Quiz 2: Functional Ability

Concepts For Nursing Practice

Nursing
7
Questions
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True/False
6
Choices
1
Essay
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Questions

Q1
Free

The nurse is assessing a patients functional ability. Which activities most closely match the definition of functional ability?

Multiple Choice
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A) Healthy individual, works outside the home, uses a cane, well groomed
B) Healthy individual, college educated, travels frequently, can balance a checkbook
C) Healthy individual, works out, reads well, cooks and cleans house
D) Healthy individual, volunteers at church, works part time, takes care of family and house
Answer:
D) Healthy individual, volunteers at church, works part time, takes care of family and house

Explanation:
Functional ability refers to the individuals ability to perform the normal daily activities required to meet basic needs; fulfill usual roles in the family, workplace, and community; and maintain health and well-being. The other options are good; however, each option has advanced or independent activities in the context of the option.
Q2
Free

The nurse is assessing a patients functional performance. What assessment parameters will be most important in this assessment?

Multiple Choice
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A) Continence assessment, gait assessment, feeding assessment, dressing assessment, transfer assessment
B) Height, weight, body mass index (BMI), vital signs assessment
C) Sleep assessment, energy assessment, memory assessment, concentration assessment
D) Healthy individual, volunteers at church, works part time, takes care of family and house
Answer:
A) Continence assessment, gait assessment, feeding assessment, dressing assessment, transfer assessment

Explanation:
Functional impairment, disability, or handicap refers to varying degrees of an individuals inability to perform the tasks required to complete normal life activities without assistance. Height, weight, BMI, and vital signs are physical assessment. Sleep, energy, memory, and concentration are part of a depression screening. Healthy, volunteering, working, and caring for family and house are functional abilities, not performance.
Q3
Free

The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patients functional ability. What question would be the most appropriate?

Multiple Choice
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A) Are you able to shop for yourself?
B) Do you use a cane, walker, or wheelchair to ambulate?
C) Do you know what todays date is?
D) Were you sad or depressed more than once in the last 3 days?
Answer:
B) Do you use a cane, walker, or wheelchair to ambulate?

Explanation:
Do you use a cane, walker, or wheelchair to ambulate? will assist the nurse in determining the patients ability to perform self-care activities. A nutritional health risk assessment is not the functional assessment. Knowing the date is part of a mental status exam. Assessing sadness is a question to ask in the depression screening.
Q4

The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?

Multiple Choice
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A) Eating and drinking, personal cleansing and dressing, working and playing
B) Toileting, transferring, dressing, and bathing activities
C) Sleeping, expressing sexuality, socializing with peers
D) Maintaining a safe environment, breathing, maintaining temperature
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Q5

The home care nurse is trying to determine the necessary services for a 65-year-old patient who was admitted to the home care service status after left knee replacement. Which tool(s) will assist with this determination?

Multiple Choice
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A) Minimum Data Set (MDS)
B) Functional Status Scale (FSS)
C) 24-Hour Functional Ability Questionnaire (24hFAQ)
D) The Edmonton Functional Assessment Tool
Answer:

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Q6

The nurse is assessing a patients functional abilities and asks the patient, How would you rate your ability to prepare a balanced meal? How would you rate your ability to balance a checkbook? How would you rate your ability to keep track of your appointments? Which tool would be indicated for the best results of this patients perception of their abilities?

Multiple Choice
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A) Functional Activities Questionnaire (FAQ)
B) Mini Mental Status Exam (MMSE)
C) 24hFAQ
D) Performance-based functional measurement
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Q7

[Multiple Response] A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patients risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patients history and physical. (Select all that apply.)
a. Being a woman
b. Taking more than six medications
c. Having hypertension
d. Having cataracts
e. Muscle strength 3/5 bilaterally
f. Incontinence

Essay
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