A tool that permits a worker located on a building floor to install elements in a high ceiling includes a telescoping housing section that is attached to a hand-held power tool, such as a power drill or the like, and a threaded rod threadably engaged with the housing section. A rod coupling element is threadably engaged with the rod, and couples the ceiling-mounted element to the tool. The tool is extendable to accommodate ceilings of various heights, and can include a stepped surface so other hand-held tools can be used to apply torque thereto.