Functional Ability Clinical Application and Nursing Interventions
Numerous assessment tools such as the Functional Activities Questionnaire (FAQ) for older
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adults and the 24-Hour Functional Ability Questionnaire (24hFAQ) for outpatient
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postoperative patients, have been developed to assess individuals' functional ability, or
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ability to perform the usual daily activities required to meet basic needs. What is a
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disadvantage to these specific tools?
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A. The measurement of efficacy and reliability of the instruments are used to assess
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activities of daily living (ADLs).
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B. The measurement of functional ability is often inaccurate due to the subjective nature
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of self-reporting of functional abilities.
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C. The observation by a healthcare provider required to measure the person's functional
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ability is time-intensive.
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D. Completion of these assessment tools is complex and requires interprofessional effort. -
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ANS>>B. The measurement of functional ability is often inaccurate due to the subjective
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nature of self-reporting of functional abilities.
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The nurse is assessing a patient's ability to perform instrumental activities of d
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Daily living (IADLs). Which activities are considered in the IADLs assessment? (Select all
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that apply.)
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A. Feeding oneself
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B. Preparing a meal
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C. Balancing a checkbook
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D. Walking
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E. Toileting
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,Functional Ability Clinical Application and Nursing Interventions
F. Grocery shopping - ANS>>B. Preparing a meal
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C. Balancing a checkbook
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F. Grocery shopping
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Rationale
IADLs are more complex skills that are essential to living in a community - (managing
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money, grocery shopping, cooking, taking meds, etc.)
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The nurse is assessing a patient's ability to perform basic activities of daily living (BADLs).
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Which activities are considered in the BADLs assessment? (Select all that apply.)
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A. Brushing teeth or dentures
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B. Dressing oneself in the mornings
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C. Washing, drying, and folding laundry
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D. Counting own pulse and taking heart pill
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E. Taking the bus to the park
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F. Calling family members - ANS>>A. Brushing teeth or dentures
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B. Dressing oneself in the mornings
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Rationale
BADLs include actions related to personal care and mobility including eating, personal
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hygiene, and grooming activities.
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Which types of abilities would be assessed in the functional assessment in order to
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develop a plan of care for a patient who had a stroke 30 days ago and is now in home
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care rehabilitation? (Select all that apply.)
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, Functional Ability Clinical Application and Nursing Interventions
A. Cognitive
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B. Social
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C. Physical
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D. Emotional
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E. Spiritual - ANS>>A. Cognitive
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B. Social
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C. Physical
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D. Emotional
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The nurse is caring for an 85-year-old woman 6 weeks following a hysterectomy
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secondary to ovarian cancer. The patient will need chemotherapy and irradiation on an
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outpatient basis. The nurse should identify and address which factors that could have a
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negative impact on the patient's recovery/healing? (Select all that apply.)
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A. Can feed herself and prepare meals but cannot drive to the store
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B. Lives on a fixed income and can balance her checkbook
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C. Experiences stress incontinence
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D. Cannot participate in activities at the senior center
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E. Lives alone and has no nearby relatives
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F. Has no transportation to the oncology clinic - ANS>>C. Experiences stress incontinence
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E. Lives alone and has no nearby relatives
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F. Has no transportation to the oncology clinic
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Rationale
Stress incontinence increases the risk of falls because of urgency and rushing to get to
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the bathroom and should be addressed to prevent injuries from falling. Income and
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social abilities are lower priorities during this phase of recovery.
ww ww ww ww ww ww ww ww ww ww
Numerous assessment tools such as the Functional Activities Questionnaire (FAQ) for older
ww ww ww ww ww ww ww ww ww ww ww
adults and the 24-Hour Functional Ability Questionnaire (24hFAQ) for outpatient
ww ww ww ww ww ww ww ww ww ww
postoperative patients, have been developed to assess individuals' functional ability, or
ww ww ww ww ww ww ww ww ww ww ww
ability to perform the usual daily activities required to meet basic needs. What is a
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
disadvantage to these specific tools?
ww ww ww ww ww
A. The measurement of efficacy and reliability of the instruments are used to assess
ww ww ww ww ww ww ww ww ww ww ww ww ww
activities of daily living (ADLs).
ww ww ww ww ww
B. The measurement of functional ability is often inaccurate due to the subjective nature
ww ww ww ww ww ww ww ww ww ww ww ww ww
of self-reporting of functional abilities.
