CRA ADL & Functional Assessment 3 — Questions and Answers
Question 1: Which of the following is classified as an Instrumental Activity of Daily Living (IADL)?
- Toileting
- Bathing
- Managing medications (Correct answer)
- Grooming
Correct 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.
Question 2: A resident with moderate dementia participates in a recreation program. Which approach best supports their functional participation?
- Providing complete step-by-step guidance throughout the task
- Breaking the activity into small, sequential steps with verbal cues (Correct answer)
- Eliminating the activity to prevent frustration
- Allowing the resident to work entirely at their own pace without support
Correct 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.
Question 3: The term 'functional decline' in elderly residents most commonly refers to:
- Decrease in cognitive test scores only
- Loss of ability to perform ADLs or IADLs independently (Correct answer)
- Reduction in recreational activity interest
- Changes in personality related to aging
Correct 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.
Question 4: When a recreation aide assists a resident with dressing, the BEST practice is to:
- Complete dressing for the resident to save time
- Encourage and support the resident to do as much as possible independently (Correct answer)
- Skip the activity if it takes longer than 10 minutes
- Allow only OT staff to assist with dressing tasks
Correct 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.
Question 5: A resident who previously walked to the dining room independently now uses a wheelchair. A recreation aide should FIRST:
- Assume this change is permanent and update their care plan immediately
- Report the observed functional change to the supervising therapist or nurse (Correct answer)
- Begin wheelchair mobility exercises without consulting the team
- Ignore the change unless the resident complains
Correct 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.
Question 6: Which environmental modification best reduces fall risk during ADL performance?
- Adding throw rugs for comfort
- Removing grab bars to increase open space
- Ensuring adequate lighting in bathrooms and hallways (Correct answer)
- Lowering bed height only at night
Correct 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.
Question 7: In restorative care, 'set-up assistance' means:
- The aide performs the entire task for the resident
- The aide arranges materials or positions equipment so the resident can complete the task independently (Correct answer)
- The aide provides full physical guidance throughout
- The aide supervises without any environmental preparation
Correct 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.
CRA ADL & Functional Assessment 3
Which of the following is classified as an Instrumental Activity of Daily Living (IADL)?