Functional ability Flashcards
What is the primary consideration when assessing a patient’s functional ability?
A) Age of the patient
B) Cognitive capacity
C) Physical appearance
D) How functional the patient is
Answer: D
Rationale: Functional assessments focus on what a patient can do, rather than their age.
Which of the following is considered a basic activity of daily living (BADL)?
A) Managing finances
B) Bathing
C) Taking medication
D) Using transportation
Answer: B
Rationale: Bathing is a fundamental part of BADLs, while the other options are instrumental activities of daily living (IADLs).
Which tool is used to assess basic activities of daily living?
A) Mini Mental State Exam (MMSE)
B) Lawton IADL Scale
C) Katz Index of Independence
D) Geriatric Depression Scale
Answer: C
Rationale: The Katz Index specifically measures independence in performing basic activities of daily living.
A nurse is assessing a patient’s ability to shop for groceries and manage finances. Which category of functional ability is the nurse evaluating?
A) BADLs
B) IADLs
C) Social domain
D) Cognitive domain
Answer: B
Rationale: Shopping and managing finances fall under instrumental activities of daily living.
Which of the following is NOT a risk factor for impaired functional ability?
A) Physical trauma
B) Advanced age
C) Cognitive function
D) Frequent exercise
Answer: D
Rationale: Frequent exercise generally supports functional ability, rather than impairing it.
Which assessment tool is used to screen for malnutrition in older adults?
A) Lawton IADL Scale
B) Katz Index of Independence
C) Mini Nutrition Assessment (MNA)
D) Mini Mental State Exam (MMSE)
Answer: C
Rationale: The Mini Nutrition Assessment screens for malnutrition in older adults.
Which of the following exemplars is most associated with cognitive impairments?
A) Down syndrome
B) Parkinson’s disease
C) Stroke
D) Alzheimer’s disease
Answer: D
Rationale: Alzheimer’s disease is primarily associated with cognitive decline.
Which domain of functional ability involves language for self-expression and social interaction?
A) Physical domain
B) Social domain
C) Cognitive domain
D) Psychological domain
Answer: B
Rationale: The social domain includes language for self-expression and social interaction.
Which environmental modification can assist with mobility in individuals with functional deficits?
A) Using incontinence products
B) Installation of grab bars
C) Raised toilet seats
D) Use of adaptive utensils
Answer: B
Rationale: Installing grab bars improves mobility and safety in the environment
Which patient care approach is essential for a client with impaired functional ability?
A) Encouraging total dependence
B) Providing adaptive devices
C) Limiting activities to conserve energy
D) Focus on physical therapy only
Answer: B
Rationale: Adaptive devices promote independence in patients with functional deficits.
Which of the following are considered instrumental activities of daily living (IADLs)? (Select all that apply)
A) Bathing
B) Managing money
C) Cooking
D) House cleaning
Answer: B, C, D
Rationale: IADLs include tasks such as managing money, cooking, and house cleaning.
Risk factors for functional impairment include: (Select all that apply)
A) Advanced age
B) Physical trauma
C) Frequent social interaction
D) Cognitive decline
Answer: A, B, D
Rationale: Advanced age, physical trauma, and cognitive decline are risk factors for functional impairment.
Which assessment tools are used to evaluate functional ability? (Select all that apply)
A) Lawton IADL Scale
B) Katz Index of Independence
C) Mini Mental State Exam (MMSE)
D) Snellen Vision Test
Answer: A, B, C
Rationale: These tools assess different aspects of functional ability, while the Snellen test measures vision.
Which factors influence a person’s ability to perform daily activities? (Select all that apply)
A) Social support
B) Physical health
C) Financial stability
D) Cognitive ability
Answer: A, B, D
Rationale: Social support, physical health, and cognitive ability directly impact daily functioning.
Environmental modifications to enhance functional ability may include: (Select all that apply)
A) Grab bars
B) Incontinence products
C) Non-slip mats
D) Adaptive clothing
Answer: A, C, D
Rationale: Grab bars, non-slip mats, and adaptive clothing are modifications that assist functional ability.
True or False: The primary goal of functional assessment is to diagnose cognitive decline.
Answer: False
Rationale: The goal is to assess overall ability to perform daily tasks, not solely to diagnose cognitive decline.
True or False: The Lawton IADL Scale is used to assess basic daily living skills.
Answer: False
Rationale: The Lawton IADL Scale assesses instrumental activities of daily living, not basic skills.
True or False: Alzheimer’s disease primarily affects physical functioning.
Answer: False
Rationale: Alzheimer’s disease primarily affects cognitive functioning.
True or False: Functional ability includes physical, cognitive, psychological, and social domains.
Answer: True
Rationale: Functional ability encompasses multiple domains including physical, cognitive, psychological, and social.
True or False: A multidisciplinary approach is essential in managing functional deficits.
Answer: True
Rationale: Managing functional deficits often requires input from various healthcare professionals.
Which of the following is an example of an adaptive device to aid dressing?
A) Velcro shoes
B) Bath bench
C) Grab bar
D) Hearing aid
Answer: A
Rationale: Velcro shoes assist with dressing, especially for those with limited dexterity.
Which condition is most associated with social limitations and lifelong care?
A) Alzheimer’s disease
B) Down syndrome
C) Parkinson’s disease
D) Stroke
Answer: B
Rationale: Down syndrome often involves social limitations and requires lifelong care.
Which functional ability assessment tool is specifically designed for children?
A) NGAGED
B) Katz Index of Independence
C) Lawton IADL Scale
D) Mini Mental State Exam (MMSE)
Answer: A
Rationale: NGAGED is designed for children to assess functional abilities.
A patient with Parkinson’s disease may require assessment in which domain?
A) Psychological domain
B) Social domain
C) Physical domain
D) Cognitive domain
Answer: C
Rationale: Parkinson’s disease primarily affects physical functioning, including mobility.
