A 78-year-old man is being evaluated in the geriatric clinic. His ...

[vHAUNG6011]

A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be senile.
 
  The advanced practice nurse administers the clock-drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the patient:
  a. probably has Alzheimer's disease.
  b. needs further evaluation.
  c. probably has delirium.
  d. needs a functional status assessment.

Question 2

A resident of a long-term care facility is assessed by a nurse upon admission to the facility. The assessment includes a comprehensive health, social, and functional profile. The tool that the nurse utilizes is:
 
  a. Outcomes and Assessment Information Set (OASIS).
  b. Resident Assessment Instrument (RAI).
  c. Older Americans Resources and Services (OARS).
  d. Comprehensive Geriatric Assessment (CGS).
  e. Mini Mental Status Examination (MMSE).

[amynguyen1221]

Answer to Question 1

ANS: B
Cognitively intact persons rarely produce errors on the clock-drawing test, such as grossly dis-torted contour. A low score on the clock-drawing test requires further evaluation. Alzheimer's disease is not a diagnosis using a mental status assessment tool. It is definitively diagnosed with a brain biopsy. The clock-drawing test does not assess for delirium. A low score on the clock-drawing test does not necessarily warrant a functional status assessment.

Answer to Question 2

ANS: B
The OASIS is used in the homecare setting. The RAI is used in the long-term care setting. OARS is a functional status instrument. Comprehensive geriatric assessment is not a specific tool but rather an approach to assessment. The MMSE is a mental status assessment tool.

[vHAUNG6011]

TYSM

[ghepp]

Excellent