Registered Practical Nurse (RPN) Practice Test

What is the nature of the Global Assessment of Functioning (GAF) score?

1. It changes frequently based on the patient's progress

2. It is determined on admission and considered a fixed score

3. It is only applicable to physical health

4. It reflects a dynamic assessment of mental state

The correct answer is: It is determined on admission and considered a fixed score

The Global Assessment of Functioning (GAF) score is indeed a tool used to evaluate an individual's overall level of functioning in terms of psychological, social, and occupational aspects. However, the assertion that it is determined on admission and considered a fixed score does not accurately reflect the nature of the GAF. The GAF score is intended to be a dynamic measure that can change over time, responding to the individual's progress or changes in their mental health status. This adaptability allows healthcare providers to monitor fluctuations in the patient's functioning, assessing how effectively they are coping with their conditions and life circumstances. The score is sensitive to improvements or deteriorations, making it a valuable tool for ongoing assessment and treatment planning. In terms of applicability, the GAF is not confined solely to physical health; rather, it encompasses mental health issues, as well as how these issues impact daily functioning across various domains, such as interpersonal relationships and work performance. Thus, the GAF reflects a continuous and dynamic assessment rather than a fixed measure.