ADL & Functional Assessment Flashcards

Which of the following is classified as an Instrumental Activity of Daily Living (IADL)?

Answer: Managing medications

IADLs are more complex tasks needed for independent community living, such as managing medications, finances, and transportation — unlike basic ADLs such as bathing or grooming.

A resident with moderate dementia participates in a recreation program. Which approach best supports their functional participation?

Answer: Breaking the activity into small, sequential steps with verbal cues

Task segmentation with verbal cues helps people with dementia process information in manageable steps, supporting participation and preserving function.

The term 'functional decline' in elderly residents most commonly refers to:

Answer: Loss of ability to perform ADLs or IADLs independently

Functional decline describes a measurable decrease in an individual's ability to independently perform daily living tasks, serving as a key health outcome indicator.

When a recreation aide assists a resident with dressing, the BEST practice is to:

Answer: Encourage and support the resident to do as much as possible independently

Encouraging maximum resident participation preserves existing function, promotes dignity, and supports the restorative care philosophy.

A resident who previously walked to the dining room independently now uses a wheelchair. A recreation aide should FIRST:

Answer: Report the observed functional change to the supervising therapist or nurse

Newly observed functional changes must be reported promptly to the interdisciplinary team so appropriate assessment and intervention can occur.

Which environmental modification best reduces fall risk during ADL performance?

Answer: Ensuring adequate lighting in bathrooms and hallways

Adequate lighting is a critical environmental modification that reduces fall risk by helping residents see obstacles and safely navigate during ADL performance.

In restorative care, 'set-up assistance' means:

Answer: The aide arranges materials or positions equipment so the resident can complete the task independently

Set-up assistance involves preparing the environment (e.g., opening containers, positioning items) so the resident can then complete the task with minimal or no further assistance.