NUR2092 Health Assessment Final
Exam
Activity of Daily Living - ANSTasks that are necessary for self-care, such as eating/feeding,
bathing, grooming, toileting, walking, and transferring.
Advanced Activities of Daily Living - ANSActivities that an older adult performs as a family
member or as a member of society or community, including occupational and recreational
activities.
Caregiver Assessment - ANSAssessment of the health and well-being of an individual's
caregiver.
Caregiver Burden - ANSThe perceived strain by the person who cares for an older,
chronically ill, or disabled person.
Domains of Cognition - ANSDomains included in mental status assessments, such as
attention, memory, orientation, language, visuospatial skills, and higher cognitive functions.
Environment - ANSAssessment of an indovodual's home environment and community
systems, including hazards at home.
Functional Ability - ANSThe ability of a person to perform activities necessary to live in
modern society; may include driving, using the telephone, or performing personal tasks such
as baking or toileting.
Functional Assessment - ANSA systematic assessment that includes assessment of an
individual's activities of daily living, instrumental activities of daily living, and mobility.
Functional Status - ANSA person's actual performance of activities and tasks associated
with current life roles.
Geriatric Assessment - ANSMultidimensional assessment; physical examination and
assessments of mental status, functional status, social and economical status, pain, and
physical environment safety.
Home Care - ANSSupportive services provided in the home: skilled nursing care, primary
care, therapy (physical, occupational, speech), social work, nutrition, case management,
ADL assistance, durable medical equipment.
Instrumental Activities of Daily Living - ANSFunctional abilities necessary for independent
community living, such as, shopping, meal preparation, housekeeping, laundry, managing
finances, taking medications, and using transportation.
,Katz Index of Independence in Activities of Daily Living - ANSAn instrument used to
measure physical function in older adults and the chronically ill.
Lawton Instrumental Activities of Daily Living - ANSAn instrument used to measure an
individual's ability to perform instrumental activities of daily living; may assist in assessing
one's ability to live independently.
Physical Performance Measures - ANSTests that measure balance, gait, motor coordination,
and endurance.
Social Domain - ANSThe domain that focuses on an individual's relationships within family,
social groups, and the community.
Social Networks - ANSInformal supports accessed by older adults, such as family members
and close friends, neighbors, church societies, neighborhood groups, and senior centers.
Spiritual Assessment - ANSAssessment of the individual's spiritual health.
An appropriate tool to assess an individual's instrumental activities of daily living is a tool by:
- ANSa. Katz
b. Lawton *CORRECT ANSWER*
c. Tinetti
d. Norbeck
Which statement is true regarding an individual's functional status? - ANSa. 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 from independence to disability. *CORRECT
ANSWER*
d. Dementia is an example of functional status.
An older person is experiencing an acute change in cognition. You recognize that this
disorder is? - ANSa. Alzheimer dementia
b. Attention deficit disorder
c. Depression
d. Delirium *CORRECT ANSWER*
Assessment of the social domain includes: - ANSa. Family relationships *CORRECT
ANSWER*
b. Ability to cook meals
c. Ability to balance the checkbook and pay bills
d. Hazards found in the home
You will use which technique when assessing an older individual who has cognitive
impairment? - ANSa. 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 simple questions that have yes or no answers. *CORRECT ANSWER*
, 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? - ANSa. Up and go test
*CORRECT ANSWER*
b. Performance of activities of daily living
c. Older americans resources and services multidimensional functional assessment
questionnaire
d. Lawton IADL Instrument
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: - ANSa. Experience less pain
b. can provide a self-report of pain *CORRECT ANSWER8
c. Cannot be relied on to self-report pain
d. Will not express pain sensations.
An appropriate use of the caregiver strain index would be which situation? - ANSa. 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 cared for her husband for the past 4 years at home *CORRECT
ANSWER*
d. A son whose parents live in an assisted living facility
Which is an example of a formal social support network for the aging adult? - ANSa. A
neighbor who drops by with newspapers and magazines on a regular basis
b. An area church that offers a weekly activity an luncheon for seniors in the neighborhood
c. A home health care agency that provides weekly blood pressure screenings at the church
luncheon *CORRECT ANSWER*
d. A senior citizen chess club whose members hold classes at the local boys club
When completing a spiritual assessment you should? - ANSa. Use yes and no questions as
the foundation for future dialogue
b. Use open-ended questions to help the patient understand potential coping mechanisms
*CORRECT ANSWER*
c. Try to complete this assessment as soon as possible after meeting the patient
d. Wait until a member of the clergy can be involved in the assessment
When you perform a functional assessment of an older patient, which is most appropriate? -
ANSa. Observe the patient's ability to perform the tasks *CORRECT ANSWER*
b. Ask the patient's wife or husband how he or she does when performing tasks
c. Review the medical record for information on the patient's abilities
d. Ask the pastient's physician for information on the patient's ability
The Lawton IADL instrument is described by which of the following? - ANSa. The nurse uses
direct observation to implement this tool
b. It is designed as a self-report measure of performance rather than ability *CORRECT
ANSWER*
c. It is not useful in the acute hospital setting
d. It is best used for those residing in an institutional setting
Exam
Activity of Daily Living - ANSTasks that are necessary for self-care, such as eating/feeding,
bathing, grooming, toileting, walking, and transferring.
