Tinetti assessment tool - Study guides, Class notes & Summaries

Initial Instructions: Subject is seated in a hard, armless chair. The following maneuvers are tested. Task Description of Balance Possible Score Date Score Date Score Date 1. SITTING BALANCE Leans or slides in chair 0 Steady, Safe 1 1 2. ARISES Unable without help 0 Able, uses arms to help 1 Able without using arms 2 2 3. ATTEMPTS TO ARISE Unable without help 0 Able, requires >1 attempt 1 Able to rise >1 attempt 2

Activity of Daily Living - Correct answer-Tasks that are necessary for self-care, such as eating/feeding, bathing, grooming, toileting, walking, and transferring. Advanced Activities of Daily Living - Correct answer-Activities that an older adult performs as a family member or as a member of society or community, including occupational and recreational activities. Caregiver Assessment - Correct answer-Assessment of the health and well-being of an individual's caregiver. Caregiver Burden ...

NR 509 After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be. A. Objective B. Reflective C. Subjective D. Introspective - A. Objective A patient tells the nurse that he is very nervous, is nauseated and feels hot. These types of data would be A. Objective B. Reflective C. Subjective D. Introspective - C. Subjective The patients record, laboratory studies, objecti...

AGPNP PREP Test Exam Questions And Verified Answers | Latest Update senile lentigines - ANSWER Senile Lentigines (liver spots), which are brown macules found on the backs of the hands, forearms, and face caused by localized mild epidermal hyperplasia in association with increased numbers of melanocytes and increased melanin production. Sebaceous gland hyperplasia - ANSWER Sebaceous gland hyperplasia is found especially on the forehead and nose, with a raised area from 1 to 3 mm ...

Hesi health assessment exam review 2023 When we are asked to prioritize our nursing action what rule do we use? - CORRECT ANSWERS ABC rule What is the ABC rule - CORRECT ANSWERS Airway first, then breathing, then circulation What is a TUG test? - CORRECT ANSWERS timed up and go test Why do we assess a Tug test? - CORRECT ANSWERS this is a reliable and valid test to quantify functional mobility What do we observe on the TUG test - CORRECT ANSWERS we observe and time the patient as h...

NURS 203 FINAL EXAM PRACTICE QUESTIONS AND ANSWERS | 100% PASS The ability to identify an object by touch and manipulation with eyes closed is called: A. tactile angosia B. item discrimination C. graphesthesia D. stereognosis - Answer-D To evaluate fine motor function, the patient would be asked to: A. pat his knees with both hands alternating the palm & back of hand B. touch his own nose & the examiners index finger with his finger C. moves his tongue from side to side D. laterally b...

CNRN Exam 157 Questions with Verified Answers Glascow Coma Scale (GCS) - CORRECT ANSWER Used to assess/classify level of consciousness particularly in acute stages of injury or comatose patients. The scale ranges from 3-15. Score 13-15=mild injury. Score 9-12=moderate injury. Score less than 8=severe brain injury. If patient is unresponsive to auditory cues, tactile stimulation is applied. Begin with gentle touching or gentle shaking, if no response, more pressure or pinching to the upper c...

NUR2092 Health Assessment Final Exam Activity of Daily Living Correct Answer: Tasks that are necessary for self-care, such as eating/feeding, bathing, grooming, toileting, walking, and transferring. Advanced Activities of Daily Living Correct Answer: Activities that an older adult performs as a family member or as a member of society or community, including occupational and recreational activities. Caregiver Assessment Correct Answer: Assessment of the health and well-being of an ind...

Health Assessment HESI Review Questions Health Assessment HESI Review Questions Flashcards Learn Test While measuring a patient's blood pressure, which set of Korotkoff sounds should be recorded as systolic and diastolic pressure? 1 Phase III/phase V 2 Phase I/phase V 3 Phase II/phase III 4 Phase I/phase IV - ANS 2 What should the nurse document as a normal finding when auscultating a toddler's chest for breath sounds? 1 Bronchovesicular breath sounds in the pe...

NUR2092 Health Assessment Final Exam Activity of Daily Living Correct Answer: Tasks that are necessary for self-care, such as eating/feeding, bathing, grooming, toileting, walking, and transferring. Advanced Activities of Daily Living Correct Answer: Activities that an older adult performs as a family member or as a member of society or community, including occupational and recreational activities. Caregiver Assessment Correct Answer: Assessment of the health and well-being of an ind...