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A nurse is caring for a client scheduled for a functional assessment who asks, “What is the purpose of this assessment?” How should the nurse most appropriately respond to the client?

A.

“It is a test that determines which activities you feel most comfortable performing.”

B.

“It is a tool that is used to determine your maximum level of self-sufficiency.”

C.

“It is a tool that is used to assess what services you will need a home health aide to perform for you.”

D.

“It is a tool used by insurance companies to determine qualifications for medical reimbursement.”

Answer and Explanation

The Correct Answer is B

Choice A reason:

“It is a test that determines which activities you feel most comfortable performing” is not entirely accurate. While comfort with activities may be assessed, the primary goal of a functional assessment is to evaluate the client’s ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

 

Choice B reason:

“It is a tool that is used to determine your maximum level of self-sufficiency.” This response accurately reflects the purpose of a functional assessment. The assessment evaluates the client’s ability to perform ADLs and IADLs independently, which helps determine the level of assistance they may need.

 

Choice C reason:

“It is a tool that is used to assess what services you will need a home health aide to perform for you” is partially correct but not comprehensive. While the assessment can help identify the need for home health aide services, its primary purpose is to evaluate overall self-sufficiency and functional status.

 

Choice D reason:

“It is a tool used by insurance companies to determine qualifications for medical reimbursement” is not the primary purpose of a functional assessment. Although the results may be used for insurance purposes, the main goal is to assess the client’s functional abilities and needs.


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View Related questions

Correct Answer is ["A","B","C"]

Explanation

Choice A reason:

Conflict resolution skills are essential for effective nurse leadership. Leaders must be able to manage and resolve conflicts within the team to maintain a positive and productive work environment. Effective conflict resolution promotes teamwork and improves patient care.

Choice B reason:

Integrity is a fundamental quality of an effective nurse leader. Leaders with integrity are honest, ethical, and trustworthy. They set a positive example for their team and build a culture of trust and respect.

Choice C reason:

The ability to set priorities is crucial for nurse leaders. Effective leaders can identify the most important tasks and allocate resources appropriately. This skill ensures that the team focuses on activities that have the greatest impact on patient care and outcomes.

Choice D reason:

An authoritarian leadership style is not characteristic of effective nurse leadership. This style can lead to a lack of collaboration and low team morale. Effective nurse leaders typically use a more collaborative and inclusive approach to leadership.

Choice E reason:

Being resistant to change is not a quality of an effective nurse leader. Healthcare is a dynamic field that requires adaptability and openness to new ideas and practices. Effective leaders embrace change and guide their teams through transitions to improve care and outcomes.

Correct Answer is ["B","E"]

Explanation

Choice A reason:

“I may experience urinary incontinence.” This statement is correct. Urinary incontinence is a common symptom of MS due to the disease’s impact on the nervous system. The client does not need additional teaching regarding this statement.

Choice B reason:

“I should not exercise because this may trigger an exacerbation.” This statement indicates a need for additional teaching. Regular exercise is beneficial for individuals with MS and can help improve strength, mobility, and overall well-being. The nurse should educate the client on safe and appropriate exercise routines.

Choice C reason:

“I need to check the water temperature before I take a bath.” This statement is correct. Clients with MS may have impaired sensation and are at risk for burns if the water is too hot. Checking the water temperature is a necessary precaution.

Choice D reason:

“I may experience visual disturbances.” This statement is correct. Visual disturbances, such as blurred vision or double vision, are common symptoms of MS. The client does not need additional teaching regarding this statement.

Choice E reason:

“I should alternate the eye patch every other day to help with the double vision.” This statement indicates a need for additional teaching. While using an eye patch can help manage double vision, it should be alternated more frequently, typically every few hours, to prevent strain on the covered eye.

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