Health Assessment/ Functional Assessment

Question 1

Functional Assessment

1. Includes review and evaluation of:
   a. Social and economic resources
   b. Physical and mental health
   c. _____ status

Answer 1

Cognitive

Question 2

Functional Assessment
2. Changes in an elder’s ability to function in everyday activities are often related to changes in health and may result ill changes in a patient’s living status such as making the decision for a form of ____ ____.

Answer 2

assisted living

Question 3

3. *___ ____ ___ ___ ____: Complex measures of functional status; losing ability in these activities may announce a major decline in overall health

Answer 3

Advanced Activities of Daily Living (AADLs)

Question 4

3. *Advanced Activities of Daily Living (AADLs):
   a. Working
   b. Volunteering
   c. ___ ____
   d. Recreational activities
   e. Connection with peers and community

Answer 4

Social activities

Question 5

4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; "SHAFT"
A \_\_\_\_\_\_ (managing financial matters)

Answer 5

Accounting

Question 6

4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
   S ______

Answer 6

Shopping

Question 7

4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; "SHAFT"
H \_\_\_\_\_\_\_ (coo king, laundry, vacuuming, etc.) and 
    health maintenance activities (medical appointments, 
    medications, etc.)

Answer 7

Housekeeping

Question 8

4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
   F _____ _____

Answer 8

Food preparation

Question 9

4. *Instrumental Activities of Daily Living (IADLs): Activities that contribute to independent functioning; “SHAFT”
   T ____ _____ _____ ____

Answer 9

Transportation and telephone use/skills

Question 10

a. Elders with functional decline generally lose the ability to do their _____ prior to losing ADL function.

Answer 10

IADLs

Question 11

5. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
   D ______

Answer 11

Dressing

Question 12

5. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
   E _______

Answer 12

Eating (self-feeding)

Question 13

5. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
   A _______

Answer 13

Ambulating

Question 14

5. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
   T ____ ____ ____

Answer 14

Transferring and toileting

Question 15

5. *Activities of Daily Living (ADLs): Basic self-care activities; “DEATH”
   H ______

Answer 15

Hygiene

Question 16

6. Examples of functional assessment tools: •
   i) Katz ADL Scale
   ii) ______ _____•
   iii) Kenny Self-Care Scale •
   iv) IADL Scale •
   v) Timed Manual Performance •
   vi) Performance Test of ADL
   vii) Framingham Disability Scale •
   viii) Lawton Scale

Answer 16

Barthel Index

Question 17

Environmental Assessment

1. This assessment must be conducted addressing the personal competence and physical ______ of the individual.

Answer 17

limitations

Question 18

Environmental Assessment

2. Some conditions influencing the safety of the elderly include:
   a. _____: Good sources of _____ enhance mood and behavior while assisting to maintain the orientation of the individual; night _____ are useful in facilitating orientation during the night; fluorescent lighting may cause eyestrain and glare

Answer 18

Lighting

Question 19

Environmental Assessment

2. Some conditions influencing the safety of the elderly include:
   b. Temperature: Normal lower body temperature and decreased amounts of natural insulation make elderly more sensitive to lower temperatures; recommended room temperature for elderly adults = ___ degrees; room temperatures less than 70 degrees may cause hypothermia in the elderly

Answer 19

75

Question 20

Environmental Assessment

2. Some conditions influencing the safety of the elderly include:
   c. Colors: ____ colors (e.g., red, orange,•and yellows)

Answer 20

Warm

Question 21

Environmental Assessment

2. Some conditions influencing the safety of the elderly include:
   c. ____tones (e.g., blues and greens) may have a relaxing effect

Answer 21

cool

Question 22

Environmental Assessment

2. Some conditions influencing the safety of the elderly include:
   d. ____ ____: Scattered and area rugs provide an ideal source for falls and should not be used; bold floor designs can cause dizziness and confusion during ambulation; a single solid color is preferable; non-glare surface is essential; floor treatments that provide a non-slip surfaceare particularly useful

Answer 22

Floor Coverings

Question 23

Environmental Assessment
e. _____: Furnishings should be appealing, functional, and comfortable; elders with cognitive impairments should have simple environments

Answer 23

Furniture

Question 24

Environmental Assessment
2. Some conditions influencing the safety of the elderly include:
f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to following:
•i) ______: Keep bathroom lit at all times

Answer 24

Lighting

Question 25

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to following: •ii) ___ _____: Do not use throw rugs, keep appliances off the floor, correct leaks to avoid creating slippery floors•

Answer 25

Floor surfaces

Question 26

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to following: iii) ______: Lever-shaped handles are easier to use than round ones; color coding faucets handles makes differentiation of hot and cold easier

Answer 26

Faucets

Question 27

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to the following: iv) ____ ___ ____ ___: Nonslip surfaces are essential, grab bars on the wall are a necessary source of support

Answer 27

Tubs and shower stalls

Question 28

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: f. Bathroom Hazards: Many accidental injuries occur in the bathroom; particular attention should be paid to the following: v) _____: Grab bars or support frames aid in the difficult task of sitting down and rising from the toilet seat

Answer 28

Toilets

Question 29

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: g. Medication, Chemicals, and Toxins • i) Clearly label ______ and set up a workable system for taking •

Answer 29

medications

Question 30

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: g. Medication, Chemicals, and Toxins ii) Review storage of ____ supplies and other toxins

Answer 30

cleaning

Question 31

Environmental Assessment 2. Some conditions influencing the safety of the elderly include: g. Medication, Chemicals, and Toxins iii) Clear labels for ____ appearing products

Answer 31

similar

Question 32

Nutritional Concerns and Risk Assessment | 1. Does the patient rake a _______ daily to meet recommended daily allowances of vitamins and other nutrients?

