A nurse uses the Functional Consequences Theory to assess older ...

[WWatsford]

A nurse uses the Functional Consequences Theory to assess older adults. Which of the following situations best demonstrates the effect of physical environment on the older adult?
 
  A) A resident of a care facility experiences a fall because there are not grab bars outside his bathtub.
  B) A hospital client develops Clostridium difficilerelated diarrhea because a care provider did not perform adequate handwashing.
  C) An older adult cannot afford a wheeled walker and suffers a fall while trying to ambulate using a cane.
  D) An assisted living resident requires care for emphysema that resulted from a 70 pack-year history of cigarette smoking.

Question 2

A nurse plans interventions to promote wellness in older adults. Which of the following interventions is most appropriate to meet this goal?
 
  A) Talking with the physician about available treatment options for an older adult with an acute illness
  B) Facilitating early mobilization to prevent muscle wasting and loss of function in an older hospital client
  C) Deferring the final decision regarding an older adult's choice of assisted living facility to the person's son and daughter
  D) Placing a 76-year-old on the waitlist for a kidney transplant

[AISCAMPING]

Answer to Question 1

Ans: A
An adverse health effect that results from the inadequacy of one's surroundings (such as the lack of safety devices) is an example of the domain of environment. Although the use of incorrect equipment, health problems caused by lifestyle factors, and infections that result from caregiver negligence create risk factors for older adults, these problems are not situated within the domain of environment.

Answer to Question 2

Ans: B
Goals of the Functional Consequences Theory include improving or preventing declines in functioning and addressing quality-of-life concerns. Discussing treatment options, having family members make an older adult's decisions, and placing an individual on a waitlist for a transplant are not direct manifestations of this principle.