ADL & Functional Assessment Flashcards

Which functional assessment tool uses a 7-level scale ranging from total assistance to complete independence?

Answer: Functional Independence Measure (FIM)

The FIM uses a 7-level scale (1=total assistance, 7=complete independence) to measure functional ability across 18 items.

A resident who can dress independently but needs reminders to initiate the task would be classified as which level on the FIM?

Answer: Supervision

FIM Level 5 (Supervision) applies when a person needs only verbal cues, prompting, or reminders without physical assistance.

When observing a resident's grooming ADL, a recreation aide notes the person brushes only one side of their hair. This may indicate:

Answer: Unilateral neglect

Unilateral neglect causes a person to ignore one side of their body, commonly seen after stroke, resulting in grooming only one side.

The Barthel Index assesses all of the following EXCEPT:

Answer: Short-term memory

The Barthel Index measures physical ADLs including mobility and self-care but does not assess cognitive functions like short-term memory.

A recreation aide should document functional observations using which type of language?

Answer: Objective, observable, measurable descriptions

Documentation must use objective, observable, and measurable language (e.g., 'resident walked 20 feet with a standard walker') rather than subjective interpretations.

Which adaptive device best supports a resident with limited grip strength during feeding?

Answer: Built-up handle utensils

Built-up handle utensils have enlarged grips that reduce the amount of grip strength needed to hold and use feeding utensils.

During a functional assessment, a resident scores 0 on the Katz Index for bathing. What does this indicate?

Answer: The resident needs assistance in more than one bathing area

On the Katz Index, a score of 0 for bathing means the person does not bathe independently and requires assistance in more than one area.