The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient's functional ability. What question would be the most appropriate?
a. "Are you able to shop for yourself?"
b. "Do you use a cane, walker, or wheelchair to ambulate?"
c. "Do you know what today's date is?"
d. "Were you sad or depressed more than once in the last 3 days?"
ANS: B
"Do you use a cane, walker, or wheelchair to ambulate?" will assist the nurse in determining the patient's ability to perform self-care activities. A nutritional health risk assessment is not the functional assessment. Knowing the date is part of a mental status exam. Assessing sadness is a question to ask in the depression screening.
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