Advanced Activities of Daily Living - ANSActivities that an older adult performs as a family
member or as a member of society or community, including occupational and recreational
activities.
Caregiver Assessment - ANSAssessment of the health and well-being of an individual's
caregiver.
Caregiver Burden - ANSThe perceived strain by the person who cares for an older,
chronically ill, or disabled person.
Domains of Cognition - ANSDomains included in mental status assessments, such as
attention, memory, orientation, language, visuospatial skills, and higher cognitive functions.
Environment - ANSAssessment of an indovodual's home environment and community
systems, including hazards at home.
Functional Ability - ANSThe ability of a person to perform activities necessary to live in
modern society; may include driving, using the telephone, or performing personal tasks such
as baking or toileting.
Functional Assessment - ANSA systematic assessment that includes assessment of an
individual's activities of daily living, instrumental activities of daily living, and mobility.
Functional Status - ANSA person's actual performance of activities and tasks associated
with current life roles.
Geriatric Assessment - ANSMultidimensional assessment; physical examination and
assessments of mental status, functional status, social and economical status, pain, and
physical environment safety.
Home Care - ANSSupportive services provided in the home: skilled nursing care, primary
care, therapy (physical, occupational, speech), social work, nutrition, case management,
ADL assistance, durable medical equipment.
Instrumental Activities of Daily Living - ANSFunctional abilities necessary for independent
community living, such as, shopping, meal preparation, housekeeping, laundry, managing
finances, taking medications, and using transportation.
,Katz Index of Independence in Activities of Daily Living - ANSAn instrument used to
measure physical function in older adults and the chronically ill.
Lawton Instrumental Activities of Daily Living - ANSAn instrument used to measure an
individual's ability to perform instrumental activities of daily living; may assist in assessing
one's ability to live independently.
Physical Performance Measures - ANSTests that measure balance, gait, motor coordination,
and endurance.
Social Domain - ANSThe domain that focuses on an individual's relationships within family,
social groups, and the community.
Social Networks - ANSInformal supports accessed by older adults, such as family members
and close friends, neighbors, church societies, neighborhood groups, and senior centers.
Spiritual Assessment - ANSAssessment of the individual's spiritual health.
An appropriate tool to assess an individual's instrumental activities of daily living is a tool by:
- ANSa. Katz
b. Lawton *CORRECT ANSWER*
c. Tinetti
d. Norbeck
Which statement is true regarding an individual's functional status? - ANSa. 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 from independence to disability. *CORRECT
ANSWER*
d. Dementia is an example of functional status.
An older person is experiencing an acute change in cognition. You recognize that this
disorder is? - ANSa. Alzheimer dementia
b. Attention deficit disorder
c. Depression
d. Delirium *CORRECT ANSWER*
Assessment of the social domain includes: - ANSa. Family relationships *CORRECT
ANSWER*
b. Ability to cook meals
c. Ability to balance the checkbook and pay bills
d. Hazards found in the home
You will use which technique when assessing an older individual who has cognitive
impairment? - ANSa. 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 simple questions that have yes or no answers. *CORRECT ANSWER*
, 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? - ANSa. Up and go test
*CORRECT ANSWER*
b. Performance of activities of daily living
c. Older americans resources and services multidimensional functional assessment
questionnaire
d. Lawton IADL Instrument
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: - ANSa. Experience less pain
b. can provide a self-report of pain *CORRECT ANSWER8
c. Cannot be relied on to self-report pain
d. Will not express pain sensations.
An appropriate use of the caregiver strain index would be which situation? - ANSa. 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 cared for her husband for the past 4 years at home *CORRECT
ANSWER*
d. A son whose parents live in an assisted living facility
Which is an example of a formal social support network for the aging adult? - ANSa. A
neighbor who drops by with newspapers and magazines on a regular basis
b. An area church that offers a weekly activity an luncheon for seniors in the neighborhood
c. A home health care agency that provides weekly blood pressure screenings at the church
luncheon *CORRECT ANSWER*
d. A senior citizen chess club whose members hold classes at the local boys club
When completing a spiritual assessment you should? - ANSa. Use yes and no questions as
the foundation for future dialogue
b. Use open-ended questions to help the patient understand potential coping mechanisms
*CORRECT ANSWER*
c. Try to complete this assessment as soon as possible after meeting the patient
d. Wait until a member of the clergy can be involved in the assessment
When you perform a functional assessment of an older patient, which is most appropriate? -
ANSa. Observe the patient's ability to perform the tasks *CORRECT ANSWER*
b. Ask the patient's wife or husband how he or she does when performing tasks
c. Review the medical record for information on the patient's abilities
d. Ask the pastient's physician for information on the patient's ability
The Lawton IADL instrument is described by which of the following? - ANSa. The nurse uses
direct observation to implement this tool
b. It is designed as a self-report measure of performance rather than ability *CORRECT
ANSWER*
c. It is not useful in the acute hospital setting
d. It is best used for those residing in an institutional setting
