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In the SPICES assessment tool the "C" stands for

Constipation

Caregiver

Confusion

Continence

Answer and Explanation

The Correct Answer is C

A. Constipation

Not part of SPICES. While bowel patterns are important, they are not included in this acronym.

B. Caregiver

SPICES is a patient-centered assessment tool, not focused on the caregiver.

C. Confusion

SPICES stands for: Sleep disorders, Problems with eating or feeding, Incontinence, Confusion, Evidence of falls, Skin breakdown.

D. Continence

"I" in SPICES stands for Incontinence, not "C".

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Correct Answer is D

Explanation

A. Medical diagnosis

Important, but does not reflect the individual's day-to-day abilities and care needs.

B. Activities of daily living (ADLs)

ADLs are part of a functional assessment but not comprehensive alone.

C. Community resources

Help support care but are not the primary basis for determining care needs.

D. Functional assessment

Evaluates the older adult's ability to perform ADLs and instrumental ADLs, guiding personalized care planning.

A. 24-hour dietary intake of 75% of meals B. 24-hour urinary output of 1450 mL C. Weight loss of 2 lb since admission 2 months ago D. Last bowel movement 4 days ago

Correct Answer is D

Explanation

A. 24-hour dietary intake of 75% of meals

This indicates adequate intake and is generally not concerning.

B. 24-hour urinary output of 1450 mL

This is within the normal range for urinary output and does not indicate GI dysfunction.

C. Weight loss of 2 lb since admission 2 months ago

While unintended weight loss in older adults is important, 2 pounds over 2 months is mild and not the most urgent finding.

D. Last bowel movement 4 days ago

Constipation is common but potentially serious in older adults. Not having a bowel movement for 4 days increases the risk for fecal impaction, discomfort, or bowel obstruction, and warrants intervention.

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In the SPICES assessment tool the "C" stands for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For the nurse to provide effective gerontological care, the crucial basis for deciding care needs is:

Correct Answer is D

Explanation

Which assessment is the greatest priority to report when considering the gastrointestinal (GI) changes that take place in the geriatric patient?

Correct Answer is D

Explanation

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