The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the
level of consciousness.
ability to perform activities of daily living
degree of reasoning, judgment, and thought processes.
level of functioning memory
The Correct Answer is B
A. It is typically part of a neurological or mental status examination rather than a functional assessment. Functional assessments are more concerned with how well a client can manage daily tasks and their overall ability to live independently.
B. The primary purpose of a functional assessment is to determine the client’s ability to perform activities of daily living (ADLs). ADLs include tasks such as bathing, dressing, grooming, eating, toileting, and mobility. This assessment helps to identify areas where the client may need assistance and guides the development of a care plan to support their independence and quality of life.
C. While assessing cognitive functions such as reasoning, judgment, and thought processes can be part of a comprehensive evaluation, it is not the primary goal of a functional assessment. These cognitive aspects are more relevant in mental status examinations or neuropsychological assessments.
D. Assessing memory is important for understanding cognitive function, but it is not the main focus of a functional assessment. Functional assessments are centered around evaluating practical abilities related to daily living rather than specific cognitive functions like memory.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prozac is sometimes used to treat certain anxiety disorders, such as obsessive-compulsive disorder (OCD) and panic disorder, its primary indication is not for anxiety.
B. Prozac is not used to treat schizophrenia. Schizophrenia is a complex mental disorder that is usually managed with antipsychotic medications. Prozac, as an SSRI, does not address the primary symptoms of schizophrenia, such as delusions and hallucinations.
C. Prozac is primarily prescribed for the treatment of major depressive disorder (MDD). It is one of the most commonly used SSRIs for managing depression. The medication works by increasing levels of serotonin in the brain, which can help improve mood and alleviate symptoms of depression.
D. Prozac is not typically used as the primary treatment for bipolar disorder. While it may be used in combination with mood stabilizers for managing depressive episodes in bipolar disorder, it is not used alone due to the risk of potentially triggering manic episodes.
Correct Answer is A
Explanation
A. It’s important for a nurse to address the behavior immediately and to establish expectations for acceptable conduct. However, while this statement is firm, it does not offer immediate guidance or intervention on how to resolve the situation or manage emotions.
B. This statement is not appropriate in this context because it incorrectly assumes the behavior was physical (hitting) rather than verbal (yelling). It also places the client on the defensive and may not
effectively address the immediate situation. Instead of focusing on why the behavior occurred, it’s more
important to manage and de-escalate the current situation first.
C. This response is punitive and does not address the immediate issue or the underlying causes of the behavior. While setting consequences may be part of a broader behavior management plan, immediate actions should focus on de-escalation and safety rather than punishment. Additionally, consequences should be proportionate and ideally involve a discussion with the client about their behavior and its impact.
D. This statement is not effective because it shifts the focus from the immediate behavior to a vague notion of disappointment, which may not address the situation constructively. It’s important for the nurse to be clear about the expectations for behavior and to provide immediate guidance on managing emotions and conflicts.
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