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Evaluation for IADL and Health Mgxt Flashcards

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1
Q

These are activities that support daily life within the home and community

A

IADL

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2
Q

IADL stands for

A

Instrumental Activities of Daily Living

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3
Q

Occupation that is more complex than ADL

A

IADL

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4
Q

T/F

A caregiver providing care for others is considered IADL

A

False (it is considered as work)

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5
Q

What are the common causes of IADL Disability

A
  • Lack of opportunity to experience and learn IADL
  • Declining cognitive abilities
  • Memory and Attention impairment
  • Emotional factors (e.g. anxiety, depression)
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6
Q

widely used assessment

A

Self-report

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7
Q

People who report self tend to_____ their abilities

A

Overestimate

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8
Q

People who are reported by their family or other informants tend to _____ their abilities

A

Underestimate

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9
Q

What is the best thing to do as a therapist to actually see the client’s ability

A

Direct observation

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10
Q

the only SAT available (8 items)

  • administered through written questionnaire or by interview
  • takes about 10-15 minutes to administer
A

Lawton IADL Scale

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11
Q

Scoring for Lawton IADL

A

0- less able

1- more able

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12
Q

score and interpretation in lawton IADL

0 means____
8 means____

A

pt has low function

pt has high function

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13
Q

score and interpret IN LAWTON IADL

6 means____

A

pt has high fxn but there are still problematic IADLS

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14
Q

the 8 items considered in Lawton

A
  • using the telephone
  • shopping
  • preparing food
  • housekeeping
  • doing laundry
  • using transportation
  • handling medication
  • handling finances
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15
Q

how many items for women and for men (BEFORE) in lawton

A

8 items for women; 5 items for men

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16
Q

What items are not included for men IN LAWTON

A

food prep
housekeeping
doing laundry

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17
Q

Give 1 example of Observation-based Assessment

A

Independent Living Skills Survey (ILSS)

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18
Q

Assessment with comprehensive questionnaire that is designed for individuals with serious mental illness
-takes about 20-30 minutes to administer

A

ILSS

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19
Q

two forms of ILSS

A

informant version and self-report version

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20
Q

ILSS
Scoring for: Informant version ____
Scoring for: Self Report version ____

A

Informant: 5 point likert scale (always to never)

Self-report: Yes/No

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21
Q

Give 4 examples of Performance-based Assessment

A

Kohlman Eval of Living Skills (KELS)
Test of Grocery Shopping Skills (TOGSS)
Kitchen Task Assessment (KTA)
Rabideau Kitchen Eval-Revised (RKE-R)

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22
Q

What are the difference between observation-based Assessment to Performance-based?

A

Observation-based- you observe the cx actually do the Ax (parang AA)
Performance-based- the therapist is the one giving the specific task

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23
Q
  • Assessment tool used with combination of interview and simulated performance
  • has 17 living skills
  • 30-45 minutes to administer
A

Kohlman Evaluation of Living Skills (KELS)

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24
Q

Scoring for KELS

A

0- independent
1- needs assistance
.5 (for leisure and work)

