Restorative Skills Activities of Daily Living (ADL) Restoration 1 — Questions and Answers
Question 1: Which of the following is classified as a basic Activity of Daily Living (ADL)?
- Bathing (Correct answer)
- Managing finances
- Using public transportation
- Shopping for groceries
Correct answer: Bathing
Basic ADLs include self-care tasks such as bathing, dressing, grooming, toileting, eating, and mobility — all essential for physical self-maintenance.
Question 2: When assisting a resident with dressing as a restorative intervention, which approach is correct?
- Allow the resident to do as much as possible independently, assisting only as needed (Correct answer)
- Dress the resident completely to ensure it is done correctly
- Only allow therapy staff to assist with dressing activities
- Skip dressing if it takes longer than 10 minutes
Correct answer: Allow the resident to do as much as possible independently, assisting only as needed
Restorative ADL assistance means supporting the resident to perform the maximum amount they are capable of independently while providing only necessary assistance.
Question 3: Which dressing technique is recommended for a resident with left-sided weakness when putting on a shirt?
- Dress the weaker left arm first, then the stronger right arm (Correct answer)
- Dress the stronger right arm first for ease
- Have staff fully dress the resident to prevent fatigue
- Dressing order does not matter for shirts
Correct answer: Dress the weaker left arm first, then the stronger right arm
Dressing the weaker arm first ensures the sleeve is in place before the stronger arm, making it easier to pull the garment over the body without risk of shoulder pain.
Question 4: What adaptive equipment might help a resident with limited hand grip strength eat independently?
- Built-up handle utensils (Correct answer)
- A standard metal fork and knife
- A straw for all foods
- Pureeing all foods regardless of swallowing ability
Correct answer: Built-up handle utensils
Built-up handle utensils have thicker grips that are easier to hold for residents with weak grip strength, arthritis, or neurological impairment.
Question 5: A resident with dementia resists morning care. Which restorative approach is most effective?
- Use a calm, step-by-step approach with simple instructions and allow the resident to participate (Correct answer)
- Complete all care quickly while the resident is distracted
- Skip morning care until the resident cooperates
- Use two-person hold technique to ensure care is completed
Correct answer: Use a calm, step-by-step approach with simple instructions and allow the resident to participate
For residents with dementia, a calm, task-segmented approach with simple one-step instructions reduces resistance and encourages participation.
Question 6: What is the purpose of hand-over-hand technique in restorative ADL training?
- To guide the resident's hands through a task while allowing them to feel the movement pattern (Correct answer)
- To hold the resident's hands to prevent unsafe movement
- To demonstrate a task without the resident touching anything
- To restrain a combative resident during personal care
Correct answer: To guide the resident's hands through a task while allowing them to feel the movement pattern
Hand-over-hand guidance allows the resident to experience the correct movement pattern, building muscle memory for increased independence over time.
Which of the following is classified as a basic Activity of Daily Living (ADL)?