The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the

level of consciousness.

ability to perform activities of daily living

degree of reasoning, judgment, and thought processes.

level of functioning memory

Answer and Explanation

The Correct Answer is B

A.   It is typically part of a neurological or mental status examination rather than a functional assessment. Functional assessments are more concerned with how well a client can manage daily tasks and their overall ability to live independently.
B.   The primary purpose of a functional assessment is to determine the client’s ability to perform activities of daily living (ADLs). ADLs include tasks such as bathing, dressing, grooming, eating, toileting, and mobility. This assessment helps to identify areas where the client may need assistance and guides the development of a care plan to support their independence and quality of life.
C.   While assessing cognitive functions such as reasoning, judgment, and thought processes can be part of a comprehensive evaluation, it is not the primary goal of a functional assessment. These cognitive aspects are more relevant in mental status examinations or neuropsychological assessments.
D.   Assessing memory is important for understanding cognitive function, but it is not the main focus of a functional assessment. Functional assessments are centered around evaluating practical abilities related to daily living rather than specific cognitive functions like memory.

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Correct Answer is A

Explanation

A. Delirium is characterized by a sudden onset of confusion and changes in mental status, often occurring over a short period (hours to days). This contrasts with dementia, which has a gradual onset and progressive decline in cognitive function over months or years.
B. In delirium, the ability to perform activities of daily living (ADLs) is often affected because cognitive and attentional impairments can interfere with daily functioning. In contrast, early stages of dementia may still allow for relatively intact ADLs, and in depression, ADLs might be affected due to lack of motivation or energy rather than cognitive impairment.
C. Delirium typically involves visible, pronounced cognitive changes and fluctuating levels of awareness and attention. Clients with delirium usually exhibit overt confusion and disorientation. In contrast, in dementia, cognitive changes are progressive and become more apparent over time.
D. An apathetic demeanor or flat affect is more commonly associated with depression, where mood disturbances such as sadness, lack of motivation, and diminished emotional expression are prevalent. Dementia might also involve changes in affect, but apathy and flat affect are not distinguishing features of delirium.

A. It is a form of dense connective tissue. B. It is composed mostly of extracellular matrix. C. Most of the cell volume is occupied by the nucleus. D. Mature adipocytes are highly mitotic. E. Its primary function is triglyceride storage.

Correct Answer is ["E"]

Explanation

A. Adipose tissue is not classified as dense connective tissue. Adipose tissue, on the other hand, is a type of loose connective tissue that is primarily composed of adipocytes (fat cells) and has a relatively sparse extracellular matrix compared to dense connective tissues.
B. Adipose tissue is composed mainly of adipocytes (fat cells), which occupy most of the tissue’s volume. The extracellular matrix (ECM) in adipose tissue is relatively minimal compared to other types of connective tissue.
C. In adipocytes, most of the cell volume is occupied by a large lipid droplet rather than the nucleus. The nucleus is relatively small and located at the periphery of the cell, while the central portion of the cell is primarily filled with fat storage.
D. Mature adipocytes are not highly mitotic. Adipocytes have a limited ability to divide. Instead, the number of adipocytes can increase primarily through the differentiation of precursor cells (preadipocytes) into mature adipocytes, not through the division of existing adipocytes.
E. The primary function of adipose tissue is the storage of triglycerides (fats). Adipocytes store energy in the form of triglycerides, which can be mobilized when needed for energy. Additionally, adipose tissue plays roles in insulation, cushioning, and hormone production, but triglyceride storage is its main function.

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The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client exhibits signs and symptoms of delirium and not dementia or depression?

Correct Answer is A

Explanation

Select the correct statement regarding adipose tissue.

Correct Answer is ["E"]

Explanation

In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which descriptions procedure is accurate?

A young man with malaria spikes a temperature of 105 F (40.5°C) and begins to hallucinate. How should the nurse assess this?

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)

A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

Which client would be a candidate for Electroconvulsive Therapy (ECT)?