Question

1. A nurse is observing an elderly client walk down a hallway and up a flight of stairs. What is the nurse assessing?

                a. Gait

                b. Balance

                c. Activity tolerance

                d. All of the above

2. A nurse is assessing the cognitive function of an elder. Which assessment will provide the most through and objective data?

                a. Ask the client to state their name, where they are now, and the date.

                b. Administer the Hearing Handicap Inventory for the Elderly (HHIE-S)

                C. Ask the client’s family to describe the client’s behavior.

                d. Administer a Mini Mental State Examination (MMSE)

3. Which assessment by the nurse would most effectively assess cognition?

                a. The client’s ability to follow complex instructions.

                b. The client’s ability to touch the nose with the pointer finger.

                c. The client’s ability to differentiate a sharp and dull sensation

                d. The client’s ability to stand on one foot

Answer 1

1: d) All of the above (because it is only observation)

2: d) Administer a Mini Mental State Examination (MMSE)

MMSE is an appropriate way and it is a widely used test of cognitive function among the elderly. Ask the client’s family to describe the client’s behavior may lead to incorrect assessment.

3: a) The client’s ability to follow complex instructions.

Rest all describe about sensations and balance parameters.