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    HESI RN health assessment proctored exam

    An older adult client is being evaluated for admission to an assisted living facility. During the health assessment, the nurse implements which technique to determine the client's ability to reside in this environment?

    Explanation & Rationale

    A. Instruct client to demonstrate activities of daily living: Assessing the ability to perform activities of daily living (ADLs) such as bathing, dressing, toileting, and feeding is essential when determining if an older adult can safely live in an assisted living environment. ADL performance directly impacts the level of care and support required.B. Screen client for alcohol or controlled drug abuse: While substance use screening is important for overall health evaluation, it is not the primary assessment when determining suitability for assisted living. It may be part of a broader psychosocial evaluation.C. Focus questions to evaluate long term memory: Long-term memory evaluation is relevant in assessing cognitive function, but it does not fully reflect the client’s ability to manage daily tasks required for independent or semi-independent living.D. Evaluate client for side effects of routine medications: Monitoring medication side effects is important for safety, but it does not directly measure functional capacity to live in an assisted setting. ADL capability remains the most critical factor for admission decisions.

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