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Chapter 31: Functional Assessment of the Older Adult

Chapter 31: Functional Assessment of the Older Adult


Jarvis: Physical Examination & Health Assessment, 7th Edition


MULTIPLE CHOICE


1. The nurse is assessing an older adult’s functional ability. Which definition
correctly describes one’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 independently.



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

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