ww ww ww ww ww
C. The observation by a healthcare provider required to measure the person's functional
ww ww ww ww ww ww ww ww ww ww ww ww
ability is time-intensive.
ww ww ww
D. Completion of these assessment tools is complex and requires interprofessional effort. -
ww ww ww ww ww ww ww ww ww ww ww ww
ANS>>B. The measurement of functional ability is often inaccurate due to the subjective
ww ww ww ww ww ww ww ww ww ww ww ww ww
nature of self-reporting of functional abilities.
ww ww ww ww ww ww
The nurse is assessing a patient's ability to perform instrumental activities of d
ww ww ww ww ww ww ww ww ww ww ww ww
Daily living (IADLs). Which activities are considered in the IADLs assessment? (Select all
ww ww ww ww ww ww ww ww ww ww ww ww
that apply.)
ww ww
A. Feeding oneself
ww ww
B. Preparing a meal
ww ww ww
C. Balancing a checkbook
ww ww ww
D. Walking
ww
E. Toileting
ww
,Functional Ability Clinical Application and Nursing Interventions
F. Grocery shopping - ANS>>B. Preparing a meal
ww ww ww ww ww ww ww
C. Balancing a checkbook
ww ww ww
F. Grocery shopping
ww ww
Rationale
IADLs are more complex skills that are essential to living in a community - (managing
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
money, grocery shopping, cooking, taking meds, etc.)
ww ww ww ww ww ww ww
The nurse is assessing a patient's ability to perform basic activities of daily living (BADLs).
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
Which activities are considered in the BADLs assessment? (Select all that apply.)
ww ww ww ww ww ww ww ww ww ww ww ww
A. Brushing teeth or dentures
ww ww ww ww
B. Dressing oneself in the mornings
ww ww ww ww ww
C. Washing, drying, and folding laundry
ww ww ww ww ww
D. Counting own pulse and taking heart pill
ww ww ww ww ww ww ww
E. Taking the bus to the park
ww ww ww ww ww ww
F. Calling family members - ANS>>A. Brushing teeth or dentures
ww ww ww ww ww ww ww ww ww
B. Dressing oneself in the mornings
ww ww ww ww ww
Rationale
BADLs include actions related to personal care and mobility including eating, personal
ww ww ww ww ww ww ww ww ww ww ww
hygiene, and grooming activities.
ww ww ww ww
Which types of abilities would be assessed in the functional assessment in order to
ww ww ww ww ww ww ww ww ww ww ww ww ww
develop a plan of care for a patient who had a stroke 30 days ago and is now in home
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
care rehabilitation? (Select all that apply.)
ww ww ww ww ww ww
, Functional Ability Clinical Application and Nursing Interventions
A. Cognitive
ww
B. Social
ww
C. Physical
ww
D. Emotional
ww
E. Spiritual - ANS>>A. Cognitive
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B. Social
ww
C. Physical
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D. Emotional
ww
The nurse is caring for an 85-year-old woman 6 weeks following a hysterectomy
ww ww ww ww ww ww ww ww ww ww ww ww
secondary to ovarian cancer. The patient will need chemotherapy and irradiation on an
ww ww ww ww ww ww ww ww ww ww ww ww ww
outpatient basis. The nurse should identify and address which factors that could have a
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
negative impact on the patient's recovery/healing? (Select all that apply.)
ww ww ww ww ww ww ww ww ww ww
A. Can feed herself and prepare meals but cannot drive to the store
ww ww ww ww ww ww ww ww ww ww ww ww
B. Lives on a fixed income and can balance her checkbook
ww ww ww ww ww ww ww ww ww ww
C. Experiences stress incontinence
ww ww ww
D. Cannot participate in activities at the senior center
ww ww ww ww ww ww ww ww
E. Lives alone and has no nearby relatives
ww ww ww ww ww ww ww
F. Has no transportation to the oncology clinic - ANS>>C. Experiences stress incontinence
ww ww ww ww ww ww ww ww ww ww ww ww
E. Lives alone and has no nearby relatives
ww ww ww ww ww ww ww
F. Has no transportation to the oncology clinic
ww ww ww ww ww ww ww
Rationale
Stress incontinence increases the risk of falls because of urgency and rushing to get to
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
the bathroom and should be addressed to prevent injuries from falling. Income and
ww ww ww ww ww ww ww ww ww ww ww ww ww
social abilities are lower priorities during this phase of recovery.
ww ww ww ww ww ww ww ww ww ww