The nurse is assessing a patient's functional abilities and asks ...

[colton]

The nurse is assessing a patient's functional abilities and asks the patient, How would you rate your ability to prepare a balanced meal? How would you rate your ability to balance a checkbook?
 
  How would you rate your ability to keep track of your appointments? Which tool would be indicated for the best results of this patient's perception of their abilities?
  a. Functional Activities Questionnaire (FAQ)
  b. Mini Mental Status Exam (MMSE)
  c. 24hFAQ
  d. Performance-based functional measurement

Question 2

The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to
 
  a. enforce hospital visiting policies.
  b. monitor the dysfunctional interactions.
  c. notify the primary care provider.
  d. role model appropriate support.

[skipfourms123]

Answer to Question 1

ANS: A
The FAQ is an example of a self-report tool which provides information about the patient's perception of functional ability. The MMSE assesses cognitive impairment. The 24hFAQ is used to assess functional ability in postoperative patients. Performance-based tools involve actual observation of a standardized task, completion of which is judged by objective criteria.

Answer to Question 2

ANS: D
Nurses can, at times, role model more appropriate interactions or provide suggestions for improving communication and interactions among family members. If the nurse determines that the number of visitors has a negative impact on the patient, hospital policy may be to limit visitors, but that would not be the initial action. Monitoring the dysfunctional interactions would not be an adequate response. The primary care provider should certainly be notified, but that would not be the initial response.