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NUR2092 HEALTH ASSESSMENT FINAL EXAM 2025-
2026| QUESTIONS WITH DETAILED ANSWERS|A+
PASS
Activity of Daily Living Tasks that are necessary for self-care, such as eating/feeding, bathing, grooming, toileting, walking, and transferring. Advanced Activities of Daily Living Activities that an older adult performs as a family member or as a member of society or community, including occupational and recreational activities. Caregiver Assessment Assessment of the health and well-being of an individual's caregiver. Caregiver Burden The perceived strain by the person who cares for an older, chronically ill, or disabled person.
Domains of Cognition Domains included in mental status assessments, such as attention, memory, orientation, language, visuospatial skills, and higher cognitive functions. Environment Assessment of an indovodual's home environment and community systems, including hazards at home. Functional Ability The ability of a person to perform activities necessary to live in modern society; may include driving, using the telephone, or performing personal tasks such as baking or toileting. Functional Assessment A systematic assessment that includes assessment of an individual's activities of daily living, instrumental activities of daily living, and mobility.
Katz Index of Independence in Activities of Daily Living An instrument used to measure physical function in older adults and the chronically ill. Lawton Instrumental Activities of Daily Living An instrument used to measure an individual's ability to perform instrumental activities of daily living; may assist in assessing one's ability to live independently. Physical Performance Measures Tests that measure balance, gait, motor coordination, and endurance. Social Domain The domain that focuses on an individual's relationships within family, social groups, and the community. Social Networks
Informal supports accessed by older adults, such as family members and close friends, neighbors, church societies, neighborhood groups, and senior centers. Spiritual Assessment Assessment of the individual's spiritual health. An appropriate tool to assess an individual's instrumental activities of daily living is a tool by: a. Katz b. Lawton CORRECT ANSWER c. Tinetti d. Norbeck Which statement is true regarding an individual's functional status? a. Functional status refers to one's ability to care for another person. b. An older adult's functional status is usually static over time. c. An older adult's functional status may vary from independence to disability. CORRECT ANSWER d. Dementia is an example of functional status.
c. Ask the family members for information instead of the older individual d. Ask simple questions that have yes or no answers. CORRECT ANSWER An older person needs to be assessed before going home as to whether he or she is able to go outside alone safely. Which test is best for this assessment? a. Up and go test CORRECT ANSWER b. Performance of activities of daily living c. Older americans resources and services multidimensional functional assessment questionnaire d. Lawton IADL Instrument An older adult has had surgery for a fractured hip and has a history of dementia. You should keep in mind that older adults with cognitive impairment: a. Experience less pain b. can provide a self-report of pain *CORRECT ANSWER c. Cannot be relied on to self-report pain d. Will not express pain sensations.
An appropriate use of the caregiver strain index would be which situation? a. A daughter who is taking her older father home to live with her b. An older patient who lives alone c. A wife who has cared for her husband for the past 4 years at home CORRECT ANSWER d. A son whose parents live in an assisted living facility Which is an example of a formal social support network for the aging adult? a. A neighbor who drops by with newspapers and magazines on a regular basis b. An area church that offers a weekly activity an luncheon for seniors in the neighborhood c. A home health care agency that provides weekly blood pressure screenings at the church luncheon CORRECT ANSWER d. A senior citizen chess club whose members hold classes at the local boys club
d. It is best used for those residing in an institutional setting An older adult's advanced activities of daily living would include: a. Recreational activities CORRECT ANSWER b. Meal Preparation c. Balancing the checkbook d. Self-grooming activities When using the various instruments to assess an older person's activities of daily living, remember that a disadvantage of these instruments includes: a. The reliability of the tools b. Self or proxy report of functional activities CORRECT ANSWER c. Lack of confidentiality during the assessment d. Insufficient detail about the deficiencies identified Acculturation Process of social and psychological exchanges with encounters between persons of different cultures, resulting in changes in either group.
Cultural and Linguistic Competence A set of congruent behaviors, attitudes and policies that come together in a system among professionals that enables work in cross- cultural situations. Culture The nonphysical attributes of a person-the thoughts, communications, actions, beliefs, values, and institutions of racial, ethnic, religious, or social groups. Cultural Care Professional health care that is culturally sensitive, appropriate, and competent. Ethnicity A social group within the social system that claims to possess variable traits such as common geographic origin, migratory status, and religion.
Socialization The process of being raised within a culture and acquiring the characteristics of that group Spirituality A person's personal effort to find purpose and meaning in life Title VI of the Civil Rights Act of 1964 A federal law that mandates that when people with limited English proficiency (LEP) seek health care settings such as hospitals, nursing homes, clinics, daycare centers, and mental health centers, services cannot be denied to them Values A desirable or undesirable state of affairs and a universal feature of all cultures Which statement best describes religion?
a. an organized system of beliefs concerning the cause, nature, and purpose of the universe CORRECT ANSWER b. Belief in a divine or superhuman to be obeyed and worshiped c. Affiliation with one of the 1200 recognized religions in the United states d. The following of established rituals, especially in conjunction with health seeking behaviors The major factor contributing to the need for cultural care nursing is? a. an increasing birth rate b. limited access to health care services c. demographic change CORRECT ANSWER d. a decreasing rate of immigration The term culturally competent implies that the nurse: a. is prepared in nursing b. possesses knowledge of the traditions of diverse peoples c. applies underlying knowledge to providing nursing care d. understands the cultural context of the patient's situation CORRECT ANSWER
b. being kidnapped c. exposure to bacterial infections d. an unexpected fall Which statement best illustrates the difference between religion and spirituality? a. religion reflects an individual's reaction to life events whereas spirituality is based on whether the individual attends religious services b. religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects the individual's perception of one's life having worth or meaning CORRECT ANSWER c. Religion is the expression of spiritual awakening whereas spirituality is based on belief in divine right d. religion is the active interpretation of one's spirituality The first step to cultural competency by a nurse is to: understand your own heritage and its basis in cultural values Which statement is true in regard to pain?
The cultural background of the patient is important in a nurses's assessment of that patient's pain. Which factor is identified as a priority influence on a patient's health status? Poverty Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient? What cultural or spiritual beliefs are important to you. Which statement best describes ethnocentrism? The tendency to view your own way of life as the most desirable. Which category is appropriate in a cultural assessment? Health-related beliefs
Stroke Volume Amount of blood pumped out of the heart with each heartbeat. Trachycardia Heart rate greater than 95 beats per minute in the adult. The 4 areas to consider during the general survey include: Physical appearance, body structure, mobility, and behavior. You are assessing a patient's gait. What do you expect to find? Gait is as wide as the shoulder width. An 18-month old child is brought into the clinic for a health screening visit. To assess the height of the child: Use a horizontal measuring board.
Which changes in head circumference measurements in relation to chest measurements will occur from infancy through early childhood? The newborn's head will be 2 cm larger than the chest circumference, but between 6 months and 2 years, they will be about the same. We have an expert-written solution to this problem! Which changes regarding height and weight occur during the 80's and 90's? Both decrease. During an initial home visit, the patient's temperature is noted to be 97.4 degrees F. How would you interpret this? It cannot be evaluated without knowledge of the person's age. Select the best description of an accurate assessment of a patient's pulse: Begin counting with zero; count for 30 seconds.
