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PHYSICAL EXAMINATION AND HEALTH ASSESSMENT TESTBANK BY JARVIS:Chapter 32: Functional Assessment of the Older Adult

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ne’s functional ability? Functional ability: a. Is the measure of the expected changes of aging that one is experiencing. b. Refers to the individual’s motivation to live independent... ly. c. Refers to the level of cognition present in an older person. d. Refers to one’s ability to perform activities necessary to live in modern society. ANS: D Functional ability refers to one’s ability to perform activities necessary to live in modern society and can include driving, using the telephone, or performing personal tasks such as bathing and toileting. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 832 MSC: Client Needs: Health Promotion and Maintenance 2. The nurse is preparing to perform a functional assessment of an older patient and knows that a good approach would be to: 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. ANS: A Two approaches are used to perform a functional assessment: (1) asking individuals about their ability to perform the tasks (self-reports), or (2) actually observing their ability to perform the tasks. For persons with memory problems, the use of surrogate reporters (proxy reports), such as family members or caregivers, may be necessary, keeping in mind that they may either overestimate or underestimate the person’s actual abilities. DIF: Cognitive Level: Applying (Application) REF: p. 832 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. The nurse needs to assess a patient’s ability to perform activities of daily living (ADLs) and should choose which tool for this assessment? a. Direct Assessment of Functional Abilities (DAFA) b. Lawton Instrumental Activities of Daily Living (IADL) scale c. Barthel Index Older Americans Resources and Services Multidimensional Functional Assessment d. Questionnaire–IADL (OMFAQ-IADL) ANS: C The Barthel Index is used to assess ADLs. The other options are used to measure IADLs. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 832 MSC: Client Needs: Health Promotion and Maintenance 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. The Lawton IADL instrument is designed as a self-report measure of performance rather b. 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. ANS: B [Show More]

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