An older adult presents to the clinic for a routine physical examination. The client reports having trouble with memory and often has to "search" for words when having a conversation with friends or family. Which of the following assessment tools will help the nurse to gather more data about this client's concerns?
1. The Denver II
2. Mini-Mental Status Examination
3. Life Experiences Survey
4. Hassles and Uplifts Scale
2
Rationale 1: The Denver II is a screening tool used to assess personal-social, fine motor adaptive, language, and gross motor skills in children between birth and 6 years of age.
Rationale 2: The nurse should use the Mini-Mental Status Examination to gather more information about the cognitive status of this client. This tool is also useful to estimate cognitive impairment as well as to track cognitive changes over time.
Rationale 3: The Life Experiences Survey is used to evaluate the level of stress an individual is experiencing; this is not appropriate for this client's concerns.
Rationale 4: The Hassles and Uplifts Scale measures attitudes about daily situations; it does not screen for cognitive changes.
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