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
According to restorative care principles, the PRIMARY goal when a resident has difficulty with a functional task is to:
Answer: Maximize the resident's independence to their highest possible level
Restorative care aims to maintain or improve functional independence to the highest level possible, preventing unnecessary decline through active participation.
A pain scale commonly used to assess pain that may limit ADL performance in cognitively impaired residents who cannot self-report is the:
Answer: PAINAD Scale
The PAINAD (Pain Assessment in Advanced Dementia) scale uses behavioral observations (breathing, vocalizations, facial expressions, body language, consolability) to assess pain in non-verbal residents.
When a recreation aide notices a resident's functional ability varies significantly between morning and afternoon sessions, they should:
Answer: Document both time-specific observations and report the variability to the care team
Functional variability across times of day is clinically significant (e.g., 'sundowning' in dementia, fatigue effects) and should be documented with time-specific detail and reported.
Which of the following BEST describes the role of the recreation aide in the interdisciplinary team's ADL assessment process?
Answer: Providing objective behavioral observations from activity sessions to inform the team
Recreation aides contribute meaningful observational data from activity contexts to the interdisciplinary team but do not conduct formal clinical assessments or alter care plans independently.
A resident who scored 100 on the Barthel Index would be expected to:
Answer: Be fully continent and able to feed, dress, and transfer independently
A Barthel Index score of 100 indicates complete functional independence across all assessed domains including feeding, transfers, grooming, toileting, bathing, mobility, and continence.
A resident with right-sided hemiplegia should be encouraged to dress in which sequence?
Answer: Dress the affected (right) side first, then the unaffected (left) side
When dressing with hemiplegia, clothing is put on the affected (weaker) side first to allow easier manipulation, then removed from the unaffected side first.
During a craft activity, a recreation aide observes that a resident with mild cognitive impairment can initiate tasks but cannot sequence the steps without prompting. This suggests the resident may have difficulty with:
Answer: Executive function and planning
The inability to sequence multi-step tasks despite intact initiation indicates impaired executive function, which governs planning, sequencing, and task organization.