During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

"Are you able to feed yourself?"

"Do you do your own laundry?"

"Do you shop for groceries?"

"Do you manage your own money?"

Answer and Explanation

Correct Answer : B,C,D

A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).

B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.

C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.

D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.

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Correct Answer is D

Explanation

A. "When was the last time you experienced a fever?": This question pertains to the assessment of body temperature, which is part of the vital signs but not the "fifth vital sign."

B. "Do you consider yourself a happy person?": This question focuses on emotional well-being, not the "fifth vital sign."

C. "Do you monitor your blood pressure regularly?": This pertains to blood pressure monitoring, which is one of the vital signs but not the "fifth vital sign."

D. "Are you experiencing any pain right now?": Pain is often referred to as the "fifth vital sign" and is assessed to understand a patient's overall health and comfort.

A. Pulses B. Vibrations C. Fremitus D. Temperature

Correct Answer is A

Explanation

A. Pulses: The finger pads are particularly effective for detecting the presence, strength, and regularity of pulses due to their sensitivity and the ability to apply gentle pressure.

B. Vibrations: Vibrations are best assessed with the ulnar surface of the hand rather than the finger pads.

C. Fremitus: Fremitus, or the vibrations transmitted through the chest wall, is best assessed using the palmar or ulnar surface of the hand.

D. Temperature: Temperature is more effectively assessed using the back of the hand, not the finger pads.

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During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which general survey question focuses on the common "fifth vital sign"?

Correct Answer is D

Explanation

The nurse is using the finger pads of the hand to palpate a body part. The nurse would best be able to detect which finding?

Correct Answer is A

Explanation

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When the nurse collects objective data, which finding requires immediate follow-up?

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