CRA ADL & Functional Assessment 2 — Questions and Answers
Question 1: Which functional assessment tool uses a 7-level scale ranging from total assistance to complete independence?
- Katz Index of ADL
- Barthel Index
- Functional Independence Measure (FIM) (Correct answer)
- Mini-Mental State Examination
Correct 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.
Question 2: A resident who can dress independently but needs reminders to initiate the task would be classified as which level on the FIM?
- Complete independence
- Modified independence
- Supervision (Correct answer)
- Minimal assistance
Correct answer: Supervision
FIM Level 5 (Supervision) applies when a person needs only verbal cues, prompting, or reminders without physical assistance.
Question 3: When observing a resident's grooming ADL, a recreation aide notes the person brushes only one side of their hair. This may indicate:
- Normal aging changes
- Unilateral neglect (Correct answer)
- Poor motivation
- Equipment failure
Correct 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.
Question 4: The Barthel Index assesses all of the following EXCEPT:
- Bowel control
- Stair climbing
- Short-term memory (Correct answer)
- Feeding
Correct 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.
Question 5: A recreation aide should document functional observations using which type of language?
- Subjective interpretations of behavior
- Objective, observable, measurable descriptions (Correct answer)
- Medical diagnoses and clinical impressions
- Informal notes not included in the chart
Correct 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.
Question 6: Which adaptive device best supports a resident with limited grip strength during feeding?
- Plate guard
- Built-up handle utensils (Correct answer)
- Dycem non-slip mat
- Long-handled reacher
Correct 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.
Question 7: During a functional assessment, a resident scores 0 on the Katz Index for bathing. What does this indicate?
- The resident bathes completely independently
- The resident requires no assistance at all
- The resident needs assistance in more than one bathing area (Correct answer)
- The resident refuses all bathing activities
Correct 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.
CRA ADL & Functional Assessment 2
Which functional assessment tool uses a 7-level scale ranging from total assistance to complete independence?