The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

Review the medical record for information on the patient's abilities.

Ask the patient's wife how he does when performing tasks.

Ask the patient's physician for information on the patient's abilities.

Observe the patient's ability to perform the tasks.

Answer and Explanation

The Correct Answer is D

A.   Although the medical record can provide background information, it does not give the real-time assessment of the patient's current functional abilities.
B.   While this information can be valuable, observing the patient directly provides the most accurate assessment of his abilities.
C.   The physician’s perspective is important but may not fully capture the patient's day-to-day functional capacity.
D.   Direct observation allows the nurse to assess the patient’s current functional status and make necessary adjustments to the care plan.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Palpation should be done after auscultation to avoid altering the bowel sounds. Palpation can cause changes in the sounds, making it difficult to assess accurately.
B. It is advisable to auscultate bowel sounds when the patient is not actively eating, so this action is appropriate.
C. This is the correct duration for assessing bowel sounds. Auscultating for 3-5 minutes is within the standard practice.
D. If the client has an NG tube, clamping it before auscultation is appropriate as it prevents additional noises or interference from the tube.

A. Frontal B. Occipital C. Temporal D. Parietal

Correct Answer is A

Explanation

A. The frontal lobe is responsible for a variety of functions, including personality, behavior, judgment, and emotional regulation. It also plays a key role in problem-solving and decision-making. Changes in these areas, such as the emotional instability (crying and anger) described in the question, are often linked to frontal lobe dysfunction.
B. The occipital lobe is primarily responsible for visual processing. Damage or issues in the occipital lobe typically affect vision, such as causing blindness or visual disturbances, rather than emotional or behavioral changes like those described in the scenario.
C. The temporal lobe is involved in processing auditory information, memory, and language. While damage to the temporal lobe can affect memory or speech, it is not primarily responsible for the emotional and personality changes described in the scenario. Temporal lobe damage is more commonly associated with memory loss or issues with speech.
D. The parietal lobe is responsible for sensory information and spatial awareness. While damage here can lead to problems with spatial orientation or sensation, it is not directly responsible for emotional regulation or changes in personality and behavior like those described in the question.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

Correct Answer is A

Explanation

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.

Correct Answer is A

Explanation

While assessing the client's gait during, which of the following would indicate a need for further evaluation?

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point scale?

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

A nurse needs to obtain anthropometric measures of an 80-year-old client. Which of the following statements is true regarding this situation?

The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient.

While conducting a cultural health assessment a nurse should include which of the following?