A nurse in a Medicare- and Medicaid-funded nursing home performs ...

[jasdeep_brar]

A nurse in a Medicare- and Medicaid-funded nursing home performs assessments and develops care plans. Which of these statements is true of the functional assessments the nurse is likely to perform?
 
  A) The nurse will address core ADLs but not more complex IADLs.
  B) The nurse will identify changes in the older adult's function over time.
  C) The nurse will utilize various functional assessment models.
  D) The main goal of functional assessments will be to ensure older adult safety.

Question 2

An 82-year-old client is getting advice from a family member on how to drive safely. What piece of advice should the older adult follow?
 
  A) Avoid modifying your vehicle with devices that were not supplied by the manufacturer.
  B) Realize that normal, age-related changes should not affect your ability to drive safely.
  C) You can consider timing your medications to avoid their interfering with safe driving.
  D) You should transition from driving to using public transportation as soon as possible.

[johnharpe]

Answer to Question 1

Ans: B
Functional assessments consider an older adult's functional status and changes in this status over time. They include both core ADLs and more complex IADLs. The nurse is likely to use the Minimum Data Set for Resident Assessment and Care Screening, as mandated for Medicare- and Medicaid-funded facilities. While safety is a consideration in functional assessment, the main goal is determining the older adult's need for assistance and for planning care.

Answer to Question 2

Ans: C
Older adults can be taught how to safely time their medications to avoid effects such as drowsiness that can affect driving safely. Modification of vehicles with assistive devices can be a useful tool in promoting safe driving. Age-related changes such as decreased visual acuity are significant factors in driving safely. With compensation and education, many older adults can safely drive and do not necessarily need to give up their licenses early.

[jasdeep_brar]

Gracias!

[Alyson.hiatt@yahoo.com]

Excellent