Deck 7: Health Assessment

Question 1

Factors that complicate assessment of older adults include: (Select all that apply.)

A) presence of multiple comorbid conditions.
B) atypical presentation of illness.
C) difficulty in differentiating symptoms of disease from normal age-related changes.
D) increase in iatrogenic illness.
E) lack of assessment instruments specific for the older adult population.

Answer 1

presence of multiple comorbid conditions.
atypical presentation of illness.
difficulty in differentiating symptoms of disease from normal age-related changes.
increase in iatrogenic illness.

Question 2

A resident of a long-term care facility is assessed by a nurse upon admission to the facility. The assessment includes a comprehensive health, social, and functional profile. The tool that the nurse utilizes is:

A) Outcomes and Assessment Information Set (OASIS).
B) Resident Assessment Instrument (RAI).
C) Older Americans Resources and Services (OARS).
D) Comprehensive Geriatric Assessment (CGS).
E) Mini Mental Status Examination (MMSE).

Answer 2

Resident Assessment Instrument (RAI).

Question 3

A nurse is assessing a patient's activities of daily living. The nurse will assess which of the following? (Select all that apply.)

A) Eating
B) Continence
C) Toileting
D) Self-medication administration
E) Bathing

Answer 3

Eating
Continence
Toileting
Bathing

Question 4

A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be "senile." The advanced practice nurse administers the clock-drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the patient:

A) probably has Alzheimer's disease.
B) needs further evaluation.
C) probably has delirium.
D) needs a functional status assessment.

Question 5

A nurse identifies a need to assess a patient's cognitive status. The nurse chooses to use the MMSE. The nurse knows that the patient must have which of the following abilities? (Select all that apply.)

A) Number fluency
B) Familiarity with analog clocks
C) Ability to hear and see
D) Ability to sit up for 10 minutes
E) Ability to speak English

Question 6

A limitation of the Katz Index of activities of daily living (ADLs) is that:

A) completion of the tool requires the joint efforts of the interdisciplinary team.
B) all ADLs are weighted equally.
C) it puts a heavier weight on the cognitive abilities necessary to perform ADLs.
D) it provides a range of performance for each task.

Question 7

A nurse completes a functional status assessment of an older person using the Lawton IADL instrument, a self-reported instrument. The nurse knows that limitations of self-reported measures include that: (Select all that apply.)

A) individuals tend to overestimate their functional ability.
B) self-reports often differ from that of proxy reports.
C) self-reports are not indicative of small changes in function.
D) self-reports do not provide a valid measurement of function.
E) older adults are not able to complete self-reported measurements.

Question 8

A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confusion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital. The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to:

A) conduct a more in-depth focused assessment of the urinary incontinence.
B) call the provider and obtain an order for an antibiotic for a suspected urinary tract infection.
C) send a urine specimen for culture and sensitivity.
D) develop a plan of care with the patient to control episodes of incontinence.

Question 9

When comparing the Older American's Resources and Services (OARS) with the Katz Index of ADLs, what is true?

A) The Katz Index and the OARS both measure only ADL performance
B) The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz Index measures only ADL performance
C) The OARS is used only for older adults in the long-term care setting; the Katz Index is used in all settings
D) The OARS is not valid for use in older adults who are cognitively impaired, whereas the Katz Index is

Question 10

The FANCAPES assessment tool focuses on the older adult's:

A) ability to meet personal needs to identify the amount of assistance needed.
B) ability to perform instrumental activities of daily living (IADLs).
C) cognitive abilities.
D) level of dementia present.