Final - HA CH.31

When beginning to assess a person's spirituality, which question by the nurse would be most appropriate?

"How does your spirituality relate to your health care decisions?"

During a functional assessment of an older person's home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?

"Do you have a relative or friend who can help to install grab bars in your shower?"

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?

Alleviating pain should be a priority over other aspects of the assessment.

The nurse needs to assess a patient's ability to perform activities of daily living (ADLs) and should choose which tool for this assessment?

Barthel Index

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:

Depression.

A patient will be ready to be discharged from the hospital soon, and the patient's family members are concerned about whether the patient is able to walk safely outside alone. The nurse will perform which test to assess this?

Get Up and Go Test

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?

Hospital Admission Risk Profile (HARP)

The nurse is assessing the abilities of an older adult. Which activities are considered IADLs? Select all that apply.

Preparing a meal. Balancing a checkbook. Grocery shopping.

During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterday's events. Which test is appropriate for assessing the patient's mental status?

Mini-Cog

The nurse is preparing to perform a functional assessment of an older patient and knows that a good approach would be to:

Observe the patient's ability to perform the tasks.

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?

Patient's neighbor, who visits with her daily

The nurse is assessing an older adult's advanced activities of daily living (AADLs), which would include:

Recreational activities.

The nurse is assessing an older adult's functional ability. Which definition correctly describes one's functional ability? Functional ability:

Refers to one's ability to perform activities necessary to live in modern society.

When using the various instruments to assess an older person's ADLs, the nurse needs to remember that a disadvantage of these instruments includes:

Self or proxy reporting of functional activities.

The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which statement about the Lawton IADL instrument is true?

The Lawton IADL instrument is designed as a self-report measure of performance rather than ability.