ADL & Functional Assessment Flashcards
7 cards from real CRA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 ADL & Functional Assessment flashcards as text
Which assessment tool is specifically designed to evaluate cognitive function and screen for dementia?
Answer: Mini-Mental State Examination (MMSE)
The MMSE is a standardized cognitive screening tool assessing orientation, memory, attention, language, and visuospatial skills to detect cognitive impairment.
A resident with Parkinson's disease is likely to have the MOST difficulty with which ADL due to bradykinesia?
Answer: Fastening buttons on clothing
Bradykinesia (slowness of movement) and fine motor tremor in Parkinson's disease significantly impair small, precise movements such as buttoning clothing.
When scoring a resident on the Katz Index, the aide observes the resident shaves independently but requires assistance with bathing. The correct approach is to:
Answer: Score each ADL domain separately based on observed performance
The Katz Index scores each of the six ADL domains (bathing, dressing, toileting, transferring, continence, feeding) independently based on observed performance.
A resident refuses to participate in a structured ADL assessment. The recreation aide should:
Answer: Document the refusal, respect the resident's right, and report it to the care team
Residents have the legal and ethical right to refuse participation; refusals must be documented and communicated to the care team to ensure care planning reflects the resident's wishes.
Which transfer technique is safest when assisting a resident with partial weight-bearing from a wheelchair to a bed?
Answer: Pivot transfer with a gait belt
A pivot transfer using a gait belt allows safe controlled transfer for partial weight-bearing residents and protects both the resident and aide from injury.
How does deconditioning from prolonged bed rest affect ADL performance?
Answer: It reduces muscle strength and endurance, decreasing ADL independence
Prolonged bed rest causes rapid muscle atrophy and cardiovascular deconditioning, significantly reducing the strength and endurance needed for ADL independence.
A resident uses a long-handled bath sponge during their bathing routine. This adaptive strategy primarily compensates for:
Answer: Limited range of motion in the hips and spine
Long-handled bath sponges extend reach to the lower extremities, compensating for limited hip or spinal range of motion that prevents forward bending.