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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While hanging is a common method of suicide overall, it is more prevalent in males.
B. Similar to hanging, firearm use is more common among male suicide victims.
C. This is the most common method of suicide among female victims. It's important to note that while overdose is often less lethal than methods like hanging or firearms, it still carries a significant risk.
D. While drowning can be a method of suicide, it is less common compared to overdose, hanging, or firearm use.
Correct Answer is B
Explanation
A. Making a suicidal individual feel foolish can increase their isolation and shame, potentially exacerbating suicidal thoughts. It's essential to approach the situation with empathy and understanding.
B. Establishing therapeutic rapport encourages open communication. By creating a safe and trusting environment, the caregiver can facilitate the client to express their thoughts and feelings about suicidal ideation. This information is crucial for assessing the client's risk and developing an appropriate care plan.
C. While feeling in control can be beneficial for some individuals, it's not the primary goal of establishing therapeutic rapport with suicidal clients. The focus should be on creating a safe space for open communication and understanding the client's perspective.
D. Enhancing self-worth is a long-term goal of therapy, but it's not the immediate focus when establishing rapport with a suicidal client. The priority is to address the immediate crisis and create a safe environment for open communication.
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