HEALTHASSESSMENTFI
NAL
EXAM STUDYGUI
DE2021
Ge
ria
tri
cs:
fun
cti
ona
las
ses
sme
nt-
wha
tisb
ein
gte
ste
d,b
esta
ppr
oac
htot
est
ing
;ca
reg
ive
rcon
cer
ns;
I
ADL
s,ADL
s;d
isa
bil
i
tyc
onc
ern
s;t
ool
stoa
sse
ss
Wh
ati
sbe
ingt
est
ed -
Id
ent
if
ystr
engt
hs
-
Id
ent
if
yli
mit
ati
ons–soin
ter
vent
ionsc a
nberec
ogni
zed
Be
sta
ppr
oac
hto -
In
dep
endenceandp
rev
enti
onoff
u n
c t
ional
dec
li
ne
te
sti
ng -
Dec
rea
sei
nat
ten
tion
,me
mor
y,or
ien
tat
ion
,la
ngu
age
,
Care
giv
erc
onc
ern
s
pla
nninga ndma ki
ngd eci
sions
-
De pr
essioni snotan ormal c
han g
e
-
Pe r
sist
en td e
pression–isc oncerni
ngifi
tint
erf
ereswit
h
ADL’s
I
ADL
s -
E at
ing
I
n s
trumen talact
ivi
tiesofda i
l
ylivi
ng
-
me asur
e sf unct
ionalabil
it
iesnecessar
yforinde
pendent
commu nitylivi
ng
-
incl
udess hoppi
n g,mealpreparat
ion,h
ou s
e-k
eeping,
l
aundry,ma n agi
ngfinances,tak
ingme di
cati
ons,an
du si
ng
ADL
s tr
ansportati
on
Acti
vi
tiesofd ail
ylivin
g
-
tasksne cessaryfors e
lf-
care
-
me asur
ed oma i
nsofe ati
ng /
feedi
n g
,bathi
ng,gr
ooming,
Di
sab
il
it
ycon
cer
ns dress
ing,toilet
ing,walki
ng,usingstai
rs,a
ndtrans
ferr
ing
-
Kat
zAc
ti
vi
ti
esofDa
il
yLi
vi
ng
Tool
stoa
sse
ss
-
TheLawto nInst
rume ntalAct
ivi
ti
esofDa i
l
yL i
vin
gScale
-
Hospit
alAd missi
onRi skProfi
le
-
Geri
atr
icDe pr
essionSc ale(s
hortform)
-
Ins
pectforlesi
on san dmoles–i r
regu l
arshapes,
changei
n
si
zeorcolor
-
Checkforp r
essureulcersespecia
llys a
crum,heel
s&
t
rochant
ers
-
Clubbi
ng–c a
rdi
a corp ulmonar
yd i
s order
-
Pit
ti
ng/tr
an sv
erseg r
ov es–p er
ipheralvascu
lardi
sease
,
ar
ter
iali
nsuffi
cie
n cy,ordiabe
tes
-
Bri
tt
leness–d ecreasedv asc
ularsup pl
y
-
Yell
oworb rownn ail
s–f ungali
nfection
-
Lookforli
mi t
edra n
geofmot i
on–a rt
hri
ti
sormu scl
e
weaknes
sc ausingpaina nddisc
omf ort
,-
Wh i
l
ea ss
essi
ngrangeofmotion–wa t
chforreport
sof
p
ain,di
zzi
ness,j
er
kyorabnormalmoveme n
ts:mayindic
ate
f
ract
uredver
tebr
ae,Par
kin
son’sdis
ease,t
ransi
entisc
hemic
a
ttack
,orstr
oke
-
Lookforf
acial
symme t
ry(as
ymme tr
yma yind
icatea
s
troke
)
-
Bowelsounds;
Lookforher
nias,p
ulsa
til
ema sse
s
Pa
ge1of4
4
, -
Eva
lua
temuscl
esf
oratr
ophy,
tre
mors,an
din
volu
ntar
ymoveme
nts
-
Not
ewa r
mth
,swel
l
ing
,tend
erness,
cre
pit
usanddef
ormi
ti
es
Cu
ltu
ral
ass
ess
men
t:c
ult
ura
ll
ycomp
ete
ntc
are
;de
fin
iti
onofe
thn
ici
ty
;sp
iri
tua
li
ty
;con
cep
ts
s
ucha
sas
simi
l
ati
on,
acc
ult
ura
tion
,et
c.
Cul
tur
all
ycomp
ete
nt -Knows elf,understandownh er
it
a ge
ca
re -I
den tifyme aningofh ealt
ht osome onee lse
-Und ersta ndh ealt
hc ared el
iver
ys y
s t
em
-Gaink n owl edgeres ocialbackgroundsofc l
i
en t
s
-Bef ami liarwithlangua ge,res
ourcesf orinte
rpreter
s ,
E
thn
ici
ty resou rce swi t
h i
nc ommu n i
ty
Ass oc i
a tedwi thcu l
tur
e ;
a warenessofb e l
ongi
n gtoag roup
i
nwh ic hc e r
taincha r
acteri
sti
csd i
ffer
e ntia
tefromon egroup
toa not he r
-I
nclu de sn ati
on al
ity,r
egionalcult
ure,language ,a
n c
e st
ry
Sp
iri
tua
li
ty -Ex:Eg yp tian,Swed i
sh,Me xican,
J ewish,etc.