Answer 32

multivitamin

Question 33

Nutritional Concerns and Risk Assessment 2. Protein a. Recommended need: At least ___ g/kg/day

Answer 33

0.8

Question 34

Nutritional Concerns and Risk Assessment 2. Protein b. Albumin below ___% indicates protein malnutrition

Answer 34

3.5

Question 35

Nutritional Concerns and Risk Assessment 2. Protein c. Low protein intake ____ healing

Answer 35

retards

Question 36

Nutritional Concerns and Risk Assessment 3. Calcium intake needs to be individualized a. Calcium absorption decreases with _____?

Answer 36

age

Question 37

Nutritional Concerns and Risk Assessment 3. Calcium intake needs to be individualized b. Is the patient _____ intolerant?

Answer 37

lactose

Question 38

``` Nutritional Concerns and Risk Assessment 3. Calcium intake needs to be individualized c. Diseases to consider. • i) Certain cancers • ii) ____________ • iii) Hyperparathyroidism ```

Answer 38

Nephrolithiasis

Question 39

Nutritional Concerns and Risk Assessment 4. Body Mass Index (BMI) a. Underweight:

Answer 39

< 18.5

Question 40

Nutritional Concerns and Risk Assessment 4. Body Mass Index (BMI) b. Normal weight:. ___ to ____

Answer 40

18.5 to 24.9

Question 41

Nutritional Concerns and Risk Assessment 4. Body Mass Index (BMI) c. Overweight: _____ -___%

Answer 41

25-29.9%

Question 42

Nutritional Concerns and Risk Assessment 4. Body Mass Index (BMI) d. Obese: ____%

Answer 42

>__30%

Question 43

Nutritional Concerns and Risk Assessment 5. Medications that may increase appetite: a. _________ b. Tranquilizers c. Beta adrenergic agents d. Narcoleptics e. Hormones f. Steroids

Answer 43

Antidepressants

Question 44

6. Nutritional Risk Assessment a. History • i) Involuntary weight loss • ii) Change in _______ •Iii) Change in size of clothing

Answer 44

appetite

Question 45

6. Nutritional Concerns and Risk Assessment a. History i) Involuntary ___ ____ ii) Change in appetite iii) Change in size of clothing

Answer 45

weight loss

Question 46

6. Nutritional Concerns and Risk Assessment b. Indicators of Nutritional Risk • i) Weight loss a) ___ pounds in 1 month

Answer 46

5

Question 47

6. Nutritional Concerns and Risk Assessment b. Indicators of Nutritional Risk • i) Weight loss b) ___% of body weight in 1 month

Answer 47

5

Question 48

6. Nutritional Concerns and Risk Assessment b. Indicators of Nutritional Risk • i) Weight loss c) ___% of body weight in 3 months

Answer 48

7.5

Question 49

6. Nutritional Concerns and Risk Assessment b. Indicators of Nutritional Risk • i) Weight loss d) ____% of body weight in 6 months

Answer 49

10

Question 50

6. Nutritional Concerns and Risk Assessment | c. Change in function, health or _____ status

Answer 50

mental

Question 51

Nutritional Concerns and Risk Assessment 7. Key laboratory indices a. Albumin Normal: ___ to ___ g/dL

Answer 51

3.5 to 5

Question 52

Nutritional Concerns and Risk Assessment 7. Key laboratory indices b. Prealbumin Normal: ___ to ___ mg/dL

Answer 52

16 to 35

Question 53

Nutritional Concerns and Risk Assessment 7. Key laboratory indices c. Transferrin Normal: > ____mg/dL

Answer 53

200

Question 54

Nutritional Concerns and Risk Assessment 7. Key laboratory indices d. Total lymphocyte count Normal: ____ to ____ cells/mm3

Answer 54

1,200 to 1,800

Question 55

Health Assessment Sexuality 1. The ____ about people over a certain age not engaging in sexual relations is a myth and interferes with comprehensive health assessments and treatment.

Answer 55

myth

Question 56

Health Assessment 2. There is a general decline in sexual libido as one gets older. a. However, the amount of sexual activity is personal and some people may have little to ___ ___ in sexual activity.

Answer 56

no decline

Question 57

Health Assessment 2. There is a general decline in sexual libido as one gets older. b. Male _____ dysfunction is the prime reason for reducing or discontinuing sexual activity.

Answer 57

sexual

Question 58

Health Assessment 2. There is a general decline in sexual libido as one gets older. c. Living arrangements may ______ with privacy required for sexual relations

Answer 58

interfere

Question 59

3. Be aware of situations lending to lack of respect for the patient's sexuality. a. _____ to fasten clothing

Answer 59

Forgetting

Question 60

3. Be aware of situations lending to lack of respect for the patient's sexuality. b. Denying same gender attendants for ______

Answer 60

bathing

Question 61

3. Be aware of situations lending to lack of respect for the patient's sexuality. c. Discussing ______ issues and other medical conditionsin front of patient's peers

Answer 61

incontinence

Question 62

Sexuality | 4. Review patient's ___-____ of sexual relations

Answer 62

self-view

Question 63

Sexuality 5. Medications may interfere with ______ a. Pharmacotherapy for hypertension

Answer 63

libido

Question 64

Sexuality 6. Certain medical diagnoses or conditions may interfere with libido such as ______ _____ or treatments such as mastectomy and prostatectomy

Answer 64

myocardial infarction

Question 65

Sexuality 7. Review and screen for sexually transmitted diseases/infections. a. Review options for _______ of sexually transmitted diseases/infections.

Answer 65

prevention

Question 66

Sexuality 8. Review of sexual libido enhancement options such as ________ inhibitors [e.g., sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis), Avanafil (Stendra)], testosterone replacement, and lubrication options

Answer 66

phosphodiesteras