CEAC Client Assessment & Needs Evaluation 2 — Questions and Answers
Question 1: During an initial client interview for an accessibility consultation, which tool is most appropriate for systematically documenting a client's functional limitations across multiple body systems?
- ICF (International Classification of Functioning, Disability and Health) framework (Correct answer)
- ICD-10 diagnostic codes only
- DSM-5 criteria checklist
- OSHA hazard assessment form
Correct answer: ICF (International Classification of Functioning, Disability and Health) framework
The ICF framework provides a comprehensive, standardized approach to documenting functional limitations across body functions, activities, and participation.
Question 2: A client with progressive MS reports difficulty with fatigue management. When assessing home modification needs, which factor should the CEAC prioritize first?
- Aesthetic preferences for modifications
- Energy conservation throughout daily routines (Correct answer)
- Cost of modifications
- Structural feasibility of the home
Correct answer: Energy conservation throughout daily routines
For clients with fatigue-related conditions like MS, energy conservation across daily routines is the foundational functional priority before other considerations.
Question 3: Which assessment instrument is specifically designed to evaluate a person's ability to perform self-care tasks in their home environment?
- FIM (Functional Independence Measure) (Correct answer)
- MMSE (Mini-Mental State Examination)
- PHQ-9
- GAF (Global Assessment of Functioning)
Correct answer: FIM (Functional Independence Measure)
The FIM measures the level of assistance required for self-care, mobility, and cognitive tasks, making it directly relevant to home accessibility planning.
Question 4: A CEAC is evaluating a client who recently had a stroke. Which sequence of assessment steps is most appropriate?
- Assess the home first, then interview the client
- Review medical records, interview client and caregiver, then observe function in the home (Correct answer)
- Order modifications immediately based on diagnosis
- Consult only with the physician before making recommendations
Correct answer: Review medical records, interview client and caregiver, then observe function in the home
A thorough client assessment involves reviewing medical history, conducting interviews, and observing the client's functional performance in their actual environment.
Question 5: When a client's stated preferences conflict with their assessed safety needs, what is the CEAC's most appropriate course of action?
- Override the client's preferences and recommend what is safest
- Ignore safety concerns to respect client autonomy
- Present risks and benefits transparently and involve the client in decision-making (Correct answer)
- Defer entirely to the family's judgment
Correct answer: Present risks and benefits transparently and involve the client in decision-making
Ethical practice requires balancing client autonomy with safety by providing informed choice through transparent discussion of risks and benefits.
Question 6: Which environmental factor is most critical to assess when evaluating home accessibility for a client using a power wheelchair?
- Wall paint colors
- Floor surface transitions and turning radius clearance (Correct answer)
- Number of windows in each room
- Presence of a garage
Correct answer: Floor surface transitions and turning radius clearance
Power wheelchairs require specific turning radii and smooth surface transitions; failure to assess these creates major navigation barriers.
Question 7: A CEAC discovers during assessment that a client is experiencing caregiver burnout affecting the client's daily care. What is the most appropriate immediate action?
- Recommend modifications that reduce caregiver assistance requirements (Correct answer)
- Ignore it as it falls outside the CEAC scope
- Report only to the insurance company
- Recommend discharge from services
Correct answer: Recommend modifications that reduce caregiver assistance requirements
Recommending modifications that reduce the physical burden on caregivers directly addresses both client safety and caregiver sustainability.
CEAC Client Assessment & Needs Evaluation 2
During an initial client interview for an accessibility consultation, which tool is most appropriate for systematically documenting a client's functional limitations across multiple body systems?