Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following best reflects a self-care deficit diagnosis for an older adult with a recent stroke?

1. Impaired cognitive function

2. Related to emotional well-being

3. Concerned with making health decisions

4. Related to operational capability post-stroke

The correct answer is: Related to operational capability post-stroke

The selected answer effectively captures the essence of a self-care deficit diagnosis for an older adult who has recently experienced a stroke. A stroke can significantly impact an individual's physical abilities, including their mobility, strength, and coordination, which directly affects their operational capability in performing daily activities. This operational capability encompasses tasks such as personal hygiene, mobility, and managing medications, all of which are critical elements of self-care. The diagnosis highlights the practical implications of the stroke, indicating that the individual may need assistance or adaptations to safely and effectively carry out self-care activities. Recognizing this deficit is crucial for developing an appropriate care plan that addresses the specific needs and limitations of the older adult during their recovery. In contrast, the other options, while relevant to the overall picture of the individual's health and recovery, do not specifically target the fundamental self-care capabilities that are most affected following a stroke. For instance, impaired cognitive function may be relevant, but it pertains more to cognitive processing and decision-making rather than direct self-care deficits. Emotional well-being and health decision-making are also important considerations but they do not directly reflect the physical limitations and resulting self-care struggles faced by someone post-stroke.