Question 1

The home care nurse is trying to determine the necessary services for a 65-year-old patient who was admitted to the home care service after left knee replacement. Which tool is the best for the nurse to utilize?

Accepted Answer

The 24hFAQ assesses the postoperative patient in the home setting. The MDS is for nursing home patients. The FSS is for children. The Edmonton is for cancer patients.

Question 2

The nurse is assessing a patient's functional performance. What assessment parameters will be most important in this assessment?

Accepted Answer

Functional impairment, disability, or handicap refers to varying degrees of an individual's inability to perform the tasks required to complete normal life activities without assistance. Height, weight, BMI, and vital signs are part of a physical assessment. Sleep, energy, memory, and concentration are part of a depression screening. Healthy, volunteering, working, and caring for family and house are functional abilities, not performance.

Question 3

Match the activities listed with the appropriate functional level of ability:
-Dresses self

Accepted Answer

Dressing oneself is considered a Basic Activity of Daily Living (BADL), as it pertains to personal care and fundamental tasks necessary for independent living.

Question 4

The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?

Accepted Answer

The most critical aspects of care for an unconscious patient are safe environment, breathing, and temperature. Eating and drinking are contraindicated in unconscious patients. Toileting, transferring, dressing, and bathing activities are BADLs. Sleeping, expressing sexuality, and socializing with peers are a part of the Roper-Logan-Tierney Model of Nursing; however, these are not the most critical for developing the plan of care in an unconscious patient.

Question 5

The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient's functional ability. What question would be the most appropriate?

Accepted Answer

"Do you use a cane, walker, or wheelchair to ambulate?" will assist the nurse in determining the patient's ability to perform self-care activities. A nutritional health risk assessment is not the functional assessment. Knowing the date is part of a mental status exam. Assessing sadness is a question to ask in the depression screening.

Question 6

Match the activities listed with the appropriate functional level of ability:
-Takes medications as prescribed

Accepted Answer

Taking medications as prescribed is considered an Instrumental Activity of Daily Living (IADL), which involves managing one's health and medications, among other complex skills necessary for independent living.

Question 7

Match the activities listed with the appropriate functional level of ability:
-Uses a cane

Accepted Answer

Using a cane falls under basic activities of daily living (BADLs) because it is related to fundamental tasks such as walking or moving around, which are essential for personal care and mobility.

Question 8

A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient's history and physical. (Select all that apply.)

Accepted Answer

Adverse effects of medications can contribute to falls. Cataracts impair vision, which is a risk factor for falls. Poor muscle strength is a risk factor for falls. Incontinence of urine or stool increases risk for falls. Men have a higher risk for falls. Hypertension itself does not contribute to falls. Taking medications to treat hypertension that may lead to hypotension and dizziness is a fall risk. Dizziness does contribute to falls.

Question 9

Match the activities listed with the appropriate functional level of ability:
-Balances the checkbook

Accepted Answer

Balancing the checkbook is considered an Instrumental Activity of Daily Living (IADL), which encompasses more complex skills needed for independent living, such as managing finances, compared to Basic Activities of Daily Living (BADLs) that include fundamental self-care tasks.

Question 10

Match the activities listed with the appropriate functional level of ability:
-Cleans the house

Accepted Answer

Cleaning the house is considered an Instrumental Activity of Daily Living (IADL), which refers to more complex tasks required for independent living, beyond basic self-care tasks.

Question 11

The nurse is assessing a patient's functional ability. Which patient best demonstrates the definition of functional ability?

Accepted Answer

Functional ability refers to the individual's ability to perform the normal daily activities required to meet basic needs; fulfill usual roles in the family, workplace, and community; and maintain health and well-being. The other options are good; however, healthy individual, church volunteer, part time worker, and the patient who takes care of the family and house fully meets the criteria for functional ability.

Question 12

The nurse is assessing a patient's functional abilities and asks the patient, "How would you rate your ability to prepare a balanced meal?" "How would you rate your ability to balance a checkbook?" "How would you rate your ability to keep track of your appointments?" Which tool would be indicated for the best results of this patient's perception of their abilities?

Accepted Answer

The FAQ is an example of a self-report tool which provides information about the patient's perception of functional ability. The MMSE assesses cognitive impairment. The 24hFAQ is used to assess functional ability in postoperative patients. Performance-based tools involve actual observation of a standardized task, completion of which is judged by objective criteria.

Question 13

Match the activities listed with the appropriate functional level of ability:
-Bathes daily

Accepted Answer

Bathing daily is considered a basic activity of daily living (BADL), as it pertains to personal care and hygiene, which are fundamental self-care tasks.

Quiz 2: Functional Ability

The home care nurse is trying to determine the necessary services for a 65-year-old patient who was admitted to the home care service after left knee replacement. Which tool is the best for the nurse to utilize?

The nurse is assessing a patient's functional performance. What assessment parameters will be most important in this assessment?

Match the activities listed with the appropriate functional level of ability: -Dresses self

The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?

The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient's functional ability. What question would be the most appropriate?

Match the activities listed with the appropriate functional level of ability: -Takes medications as prescribed

Match the activities listed with the appropriate functional level of ability: -Uses a cane

A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient's history and physical. (Select all that apply.)

Match the activities listed with the appropriate functional level of ability: -Balances the checkbook

Match the activities listed with the appropriate functional level of ability: -Cleans the house

The nurse is assessing a patient's functional ability. Which patient best demonstrates the definition of functional ability?

Match the activities listed with the appropriate functional level of ability: -Bathes daily