NGR6002 Advanced Health Assessment Advanced Health
Assessment for the Nurse Practitioner - Test 1 - Week 1 -
Functional Assessment of Elderly Questions With Complete
Solutions
Besides prescribed medications, why is it important to ask
patients which OTCs and herbal medications they use? Correct
Answers Most people don't know these are medications and can
interact with the prescribed meds they are taking!
How do we compensate for Health Beliefs? Correct Answers
*Educate the patient
**Patients sometimes think that dribbling is ok. It is not ok. It is
never ok to be incontinent!**
**Patients may ask why they aren't healing as quick. It could be
normal, could be abnormal. Know the difference!
How do we compensate for hearing deficits? Correct Answers
*Avoid shouting
*Use gestures
*Write out questions really big
*Speak slowly & in low tones
*Take hx in a quiet environment
*May help to put stethoscope on the patient and speak through
the diaphragm
How do we compensate for Time Frame? Correct Answers
*Allow enough time for people to answer questions
,*May need to complete hx over 2-3 visits and care for primary
concern this time
How do we compensate for visual deficits? Correct Answers
*Make sure room is well lit
*Sit facing the client
*Enunciate Well
*Use a black magic marker and write in 12-16 pt. on brightly-
colored sticky note for reminders
How is the Lawson and Brody Instrumental Activities of Daily
Living scored for men? Correct Answers 0 (Low Functioning)
5 (High Functioning)
*Men are only scored on a 5-pt scale because many men have
not had to do cooking/cleaning; housekeeping/laundry; shopping
How is the Lawson and Brody Instrumental Activities of Daily
Living scored for women? Correct Answers 0 (Low
Functioning)
8 (High Functioning)
How many questions are on the VAMC SLUMS Exam test and
how many points are there? Correct Answers *11 Questions
*30 Points
If an elderly person arrives with atypical presentations, what
should you do first? Correct Answers *Evaluate for treatable
conditions, then evaluate for atypical presentation(s) of disease
states.
, If someone comes in with multiple disease states, what may you
consider? Correct Answers Depression
T/F: When assessing an older adult and they are taking a laundry
list of medications, you should always think they are
dysfunctional? Correct Answers False.
*This is the very reason why a Functional Assessment is so
important.
There is a general overall assessment tool by Fulmer called
SPICES? What does it stand for/mean? Correct Answers S-
Sleep disorder
P- Problem with eating/feeding
I- Incontinence
C- Confusion
E- Evidence of falls
S- Skin breakdown
*If the practitioner notices evidence of any of these (simple y/n),
further workup is necessary
What are s/s of Cholecystitis? Correct Answers *Decreased
appetite
*Weight loss
*N/V/D
*H/A
What are s/s of Diabetes? Correct Answers *Urinary frequency
without pain
Assessment for the Nurse Practitioner - Test 1 - Week 1 -
Functional Assessment of Elderly Questions With Complete
Solutions
Besides prescribed medications, why is it important to ask
patients which OTCs and herbal medications they use? Correct
Answers Most people don't know these are medications and can
interact with the prescribed meds they are taking!
How do we compensate for Health Beliefs? Correct Answers
*Educate the patient
**Patients sometimes think that dribbling is ok. It is not ok. It is
never ok to be incontinent!**
**Patients may ask why they aren't healing as quick. It could be
normal, could be abnormal. Know the difference!
How do we compensate for hearing deficits? Correct Answers
*Avoid shouting
*Use gestures
*Write out questions really big
*Speak slowly & in low tones
*Take hx in a quiet environment
*May help to put stethoscope on the patient and speak through
the diaphragm
How do we compensate for Time Frame? Correct Answers
*Allow enough time for people to answer questions
,*May need to complete hx over 2-3 visits and care for primary
concern this time
How do we compensate for visual deficits? Correct Answers
*Make sure room is well lit
*Sit facing the client
*Enunciate Well
*Use a black magic marker and write in 12-16 pt. on brightly-
colored sticky note for reminders
How is the Lawson and Brody Instrumental Activities of Daily
Living scored for men? Correct Answers 0 (Low Functioning)
5 (High Functioning)
*Men are only scored on a 5-pt scale because many men have
not had to do cooking/cleaning; housekeeping/laundry; shopping
How is the Lawson and Brody Instrumental Activities of Daily
Living scored for women? Correct Answers 0 (Low
Functioning)
8 (High Functioning)
How many questions are on the VAMC SLUMS Exam test and
how many points are there? Correct Answers *11 Questions
*30 Points
If an elderly person arrives with atypical presentations, what
should you do first? Correct Answers *Evaluate for treatable
conditions, then evaluate for atypical presentation(s) of disease
states.
, If someone comes in with multiple disease states, what may you
consider? Correct Answers Depression
T/F: When assessing an older adult and they are taking a laundry
list of medications, you should always think they are
dysfunctional? Correct Answers False.
*This is the very reason why a Functional Assessment is so
important.
There is a general overall assessment tool by Fulmer called
SPICES? What does it stand for/mean? Correct Answers S-
Sleep disorder
P- Problem with eating/feeding
I- Incontinence
C- Confusion
E- Evidence of falls
S- Skin breakdown
*If the practitioner notices evidence of any of these (simple y/n),
further workup is necessary
What are s/s of Cholecystitis? Correct Answers *Decreased
appetite
*Weight loss
*N/V/D
*H/A
What are s/s of Diabetes? Correct Answers *Urinary frequency
without pain
