A nurse in a Medicare- and Medicaid-funded nursing home performs assessments and develops care plans. Which of these statements is true of the functional assessments the nurse is likely to perform?
A) The nurse will address core ADLs but not more complex IADLs.
B) The nurse will identify changes in the older adult's function over time.
C) The nurse will utilize various functional assessment models.
D) The main goal of functional assessments will be to ensure older adult safety.
Ans: B
Functional assessments consider an older adult's functional status and changes in this status over time. They include both core ADLs and more complex IADLs. The nurse is likely to use the Minimum Data Set for Resident Assessment and Care Screening, as mandated for Medicare- and Medicaid-funded facilities. While safety is a consideration in functional assessment, the main goal is determining the older adult's need for assistance and for planning care.
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