The client is scheduled for a functional assessment using the Functional Independence Measure (FIM). The client asks the nurse, "What is the
purpose of the FIM?" Which nursing response is appropriate?
"It is a tool that is used to determine your maximum level of self-sufficiency.”
"It is a test that determines which activities you feel most comfortable performinG.”
"It is a tool used by insurance companies to determine qualifications for medical reimbursement."
"It is a tool that is used to assess what services you will need a home health aide to perform for you."
The Correct Answer is A
Choice A reason: "It is a tool that is used to determine your maximum level of self-sufficiency.” This nursing response is appropriate because it accurately describes the purpose of the FIM, which is a standardized instrument that measures the client's level of independence in performing 18 activities of daily living and mobility tasks.
Choice B reason: "It is a test that determines which activities you feel most comfortable performinG.” This nursing response is not appropriate because it does not describe the purpose of the FIM, which is not a test that measures the client's comfort level, but rather their functional ability.
Choice C reason: "It is a tool used by insurance companies to determine qualifications for medical reimbursement." This nursing response is not appropriate because it does not describe the purpose of the FIM, which is not a tool that determines the client's eligibility for insurance coverage, but rather their functional status and progress.
Choice D reason: "It is a tool that is used to assess what services you will need a home health aide to perform for you." This nursing response is not appropriate because it does not describe the purpose of the FIM, which is not a tool that evaluates the client's need for home care services, but rather their functional capacity and improvement.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Encouraging community members to practice fire drills is an activity that is a part of the prevention/mitigation phase of the disaster management cycle because it can reduce the risk of injury or death from fire by increasing the awareness and preparedness of the community.
Choice B reason: Identifying community members who have disabilities is an activity that is a part of the prevention/mitigation phase of the disaster management cycle because it can reduce the vulnerability of these individuals by ensuring that they have access to appropriate resources and assistance in case of a disaster.
Choice C reason: Providing first aid to community members affected by a tornado is not an activity that is a part of the prevention/mitigation phase of the disaster management cycle, but rather the response phase, which involves delivering immediate and short-term assistance to save lives and meet basic needs during and after a disaster.
Choice D reason: Assisting community members in developing a disaster plan is not an activity that is a part of the prevention/mitigation phase of the disaster management cycle, but rather the preparedness phase, which involves enhancing the readiness and capabilities of individuals, organizations, and communities to respond to and recover from a disaster.
Correct Answer is C
Explanation
When a client reports experiencing numbness and ngling in the extremies, it is crucial for the praccal nurse (PN) to prioritise reporting the client's electrolyte levels to the healthcare provider. Electrolytes are essential minerals that help maintain the balance of fluids in the body and enable proper nerve and muscle function. Imbalances in electrolyte levels can lead to neurological symptoms, including numbness and ngling.
Opons a, b, and d are not the correct priories to report in this situation:
a) Hematocrit: Hematocrit measures the proportion of red blood cells in the blood. While abnormalies in hematocrit can indicate certain conditions, such as anaemia, it is not directly associated with numbness and ngling in the extremes.
b) Albumin and protein levels: Albumin and protein levels are important for assessing nutritional status and liver function. While low levels of protein can contribute to various health issues, they are not the primary concern when a client experiences numbness and ngling in the extremities.
d) White blood cell count (WBC): WBC count is used to evaluate the immune system's response to infection or inflammation. While infections or inflammatory conditions can cause neurological symptoms, such as ngling, it is not the primary concern in this specific case of numbness and ngling.
Therefore, the most appropriate laboratory value to prioritise reporting in this scenario is the client's electrolyte levels, as imbalances can directly contribute to the reported symptoms and may require prompt intervention.
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