The nurse is assessing the function of an older adult. Which of the following actions should the nurse take? Select all that apply.
1. Utilize the SPICES tool.
2. Utilize the PULSES tool.
3. Identify the client's strengths.
4. Interview the client's closest family member.
5. Use an interdisciplinary assessment approach.
1. Utilize the SPICES tool.
2. Utilize the PULSES tool.
3. Identify the client's strengths.
5. Use an interdisciplinary assessment approach.
Explanation: 1. SPICES is an overall assessment tool used to plan, promote, and maintain optimal function in older adults.
2. PULSES is a tool that measures general functional performance in mobility and self-care, medical status, and psychosocial factors.
3. Identifying and using the client's strengths to help maximize independence is one role of the nurse when assessing the function of an older adult.
4. Interviewing a family member is not necessary for assessing the older adults' functional status.
5. An interdisciplinary approach should be utilized to consult and evaluate the older adult.
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