-Borneou tofe achp er
son ’
su ni
quelifee xper
iencean dhis
orh erp e rsonal e
fforttofindpurposea ndme ani
nginl i
fe.
-Come sf ro mp er
son ’
slif
ee xperi
e n
c e
s
-Att
e mp ttof i
ndme aninga ndpurposeofl if
e
-Mor ea b stract
E
thn
oce
ntr
is
m -Rel
a tion sh i
pofs elfands ome t
hinglarge r
Tob eli
e veon e ’
sownb el
iefsorwa yofl i
feis‘superi
or’;
wi l
l
i
n t
er f
e rewi t
hc oll
ecti
ona n dint
erpret
a t
ionofd ata,your
deve l
op me ntofap l
anofc a r
ema yb es kewed;mu stb e
Ac
cul
tur
ati
on awa reofy ourownb i
ases
Ad aptingt oan dacqu i
ri
nga notherculture
As
simi
lat
ion Deve lop i
n gn ewc ultur
alidenti
tyandb e cominglikethe
Bi
cul
tur
ali
sm domi n an tc ul
ture
Divi
d e dloy alt
y, i
dentif
ieswi t
htwoc ultures
Th
era
peu
ticc
ommu
nic
ati
on:
exa
mpl
eso
fef
fec
ti
vea
ndi
nef
fec
ti
vet
ech
niqu
ese
.g.
cla
rif
ica
tion
,
r
efl
ect
ion
,bl
ami
ng,
etc
.
Ther
apeut
ic Theface-
to-
faceprocessofinte
ract
ingtha
tfocusesonadvanci
ng
communic
ati
o th
ep hys
icalandemot i
onalwell
-be
ingofapa t
ie
n t
.Nur
sesuse
ns th
erapeut
iccommu nicati
ontechni
questoprovi
desuppor
tand
Exampl
esof i
nfor
ma ti
ontop a
tients
.
-
Op e
ne ndedquesti
on s
:tel
lmea bout
,howa reyoudoi
ngtoday
Ther
ape
uti
c -
Closedendedques t
ions:doyouhavepain
communi
cat
io -
Facil
it
ati
on:noddi
n gyes,uh-
huhh
ns -
Encouragescl
ienttosaymor e;
showsp e
rsonyouarei
n t
ere
sted
, Pa
ge2of4
4
NAL
EXAM STUDYGUI
DE2021
Ge
ria
tri
cs:
fun
cti
ona
las
ses
sme
nt-
wha
tisb
ein
gte
ste
d,b
esta
ppr
oac
htot
est
ing
;ca
reg
ive
rcon
cer
ns;
I
ADL
s,ADL
s;d
isa
bil
i
tyc
onc
ern
s;t
ool
stoa
sse
ss
Wh
ati
sbe
ingt
est
ed -
Id
ent
if
ystr
engt
hs
-
Id
ent
if
yli
mit
ati
ons–soin
ter
vent
ionsc a
nberec
ogni
zed
Be
sta
ppr
oac
hto -
In
dep
endenceandp
rev
enti
onoff
u n
c t
ional
dec
li
ne
te
sti
ng -
Dec
rea
sei
nat
ten
tion
,me
mor
y,or
ien
tat
ion
,la
ngu
age
,
Care
giv
erc
onc
ern
s
pla
nninga ndma ki
ngd eci
sions
-
De pr
essioni snotan ormal c
han g
e
-
Pe r
sist
en td e
pression–isc oncerni
ngifi
tint
erf
ereswit
h
ADL’s
I
ADL
s -
E at
ing
I
n s
trumen talact
ivi
tiesofda i
l
ylivi
ng
-
me asur
e sf unct
ionalabil
it
iesnecessar
yforinde
pendent
commu nitylivi
ng
-
incl
udess hoppi
n g,mealpreparat
ion,h
ou s
e-k
eeping,
l
aundry,ma n agi
ngfinances,tak
ingme di
cati
ons,an
du si
ng
ADL
s tr
ansportati
on
Acti
vi
tiesofd ail
ylivin
g
-
tasksne cessaryfors e
lf-
care
-
me asur
ed oma i
nsofe ati
ng /
feedi
n g
,bathi
ng,gr
ooming,
Di
sab
il
it
ycon
cer
ns dress
ing,toilet
ing,walki
ng,usingstai
rs,a
ndtrans
ferr
ing
-
Kat
zAc
ti
vi
ti
esofDa
il
yLi
vi
ng
Tool
stoa
sse
ss
-
TheLawto nInst
rume ntalAct
ivi
ti
esofDa i
l
yL i
vin
gScale
-
Hospit
alAd missi
onRi skProfi
le
-
Geri
atr
icDe pr
essionSc ale(s
hortform)
-
Ins
pectforlesi
on san dmoles–i r
regu l
arshapes,
changei
n
si
zeorcolor
-
Checkforp r
essureulcersespecia
llys a
crum,heel
s&
t
rochant
ers
-
Clubbi
ng–c a
rdi
a corp ulmonar
yd i
s order
-