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25
T/F In KELS, the higher the score, the better
False | dapat mas mababa
26
assessment tool used to see the person's ability to efficiently and accurately locate 10 items on a grocery shopping list -administered for 30-45 minutes
Test of Grocery Shopping Skills (TOGSS)
27
What are the 3 subscales of TOGSS
Accuracy Time Redundancy
28
subscale that checks the correct item, type and lowest price
Accuracy
29
subscale that checks the number of aisles entered by the cx to find 1 product
Redundancy
30
Assessment tool that evaluates the cognitive process that underlie successful task completion -common for patients with dementia
Kitchen Task Assessment (KTA)
31
What instruction is given in KTA
Make a box of pudding
32
T/F | in KTA, giving cues and minimal assistance is allowed
False
33
Scoring for KTA
4 point scale 0 = independent 4 = not capable
34
Assessment tool used for TBI patients that involved meal preparation
Rabideau Kitchen Evaluation-REvised (RKE-R)
35
What 2 meals are prepared in RKE-R
Sandwich and Hot drink
36
Tasks is broken down into ___ steps
40
37
T/F Each task is scored on a scale from 0 to 4
True
38
Scoring for RKE-R
0 - independent | 4- unable to perform
39
T/F Cues and assistance are provided in some cases
True
40
in TOGSS, Cues provided if:
assistance is requested significant frustration is experienced safety is a concern behavior interfere with completion of step or task
41
Give 4 SATs used for Health Management
Modified Morisky Scale Brief COPE Inventory Emotion Regulation Questionnaire Suicide Behaviors Questionnaire- Revised
42
Activities that is related to developing, managing and maintaining health and wellness routines
Health Management
43
T/F Patients that have mental illness do not have problem with their physical activity
False
44
Factors that may result to physical inactivity
lifestyle factors and treatment (medication)
45
The ANS and SNS are _____ affecting their physiological symptoms
heightened
46
Barriers to Physical Activity due to Symptom-related
Depression Anxiety Paranoid Avolition
47
Barriers to physical activity due to medication-related
Sedation Photosensitivity OH EPS
48
Common barriers to Medication Adherence
- stigma - negative side effects - degree of social support - forgetfulness - financial incapacity
49
Assessment tool usually used for pt taking medications - Answered by Yes (0) /No (1) - for cx with poor insight
Modified Morisky Scale
50
MMS can be administered to the patient's informant | T/F
False | should be self-report only
51
2 factors assessed in MMS
client's motivation and knowledge
52
Assessment tool that contains 28 item self-report questionnaire that assess the range of coping responses
Brief COPE Inventory
53
What does COPE stands for
Coping Orientation to Problems Experienced
54
What are the Primary coping Styles
Approach coping | Avoidance coping
55
T/F In Brief COPE, they check if pt can cope or not and to give therapist an overview about the pt's coping strategies
True
56
Scoring for Brief COPE
1 - haven't been doing at all 2- been doing a little bit 3- been doing in a medium amount 4- been doing a lot
57
Self Distraction
Avoidant | Cope 1 and 19
58
Active Coping
Approach | Cope 2 and 7
59
Self-Blame
Avoidant | Cope 13 and 26
60
Religion
Others | Cope 22 and 27
61
Denial
Avoidant | Cope 3 and 8
62
Acceptance
Approach | Cope 20 and 24
63
Humor
Others | Cope 18 and 28
64
Substance Use
Avoidant | Cope 4 and 11
65
Use of Emotional Support
Approach | Cope 5 and 15
66
Planning
Approach | Cope 14 and 25
67
Positive Reframing
Approach | Cope 12 and 17
68
Use of Instrumental Support
Approach | Cope 10 and 23
69
Venting
Avoidant | Cope 9 and 21
70
Behavioral Disengagement
Avoidant | Cope 6 and 16
71
a 10 item self report scale used to assess habitual use of two strategies to alter emotion
Emotion Regulation Questionnaire (ERQ)
72
two commonly used strategies to alter emotion
Cognitive Reappraisal | Expressive Suppression
73
Strategy where pt think different about a situation to change its meaning and alter emotion
Cognitive reappraisal
74
Strategy where pt usually deny possibility of outward expression of emotion
Expressive suppression
75
Scoring for ERQ
7 point likert Scale (1) strongly disagree (7) strongly Agree
76
In cognitive reappraisal the score ranges _____ | while in expressive suppression score ranges ____
6-42 | 4-28
77
What are the items included in cognitive reappraisal
1, 3, 5, 7, 8, 10
78
Items included in expressive suppression
2, 4, 6, 9
79
A 4 item self report questionnaire designed to identify risk factors for suicide
Suicide Behaviors Questionnaire-Revised (SBQ-R)
80
Item 1 is about
lifetime suicide ideation and/or suicide attempt
81
Item 2 assess the
Frequency of suicidal ideations over the past 12 months
82
Item 3 assess the
threat of suicide attempt
83
Item 4 evaluates
self-reported likelihood of suicidal behavior in the future
84
scores for SBQ-R
total score of 3 to 18
85
What is the cut off score for general population
7
86
Cut off score for psych population
8
87
What does cut off score means
it means pt has risk for suicide
88
What task should clients who are assessed using Kitchen Task Assessment do?
Make a pudding by following instructions in the box
89
Based on Brief COPE Inventory, which of the following is/are identified as avoidant coping strategies?
Venting
90
t/f | Symptom-related barriers are one of the major causes of IADL disability in clients with Schizophrenia.
false
91
t/f the following are true about TOGSS - It looks at the ability of the client to locate and select specific items in a nature environment. - It is administered in an actual grocery store. - It looks at one's executive functioning.
true
92
What are the subcomponents of ERQ?
Approach and avoidant
93
how | scoring an interpretation of ERQ
Add items for each subscales. Higher scores indicates higher usage of this type of emotion regulation strategy.
94
t/f | In KELS, each item marked needs assistance is scored as 1 point, except for work/leisure, which is scored as 0.5 point.
true
95
The client mentioned that his goal is to be able to manage his symptoms, especially to know what to do If he is experiencing anxiety attacks and when faced with a difficult problem. What evaluation tool can you use to further assess the client's skills and occupation?
Brief COPE Inventory
96
Which of the following statements is/are TRUE about ILSS? - It assesses both ADLs and IADLs. - It's self-report version uses a 5-point Likert Scale - None - It is a performance-based assessment tool.
It assesses both ADLs and IADLs.
97
t/f | Performance of ADLs require more cognitive skills than IADLs because they are more complex.
false

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