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Assessment and Evaluation Flashcards

7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Assessment and Evaluation flashcards as text
  1. A nurse is conducting a fall risk assessment using the Morse Fall Scale. Which factor carries the HIGHEST point value on this tool?

    Answer: History of falling within the past 3 months

    History of falling within the past 3 months carries 25 points, the highest single-item score on the Morse Fall Scale.

  2. When using the Glasgow Coma Scale (GCS), which component assesses verbal response?

    Answer: Oriented, confused, inappropriate, incomprehensible, or none

    The verbal response component of the GCS is scored from 5 (oriented) to 1 (none), evaluating responses such as oriented, confused, inappropriate words, incomprehensible sounds, or no response.

  3. A clinician documents a patient's pain as 7/10 using a numeric rating scale. This represents which level of measurement?

    Answer: Ordinal

    Numeric pain rating scales are ordinal because the numbers indicate rank order but do not have equal intervals between values.

  4. Which assessment tool is BEST suited for detecting delirium in hospitalized older adults?

    Answer: Confusion Assessment Method (CAM)

    The Confusion Assessment Method (CAM) is a validated, widely used tool specifically designed to identify delirium at the bedside.

  5. An evaluator notes that two raters score the same client differently on a behavioral checklist. This represents a problem with:

    Answer: Inter-rater reliability

    Inter-rater reliability refers to the degree of agreement between two or more independent raters evaluating the same subject.

  6. During a comprehensive skin assessment, a stage 2 pressure injury is BEST described as:

    Answer: Partial-thickness loss involving the dermis

    Stage 2 pressure injuries involve partial-thickness loss of the dermis and present as a shallow open ulcer or intact/ruptured blister.

  7. Which principle of assessment states that a test should measure what it is intended to measure?

    Answer: Validity

    Validity is the degree to which an assessment tool accurately measures the construct or outcome it is designed to assess.