Deck 2: Functional Ability

Question 1

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?

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

Answer 1

Maintaining a safe environment, breathing, maintaining temperature

Question 2

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

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 2

Healthy individual, volunteers at church, works part time, takes care of family and house

Question 3

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?

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

Answer 3

24-Hour Functional Ability Questionnaire (24hFAQ)

Question 4

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

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

Question 5

A 65-year-old female patient has been admitted to the medical/surgical unit.The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary.Select all the risk factors that apply from this patient's 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

Question 6

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

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

Question 7

Match the activities listed with the appropriate functional level of ability:
Use A for instrumental activities of daily living (IADLs)and use B for basic activities of daily living (BADLs).
(Your answer should appear as letters separated by commas and spaces [e.g.,A,A,A,A,A,A].)

A) Uses a cane
B) Bathes daily
C) Takes medications as prescribed
D) Dresses self
E) Balances the checkbook
F) Cleans the house

Question 8

The nurse is assessing a patient's 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 patient's perception of their abilities?

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