Chapter 32: Functional Assessment of the Older Adult
Jarvis: Physical Examination and Health Assessment, 8th Edition
MULTIPLE CHOICE
1. The nurse is assessing an older adult’s functional ability. Which definition correctly describes
one’s functional ability?
a.
It denotes an older person’s cognitive level.
b.
It is the measure of the expected changes of aging that one is experiencing.
c.
It describes the individual’s motivation to live independently.
d.
It refers to one’s ability to perform activities necessary to live in modern society.
2. The nurse is preparing to perform a functional assessment of an older patient. What is an
appropriate approach for the nurse to take?
a.
Observe the patient’s ability to perform the tasks.
b.
Ask the patient’s wife how he does when performing tasks.
c.
Review the medical record for information on the patient’s abilities.
d.
Ask the patient’s physician for information on the patient’s abilities.
3. The nurse needs to determine an older adult’s competence and maintenance of life skills in
order to determine the most suitable living situation for them. What tool should the nurse use
for this assessment?
a.
Katz Index of ADL
b.
Lawton IADL scale
c.
Montreal Cognitive Assessment (MoCA)
d.
Mini-Mental State Examination (MMSE)
4. The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which
statement about the Lawton IADL instrument is true?
a.
The nurse uses direct observation to implement this tool.
b.
The Lawton IADL instrument is designed as a self-report measure of performance
rather than ability.
c.
This instrument is not useful in the acute hospital setting.
d.
This tool is best used for those residing in an institutional setting.
5. The nurse is assessing an older adult’s advanced activities of daily living (AADLs), which
would include
a.
Recreational activities
b.
Meal preparation
c.
Balancing the checkbook
d.
Self-grooming activities
6. When using the various instruments to assess an older person’s ADLs, what should the nurse
keep in mind as a disadvantage of these instruments?
a.
Reliability of the tools
b.
Lack of confidentiality during the assessment
c.
Self or proxy reporting of functional activities
d.
Insufficient details concerning the deficiencies identified
7. 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. What should the nurse assess
the patient’s wife for as a sign of possible caregiver burnout?
a.
Depression
b.
Weight gain
c.
Hypertension
d.
Social phobias
8. 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?
a.
“These low toilet seats are safe because they are nearer to the ground in case of
falls.”
b.
“Do you have a relative or friend who can help to install grab bars in your
shower?”
c.
“These small rugs are ideal for preventing you from slipping on the hard floor.”
d.
“It would be safer to keep the lighting low in this room to avoid glare in your
eyes.”
9. When beginning to assess a person’s spirituality, which question by the nurse would be most
appropriate?
a.
“Do you believe in God?”
b.
“What religious faith do you follow?”
c.
“Do you believe in the power of prayer?”
d.
“How does your spirituality relate to your health care decisions?”
10. 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?
a.
Pain is inevitable with aging.
b.
Older adults with cognitive impairments feel less pain.
c.
Alleviating pain should be a priority over other aspects of the assessment.
d.
Completion of the assessment should take priority so that care decisions can be
made.
11. 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. Which
tool or test would be best to assess this?
a.
Lawton IADL scale
b.
Timed Up and Go Test
c.
Katz Index of ADL scale
d.
Geriatric Depression Test
12. During a routine well-person checkup, the daughter of an older patient mentions to the nurse
notices she has noticed her mother is less attentive and sometimes unable to recall events from
a previous day. The daughter said this does not happen all the time, but that she has noticed it
twice in the last month. Which test would be best to assess this patient’s mental status?
a.
Timed Up and Go Test (TUG)
b.
Montreal Cognitive Assessment (MoCA)
c.
Mini-Mental State Examination (MMSE)
d.
Geriatric Depression Scale, short form
MULTIPLE RESPONSE
1. The nurse is assessing the abilities of an older adult. Which activities are considered IADLs?
(Select all that apply.)
a.
Walking
b.
Toileting
c.
Feeding oneself
d.
Preparing a meal
e.
Grocery shopping
f.
Balancing a checkbook