GNA - Geriatric Nursing Assistant Activities of Daily Living Questions and Answers — Questions and Answers
Question 1: Which of the following is considered a basic Activity of Daily Living (ADL)?
- Managing personal finances
- Shopping for groceries
- Dressing oneself (Correct answer)
- Preparing a meal
Correct answer: Dressing oneself
Activities of Daily Living (ADLs) are fundamental self-care tasks. The six basic ADLs are bathing, dressing, eating, transferring (mobility), toileting, and continence. Managing finances, shopping, and preparing meals are considered Instrumental Activities of Daily Living (IADLs), which are more complex tasks required for independent living.
Question 2: A resident has weakness on their left side from a stroke. When assisting the resident to put on a button-up shirt, the GNA should first put the shirt on:
- the right arm, then the left arm.
- both arms at the same time.
- whichever arm the resident prefers.
- the left arm, then the right arm. (Correct answer)
Correct answer: the left arm, then the right arm.
When assisting a resident with one-sided weakness, the clothing should be put on the weaker (affected) side first. This technique minimizes strain and makes the process easier and safer for the resident. When undressing, the process is reversed: remove clothing from the stronger side first.
Question 3: Mr. Jones is a resident who can feed himself but has difficulty getting out of his bed and moving to a chair. Which ADL does he need assistance with?
- Eating
- Transferring (Correct answer)
- Dressing
- Continence
Correct answer: Transferring
Transferring is the ADL that refers to the ability to move from one position to another, such as moving from a bed to a chair or standing up from a seated position. Since Mr. Jones can feed himself but struggles with moving from the bed to a chair, he requires help with transferring.
Question 4: When a GNA promotes a resident's independence in performing ADLs, what is the primary goal?
- To make the GNA's job easier and faster.
- To enhance the resident's self-esteem and functional ability. (Correct answer)
- To ensure the resident can be discharged quickly.
- To fulfill the facility's documentation requirements.
Correct answer: To enhance the resident's self-esteem and functional ability.
Encouraging residents to participate in their own ADLs as much as they are safely able to is crucial for rehabilitation and maintaining their quality of life. This practice helps preserve their physical function, independence, and sense of self-worth.
Question 5: A GNA is assigned to assist a resident with bathing. Which action best ensures the resident's dignity and safety during this ADL?
- Leaving the door open to call for help if needed.
- Rushing through the bath to minimize exposure.
- Ensuring the resident is properly covered and the water temperature is safe. (Correct answer)
- Letting the resident bathe completely alone, regardless of their fall risk.
Correct answer: Ensuring the resident is properly covered and the water temperature is safe.
A key responsibility during any ADL is to ensure the resident's safety, dignity, and privacy. For bathing, this includes preventing falls by using safety measures, checking that the water is a comfortable and safe temperature, and keeping the resident covered as much as possible to protect their privacy and warmth.
Question 6: All of the following are examples of Instrumental Activities of Daily Living (IADLs) EXCEPT:
- Using a telephone.
- Toileting. (Correct answer)
- Managing medications.
- Housekeeping.
Correct answer: Toileting.
IADLs are more complex tasks necessary for independent community living, such as managing medications, using a phone, and housekeeping. Toileting, which is the ability to get to and from the toilet and clean oneself, is a basic ADL, not an IADL.
GNA - Geriatric Nursing Assistant Activities of Daily Living Questions and Answers
Which of the following is considered a basic Activity of Daily Living (ADL)?