An appropriate tool to assess an individual's instrumental activities of daily living is a tool by:
A. Katz
B. Lawton
C. Tinetti
D. Norbeck
B. Lawton
Which statement is true regarding an individual's functional status?
A. functional status refers to one's ability to care for another person
B. an older adult's functional status is usually static over time
C. an older adult's functional status may vary f
C. an older adult's functional status may vary from independence to disability
An older person is experiencing an acute change in cognition. You recognize that this disorder is:
A. Alzheimer dementia
B. attention deficit disorder
C. depression
D. delirium
D. delirium
Assessment of the social domain includes:
A. family relationships
B. ability to cook meals
C. ability to balance the checkbook and pay bills
D. hazards found in the home
A. family relationships
You will use which technique when assessing an older individual who has cognitive impairment?
A. ask open-ended questions
B. complete the entire assessment in one session
C. ask the family members for information instead of the older individual
D. ask sim
D. ask simple questions that have "yes" or "no" answers
An older person needs to be assessed before going home as to whether he or she is able to go outside alone safely. Which test is best for this assessment?
A. up and go test
B. performance of activities of daily living test
C. older americans resources and
A. up and go test
An older adult has had surgery for a fractured hip and has a history of dementia. You should keep in mind that older adults with cognitive impairment:
A. experience less pain
B. can provide a self-report of pain
C. cannot be relied on to self-report pain
B. can provide a self-report of pain
An appropriate use of the caregiver strain index would be which situation?
A. a daughter who is taking her older father home to live with her
B. an older patient who lives alone
C. a wife who has care for her husband for the past 4 years at home
D. A son
C. a wife who has care for her husband for the past 4 years at home
Which is an example of a formal social support network for the aging adult?
A. a neighbor who drops by with newspapers and magazines on a regular basis
B. An area church that offers a weekly activity and luncheon for seniors in the neighborhood
C. a home
C. a home health care agency that provides weekly blood pressure screenings at the church luncheon
When completing a spiritual assessment, you should:
A. use "yes" and "no" questions as the foundation for future dialogue
B. use open-ended questions to help the patient understand potential coping mechanisms
C. try to complete this assessment as soon as
B. use open-ended questions to help the patient understand potential coping mechanisms
When you perform a functional assessment of an older patient, which is most appropriate?
A. observe the patient's ability to perform the tasks
B. ask the patient's wife or husband how he or she does when performing tasks
C. review the medical record for i
A. observe the patient's ability to perform the tasks
The Lawton IADL instrument is described by which of the following?
A. the nurse uses direct observation to implement this tool
B. it is designed as a self-report measure of performance rather than ability
C. it is not useful in the acute hospital setting
B. it is designed as a self-report measure of performance rather than ability
An older adult's advanced activities of daily living would include:
A. recreational activities
B. meal preparation
C. balancing the checkbook
D. self-grooming activities
A. recreational activities
When using the various instruments to assess an older person's activities of daily living (ADLs), remember that a disadvantage of these instruments includes:
A. the reliability of the tools
B. self or proxy report of functional activities
C. lack of confi
B. self or proxy report of functional activities
Altered cognition in older adults is commonly attributed to:
A. an infection or injury.
B. dementia, delirium, or depression.
C. the normal aging process.
D. medication side effects.
B. dementia, delirium, or depression.
RATIONALE:
Altered cognition in older adults is commonly attributed to three disorders: dementia, delirium, and depression.
An older adult with new-onset delirium usually has:
A. a short attention span.
B. trouble naming common objects.
C. outbursts of violent behavior.
D. vertigo.
A. a short attention span.
RATIONALE:
Delirium manifests as an acute change in cognition that affects the domain of attention.
A person with Alzheimer disease may have alterations in word finding and naming objects in addition to memory problems.
A patien
Which of the following would be included in an assessment of a patient's ability to perform instrumental activities of daily living?
A. Balance, gait, and motor coordination
B. Dressing, toileting, and using stairs
C. Eating, bathing, and grooming
D. Taki
D. Taking medications, shopping, and meal preparation
RATIONALE:
Instrumental activities of daily living are functional abilities necessary for independent community living and include shopping, meal preparation, housekeeping, laundry, managing finances,
It is dangerous for a cognitive change to be attributed to the normal aging process because:
A. cognitive change is not associated with aging.
B. nurses are not trained properly to make these types of judgments.
C. this may delay the diagnosis of an under
C. this may delay the diagnosis of an underlying disease process.
RATIONALE:
Cognitive impairment resulting from disease may be attributed by patients, families, and health care providers to normal changes with aging, which can delay diagnostic workup.
The Katz Index of Independence in ADL would measure the functional ability to:
A. clean the house and take out the garbage.
B. wash the face and hands and comb hair.
C. pay the electric and telephone bills.
D. do laundry and put away the clothes.
B. wash the face and hands and comb hair.
RATIONALE:
The Katz Index of Independence in ADL is a functional assessment of a person's ability to complete activities of daily living (e.g., eating/feeding, bathing, grooming, dressing, toileting, walking, usin
The Get Up and Go Test would be used to:
A. determine a patient's ability to get dressed without assistance.
B. assess functional activity of the patient along with safety determination.
C. assess swallowing status of the patient.
D. assess adults with de
B. assess functional activity of the patient along with safety determination.
RATIONALE:
The Get Up and Go Test is a reliable and valid test used to assess functional ability and safety aspects.
Determination of functional assessment would be able to dete
Prevention and treatment of ____________ may be one of the most effective interventions aimed at reducing functional decline in an older adult.
A. visual disturbances
B. muscle weakness
C. depression
D. bladder and bowel incontinence
C. depression
RATIONALE:
Prevention and treatment of depression may be one of the most effective interventions aimed at reducing functional decline in an older adult.
Signs of caregiver burnout include:
A. going to church every week.
B. weight gain.
C. headaches and epigastric pain.
D. using an adult daycare facility.
C. headaches and epigastric pain.
RATIONALE:
Signs of possible caregiver burnout include multiple somatic complaints, increased stress and anxiety, social isolation, depression, and weight loss.
Social isolation is a sign of caregiver burnout.
Weight loss
A patient requests to be discharged to home instead of a rehabilitation hospital after a hip fracture. Which of the following is true about the difference between home care and hospital care?
A. Home care is more expensive than hospitalization.
B. Patient
B. Patients have less risk for infection in the home setting.
RATIONALE:
Older adults may avoid the risk of infection exposure when at home.
Home care is less expensive than hospitalization.
Older adults have been shown to recover more quickly when at hom
Which of the following would be an indication that an older adult should stop driving a vehicle?
A. Taking insulin to control type 2 diabetes mellitus
B. Difficulty walking and getting in and out of the vehicle
C. A pacemaker placed 2 months ago for compl
D. Difficulty checking over the shoulder when backing up or changing lanes
RATIONALE:
The American Association of Retired Persons has developed warning signs for when to stop driving. One of the warning signs is difficulty turning around to check over the
When completing a health assessment of an older adult with mobility problems, the sequence should:
A. begin with the physical examination followed by the health history.
B. be from head to toe to prevent missing any important assessments.
C. be arranged t
C. be arranged to minimize the number of position changes for the patient and the examiner.
RATIONALE:
If an older adult patient has limited mobility, the examiner should arrange the sequence to minimize the number of position changes for the patient.
The