FALSE (The nurse should “briefly”)

Question 13

In establishing rapport, Nurses should focus on and speak directly to the older person being interviewed. TRUE OR FALSE

Answer 13

TRUE

Question 14

In structuring of the interview, The nurse should try to accomplish as much as possible during a single interview. TRUE OR FALSE

Answer 14

FALSE (The nurse should try NOT to accomplish too much during a single interview)

Question 15

In structuring of the interview, It is important to plan sufficient time for the interview TRUE OR FALSE

Answer 15

TRUE

Question 16

In structuring of the interview, A variety of communication techniques should be used to ensure that the patient accurately understands the information. TRUE OR FALSE

Answer 16

TRUE

Question 17

The nurse should try to end an interview too abruptly as older adults usually have little patience TRUE OR FALSE

Answer 17

FALSE (The nurse should try not to end an interview too abruptly.)

Question 18

In obtaining history, the Information gathered from the history will help the nurse form an overall impression and help the nurse focus on those areas most in need of further exploration and assessment. TRUE OR FALSE

Answer 18

TRUE