CSS CSS Elder Care Fundamentals & Assessment 2 — Questions and Answers
Question 1: The Katz Index of Independence in Activities of Daily Living assesses which of the following?
- Cognitive function only
- Six self-care functions including bathing, dressing, and toileting (Correct answer)
- Financial decision-making capacity
- Pain levels across body regions
Correct answer: Six self-care functions including bathing, dressing, and toileting
The Katz Index evaluates six basic ADLs—bathing, dressing, toileting, transferring, continence, and feeding—to determine level of independence.
Question 2: Which of the following is a key indicator of frailty in older adults according to the Fried Frailty Phenotype?
- High blood pressure
- Unintentional weight loss (Correct answer)
- Elevated cholesterol
- Arthritis diagnosis
Correct answer: Unintentional weight loss
The Fried Frailty Phenotype includes unintentional weight loss, exhaustion, weakness, slow walking speed, and low physical activity as its five criteria.
Question 3: In elder care, what does 'person-centered care' primarily emphasize?
- Standardized care protocols
- Respecting individual preferences, values, and goals (Correct answer)
- Cost reduction strategies
- Family decision-making over resident input
Correct answer: Respecting individual preferences, values, and goals
Person-centered care prioritizes the individual senior's preferences, values, cultural background, and personal goals in all care planning decisions.
Question 4: What is the role of an ombudsman in a long-term care facility?
- Managing facility finances
- Advocating for resident rights and resolving complaints (Correct answer)
- Providing direct nursing care
- Overseeing dietary planning
Correct answer: Advocating for resident rights and resolving complaints
Long-term care ombudsmen are advocates who investigate complaints, protect resident rights, and work to resolve issues within nursing homes and assisted living facilities.
Question 5: Which screening tool is specifically designed to identify depression in older adults?
- PHQ-9
- GDS (Geriatric Depression Scale) (Correct answer)
- MMSE
- CAGE
Correct answer: GDS (Geriatric Depression Scale)
The Geriatric Depression Scale (GDS) was specifically developed and validated for use with older adults, using a yes/no format to reduce cognitive burden.
Question 6: What is 'sundowning' in the context of dementia care?
- A morning orientation routine
- Increased confusion or agitation in late afternoon/evening (Correct answer)
- A sleep therapy technique
- End-of-life care planning
Correct answer: Increased confusion or agitation in late afternoon/evening
Sundowning refers to increased confusion, anxiety, or agitation that occurs in dementia patients typically in the late afternoon and evening hours.
CSS CSS Elder Care Fundamentals & Assessment 2
The Katz Index of Independence in Activities of Daily Living assesses which of the following?