Functional Status
Functional Status ( 5 Questions)
A nurse is caring for an older adult client who has multiple chronic diseases and takes several medications.
The nurse recognizes that these factors can affect the functional status of the client by:.
Older adults with multiple chronic diseases and medications have more complex health and social care needs than those with fewer or no chronic conditions. They are more likely to experience functional limitations, such as difficulty with activities of daily living, mobility, safety and independence. They are also more likely to have complications from their diseases, adverse effects from their medications, and polypharmacy (the use of multiple medications that may interact with each other or cause harm).
is wrong because older adults with multiple chronic diseases and medications may have more need for assistive devices and adaptive equipment to help them cope with their functional limitations and improve their quality of life.
This is wrong because older adults with multiple chronic diseases and medications may have reduced mobility, safety and independence due to their functional limitations and increased risk of falls, injuries and hospitalizations.
This is wrong because older adults with multiple chronic diseases and medications may have more impact from environmental and psychosocial factors, such as socioeconomic status, education, health literacy, access to care, social support and caregiver burden.
The correct answer is A.
Increasing the risk of complications, adverse effects and polypharmacy.
Older adults with multiple chronic diseases and medications have more complex health and social care needs than those with fewer or no chronic conditions. They are more likely to experience functional limitations, such as difficulty with activities of daily living, mobility, safety and independence. They are also more likely to have complications from their diseases, adverse effects from their medications, and polypharmacy (the use of multiple medications that may interact with each other or cause harm).
Choice B is wrong because older adults with multiple chronic diseases and medications may have more need for assistive devices and adaptive equipment to help them cope with their functional limitations and improve their quality of life.
Choice C is wrong because older adults with multiple chronic diseases and medications may have reduced mobility, safety and independence due to their functional limitations and increased risk of falls, injuries and hospitalizations.
Choice D is wrong because older adults with multiple chronic diseases and medications may have more impact from environmental and psychosocial factors, such as socioeconomic status, education, health literacy, access to care, social support and caregiver burden.
Normal ranges for functional status can be measured by various tools, such as the Katz Index of Independence in Activities of Daily Living, the Lawton Instrumental Activities of Daily Living Scale, the Short Physical Performance Battery, the Timed Up and Go Test, and the Barthel Index.
These tools assess different domains of function, such as self-care, mobility, balance, strength and endurance.
The scores can range from 0 (complete dependence or impairment) to 100 (complete independence or performance) depending on the tool.