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. This is the core focus of mental health promotion programs. They aim to equip people with the knowledge, skills, and resources to enhance their mental health and resilience.
B. This is completely opposite to the goals of mental health promotion.
C. This is the focus of mental health treatment, not promotion.
D. While this is important for the overall mental health system, it's not the primary focus of mental health promotion programs, which target individuals and communities.

A. Share personal information to help the client feel comfortable. B. Set boundaries with the client regarding personal space. C. Tell the client if she reminds the nurse of a personal friend or relative. D. Develop an emotional commitment to the client.

Correct Answer is B

Explanation

A. Sharing personal information can blur the professional boundaries and hinder the therapeutic relationship. The nurse's focus should be on the client's needs and well-being.
B. Maintaining professional boundaries is essential in therapeutic relationships. It helps to establish trust and ensures the nurse can provide effective care without becoming emotionally involved.
C. Comparing the client to someone else can be misleading and inappropriate. It's important to focus on the client as an individual and avoid making comparisons.
D. While empathy and compassion are crucial in nursing, developing an emotional commitment can compromise objectivity and hinder the nurse's ability to provide effective care.

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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

What is the primary focus of mental health promotion programs?

Correct Answer is A

Explanation

A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

Correct Answer is B

Explanation

Which of the following is a characteristic of the manic stage of bipolar disorder?

What is a potential symptom of bipolar disorder?

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCI (Prozac) that the drug takes 2 to 4 ..................... to take effect.

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