Pit
ti
ng/tr
an sv
erseg r
ov es–p er
ipheralvascu
lardi
sease
,
ar
ter
iali
nsuffi
cie
n cy,ordiabe
tes
-
Bri
tt
leness–d ecreasedv asc
ularsup pl
y
-
Yell
oworb rownn ail
s–f ungali
nfection
-
Lookforli
mi t
edra n
geofmot i
on–a rt
hri
ti
sormu scl
e
weaknes
sc ausingpaina nddisc
omf ort
,-
Wh i
l
ea ss
essi
ngrangeofmotion–wa t
chforreport
sof
p
ain,di
zzi
ness,j
er
kyorabnormalmoveme n
ts:mayindic
ate
f
ract
uredver
tebr
ae,Par
kin
son’sdis
ease,t
ransi
entisc
hemic
a
ttack
,orstr
oke
-
Lookforf
acial
symme t
ry(as
ymme tr
yma yind
icatea
s
troke
)
-
Bowelsounds;
Lookforher
nias,p
ulsa
til
ema sse
s
Pa
ge1of4
4
, -
Eva
lua
temuscl
esf
oratr
ophy,
tre
mors,an
din
volu
ntar
ymoveme
nts
-
Not
ewa r
mth
,swel
l
ing
,tend
erness,
cre
pit
usanddef
ormi
ti
es
Cu
ltu
ral
ass
ess
men
t:c
ult
ura
ll
ycomp
ete
ntc
are
;de
fin
iti
onofe
thn
ici
ty
;sp
iri
tua
li
ty
;con
cep
ts
s
ucha
sas
simi
l
ati
on,
acc
ult
ura
tion
,et
c.
Cul
tur
all
ycomp
ete
nt -Knows elf,understandownh er
it
a ge
ca
re -I
den tifyme aningofh ealt
ht osome onee lse
-Und ersta ndh ealt
hc ared el
iver
ys y
s t
em
-Gaink n owl edgeres ocialbackgroundsofc l
i
en t
s
-Bef ami liarwithlangua ge,res
ourcesf orinte
rpreter
s ,
E
thn
ici
ty resou rce swi t
h i
nc ommu n i
ty
Ass oc i
a tedwi thcu l
tur
e ;
a warenessofb e l
ongi
n gtoag roup
i
nwh ic hc e r
taincha r
acteri
sti
csd i
ffer
e ntia
tefromon egroup
toa not he r
-I
nclu de sn ati
on al
ity,r
egionalcult
ure,language ,a
n c
e st
ry
Sp
iri
tua
li
ty -Ex:Eg yp tian,Swed i
sh,Me xican,
J ewish,etc.
-Borneou tofe achp er
son ’
su ni
quelifee xper
iencean dhis
orh erp e rsonal e
fforttofindpurposea ndme ani
nginl i
fe.
-Come sf ro mp er
son ’
slif
ee xperi
e n
c e
s
-Att
e mp ttof i
ndme aninga ndpurposeofl if
e
-Mor ea b stract
E
thn
oce
ntr
is
m -Rel
a tion sh i
pofs elfands ome t
hinglarge r
Tob eli
e veon e ’
sownb el
iefsorwa yofl i
feis‘superi
or’;
wi l
l
i
n t
er f
e rewi t
hc oll
ecti
ona n dint
erpret
a t
ionofd ata,your
deve l
op me ntofap l
anofc a r
ema yb es kewed;mu stb e
Ac
cul
tur
ati
on awa reofy ourownb i
ases
Ad aptingt oan dacqu i
ri
nga notherculture
As
simi
lat
ion Deve lop i
n gn ewc ultur
alidenti
tyandb e cominglikethe
Bi
cul
tur
ali
sm domi n an tc ul
ture
Divi
d e dloy alt
y, i
dentif
ieswi t
htwoc ultures
Th
era
peu
ticc
ommu
nic
ati
on:
exa
mpl
eso
fef
fec
ti
vea
ndi
nef
fec
ti
vet
ech
niqu
ese
.g.
cla
rif
ica
tion
,
r
efl
ect
ion
,bl
ami
ng,
etc
.
Ther
apeut
ic Theface-
to-
faceprocessofinte
ract
ingtha
tfocusesonadvanci
ng
communic
ati
o th
ep hys
icalandemot i
onalwell
-be
ingofapa t
ie
n t
.Nur
sesuse
ns th
erapeut
iccommu nicati
ontechni
questoprovi
desuppor
tand
Exampl
esof i
nfor
ma ti
ontop a
tients
.
-
Op e
ne ndedquesti
on s
:tel
lmea bout
,howa reyoudoi
ngtoday
Ther
ape
uti
c -
Closedendedques t
ions:doyouhavepain
communi
cat
io -
Facil
it
ati
on:noddi
n gyes,uh-
huhh
ns -
Encouragescl
ienttosaymor e;
showsp e
rsonyouarei
n t
ere
sted
, Pa
ge2of4
4
