Question 1

The nurse assesses an older male adult who has Alzheimer's disease and his caregiver.Which information from the caregiver warrants further investigation by the nurse to assess the caregiver for strain?

A)The patient wants to stay home.
B)The patient sleeps on two pillows.
C)The patient sits in the chair all day.
D)The patient does not like to be alone.

Accepted Answer

The patient does not like to be alone is a sign of caregiver strain.

Question 2

Which type of assessment tool gives the most reliable results for an older person?&#10;A)Medical history&#10;B)Self-report&#10;C)Observational&#10;D)Report-by-proxy

Accepted Answer

Observational assessments can provide the most reliable results for older adults as they may have cognitive or memory impairments that affect their ability to self-report accurately, and report-by-proxy assessments may not always capture the older person's experience accurately. Medical history is important but only provides part of the picture.

Question 3

Which one of the following categories is not found in the Fulmer SPICES assessment tool?&#10;A)Pain&#10;B)Confusion&#10;C)Falling&#10;D)Incontinence

Accepted Answer

Pain

Question 4

Which functional assessment tool asks about the mechanical and psychological factors affecting an older person's ability to maintain an adequate diet?&#10;A)Katz Index&#10;B)FANCAPES&#10;C)Functional Independence Measure&#10;D)Older Americans Resources and Services

Accepted Answer

FANCAPES (Food, Nutrition, and Appetite; Cognitive Function; Activities of Daily Living; Nutrition-related Patient Self-Care; Anthropometric Measures; Psychological Stress; Environmental Factors; and Social Support) is a functional assessment tool that specifically includes questions about the mechanical and psychological factors affecting an older person's ability to maintain an adequate diet. The other options listed do not include this specific focus.

Question 5

Which of the following is considered a functional activity needed for independent living (an instrumental activity of daily living, or IADL)?&#10;A)Feeding&#10;B)Dressing&#10;C)Washing clothes&#10;D)Getting out of bed

Accepted Answer

Washing clothes is considered an instrumental activity of daily living (IADL) as it involves a more complex and cognitively demanding task that is necessary for independent living, in contrast to basic activities of daily living (ADLs) such as feeding, dressing, and getting out of bed.

Question 6

Which of the following does the nurse do when preparing to perform a skilled and detailed assessment of an older person that is not usually required when assessing a younger individual?&#10;A)Provide for adequate privacy.&#10;B)Allow more time for assessing.&#10;C)Gather all needed supplies.&#10;D)Complete the evaluation in one sitting.

Accepted Answer

Older individuals may have multiple comorbidities and complex health issues, so the nurse should allow more time for a comprehensive assessment.

Question 7

The FANCAPES model represents Fluids, Aeration, Nutrition, Communication, Activity, Pain, Elimination, and Socialization.When would this tool be used to assess an older person?&#10;A)To determine functional performance&#10;B)To determine mental status&#10;C)To determine physical assistance&#10;D)To determine caregiver burden

Accepted Answer

The FANCAPES model would be used to assess an older person to determine their functional performance in regards to fluids, aeration, nutrition, communication, activity, pain, elimination, and socialization. It helps to evaluate their overall wellness and can identify areas where assistance or intervention may be necessary to maintain or improve their health and quality of life.

Question 8

The nurse assesses an older female adult in midmorning and, in a normal-toned voice, asks her, "Do you walk to the library to borrow books?" How should this nurse improve an assessment of an older person?

A)Assess her earlier in the day.
B)Get this data from the family.
C)Use a soft voice for questions.
D)Ask her how she obtains books.

Accepted Answer

Instead of assuming that the older adult walks to the library, it would be better to ask her how she obtains books to gain a more accurate understanding of her mobility and habits. This can facilitate a better assessment and care plan.

Question 9

Which assessment tool is the most comprehensive exam of an older person's functional status?&#10;A)Katz Index&#10;B)Fulmer SPICES&#10;C)The Functional APGAR Evaluation Tool&#10;D)The Older Americans Resources and Services (OARS) instrument

Accepted Answer

The Older Americans Resources and Services (OARS) instrument is a comprehensive tool that assesses an older adult's functional status in various domains, including physical functioning, mental health, social activity, and other areas relevant to aging. It is appropriate for use in both community and clinical settings and has been widely used in research and practice. The other options are also functional assessment tools but are not as comprehensive as the OARS instrument.

Question 10

Which question or command is a part of the Geriatric Depression Scale (GDS)?&#10;A)&#34;Do you have the coordination, balance, and strength to participate in day-to-day life?&#34;&#10;B)&#34;How often does your family provide support for you?&#34;&#10;C)&#34;Do you prefer to stay at home rather than go out and do things?&#34;&#10;D)&#34;Please repeat the three words I asked you to remember.&#34;

Accepted Answer

The Geriatric Depression Scale (GDS) includes questions aimed at identifying depressive symptoms in older adults, such as preferring to stay at home rather than going out, which can indicate a lack of interest in previously enjoyed activities.

Question 11

Which of the following should the nurse include in the psychosocial assessment of an older patient?&#10;A)Comorbid diseases&#10;B)Joint pain&#10;C)Genetics&#10;D)Family relationships

Accepted Answer

The answer of Which of the following should the nurse...

Question 12

Why should a new nurse use a standardized assessment tool?&#10;A)It allows for electronic data collection and analysis.&#10;B)It increases the likelihood of collecting the most accurate data.&#10;C)It is a substitute for possessing refined interviewing skills.&#10;D)It provides an automated means of choosing nursing diagnoses.

Accepted Answer

The answer of Why should a new nurse use a...

Question 13

Which tool is used to assess an older person's functional capability?&#10;A)ADL&#10;B)MMSE&#10;C)OBRA&#10;D)FIM

Accepted Answer

The answer of Which tool is used to assess an...

Deck 13: Assessment Tools in Gerontological Nursing