NURSING PRACTICE, 3RD EDITION QUESTIONS WITH ANSWERS
1. The nurse is assessing a patient's functional ability. Which patient best demonstrates the
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definition of functional ability?
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a. Considers self as a healthy individual; uses cane for stability
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b. College educated; travels frequently; can balance a checkbook
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c. Works out daily, reads well, cooks, and cleans house on the weekends
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d. Healthy individual, volunteers at church, works part time, takes care of family and
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house - ansANS: D as as as
Functional ability refers to the individual's ability to perform the normal daily activities
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required to meet basic needs; fulfill usual roles in the family, workplace, and community;
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and maintain health and well-being. The other options are good; however, healthy
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individual, church volunteer, part time worker, and the patient who takes care of the family
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and house fully meets the criteria for functional ability.
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2. The nurse is assessing a patient's functional performance. What assessment parameter
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s will
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be most important in this assessment?
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a. Continence assessment, gait assessment, feeding assessment, dressing assessment,
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transfer assessment as
b. Height, weight, body mass index (BMI), vital signs assessment
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c. Sleep assessment, energy assessment, memory assessment, concentration
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assessment
d. Health and well-being, amount of community volunteer time, working outside the
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home, and ability to care for family and house - ansANS: A
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Functional impairment, disability, or handicap refers to varying degrees of an individual's
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inability to perform the tasks required to complete normal life activities without assistance.
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Height, weight, BMI, and vital signs are part of a physical assessment. Sleep, energy,
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memory, and concentration are part of a depression screening. Healthy, volunteering,
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working, and caring for family and house are functional abilities, not performance.
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3. The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into
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the patient's functional ability. What question would be the most appropriate?
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a. "Are you able to shop for yourself?"
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b. "Do you use a cane, walker, or wheelchair to ambulate?"
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c. "Do you know what today's date is?"
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d. "Were you sad or depressed more than once in the last 3 days?" - ansANS: B
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"Do you use a cane, walker, or wheelchair to ambulate?" will assist the nurse in determinin
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the patient's ability to perform self-care activities. A nutritional health risk assessment is not
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the functional assessment. Knowing the date is part of a mental status exam. Assessing
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sadness is a question to ask in the depression screening.
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The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney
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