A nurse is conducting a health assessment of a 78-year-old client who reports difficulty sleeping and increasing fatigue. The client has a history of hypertension and osteoarthritis and lives alone. During the assessment, which action should the nurse prioritize to best evaluate the client's adaptive abilities and overall functioning?
Evaluate the client’s ability to perform activities of daily living.
Review the client’s dietary habits and nutritional intake.
Assess the client’s sleep patterns and quality of rest.
Conduct a mini-mental status examination to assess cognition.
The correct answer is to conduct a functional assessment, because it evaluates the client's ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs), which are crucial for determining overall functioning and adaptive ability, specifically in older adults. While assessing sleep patterns and mental status are also important components of a comprehensive assessment, they do not provide a holistic view of the client’s daily living abilities. Nutritional assessment is valuable but doesn’t directly determine the client’s overall adaptive capacity.
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