Question 1

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

Accepted Answer

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. 
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. A

Question 2

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

Accepted Answer

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 
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 B

Question 3

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.)

Accepted Answer

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 
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 A, B, C

Question 4

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.)

Accepted Answer

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. 
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 5

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:

Accepted Answer

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 (MMS
E) . 
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 (MMS
E) .

Question 6

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

Accepted Answer

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

Question 7

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:

Accepted Answer

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

Question 8

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

Accepted Answer

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. 
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.

Question 9

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:

Accepted Answer

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. 
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 10

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

Accepted Answer

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. 
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.

Exam 7: Health Assessment

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

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

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

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

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

Health and Wellness in an Aging Society

Gerontological Nursing: Past Present and Future

Theories of Aging

Cross Cultural Caring and Aging

Cognition and Learning

Communicating with Older Adults

Laboratory Values and Diagnostics

Geropharmacology

The Use of Herbs and Supplements

Vision

Hearing

Skin Care

Nutrition

Hydration and Oral Care

Elimination

Sleep

Physical Activity and Exercise

Falls and Fall Risk Reduction

Safety and Security

Living Well with Chronic Illness

Cardiovascular and Cerebrovascular Health and Illness

Neurodegenerative Disorders

Endocrine and Immune Disorders

Respiratory Health and Illness

Common Musculoskeletal Concerns

Pain and Comfort

Mental Health

Care of Individuals with Neurocognitive Disorders

Economics and Health Care in Later Life

Common Legal and Ethical Issues

Long-Term Care

Intimacy and Sexuality

Relationships, Roles, and Transitions

Loss, Death, and Palliative Care

Self-Actualization, Spirituality, and Transcendence

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