Activities Daily Living & IADLs nan Ch.49 Verified Test Bank

Chapter 49: Activities of Daily Living and Instrumental Activities of Daily Living

Multiple Choice

1. You are working with a client who has expressed interest in getting a dog for companionship. Your intervention focuses on identifying the responsibilities of and developing the skills required for pet ownership. This activity best represents which of the following?

a. Activities of daily living

b. Instrumental activities of daily living

c. Basic activities of daily living

d. Personal activities of daily living

Topic: Activities of Daily Living and Instrumental Activities of Daily Living

LO: 49.1

2. You are working in a dementia care unit. You want to assess a client’s performance in activities of daily living by observing him or her complete a series of activities such as bathing, dressing, and toileting. Which assessment would you choose?

a. Katz Index of Independence in Activities of Daily Living Skills

b. Functional Independence Measure

c. Independent Living Skills Survey

d. Kohlman Evaluation of Living Skills

Topic: Assessment

LO: 49.3

3. You are working in an inpatient mental health unit and want to employ a valid and reliable assessment that assesses your client’s ability to complete instrumental activities of daily activity, such as banking and cellphone use. You choose an assessment that utilizes a combination of interview- and performance-based items. Which assessment would you choose?

a. Katz Index of Independence in Activities of Daily Living Skills

b. Functional Independence Measure

c. Independent Living Skills Survey

d. Kohlman Evaluation of Living Skills

Topic: Assessment

LO: 49.3

4. You are working with a client diagnosed with bipolar disorder who is demonstrating difficulty completing activities of daily living and instrumental activities of daily living. You decide to employ an occupation-based intervention that requires the client to keep a daily record of the activities he or she engages in. This will allow your client to monitor his or her daily routine with the goal of establishing the regularity in the timing of the daily activities. Which intervention would you choose?

a. Interpersonal and social rhythm therapy

b. Home environment skill-building program

c. Cognitive adaptation training

d. Assistive technology

Topic: Interventions

LO: 49.4

5. A 24-year-old with a diagnosis of schizophrenia was just referred to your clinic. He lives with his parents, who currently assist him with the completion of his instrumental activities of daily living. During your assessment, he identifies a goal of independently doing his own laundry. He states that when he tries to do it by himself he forgets certain steps of the task. For instance, at times he loads the washer but forgets to turn it on, whereas other times he forgets to add the laundry detergent. You decide to use a laundry app that will remind him of the different steps in doing laundry. Which intervention approach does this best represent?

a. Occupation based

b. Preparatory methods

c. Education

d. Advocacy

Topic: Interventions

LO: 49.4

6. Life skills training such as money management, social skills, and home management best exemplifies which intervention approach?

a. Occupation based

b. Preparatory methods

c. Education

d. Advocacy

Topic: Interventions

LO: 49.4

7. You are working with a client who has required repeated hospitalizations because of not taking her medications. You administer the Performance Assessment of Self-Care Skills and determine she is not able to read the medication information on the pill bottle and that has been interfering with the client knowing which medication is in which pill bottle and how often to take each of the medications. Which of the following is the best intervention to use to address this problem?

a. Use a visual scheduler to remind the client when to take her medication

b. Create large print labels with the name of the medication and dosage directions to put on the medication bottles

c. Use a mobile phone app to remind the client when to take her medication

d. Have the client organize her medication in a pillbox

Topic: Interventions and Assessments

LO: 49.3 & 49.5

8. You have a client who is demonstrating difficulty with community mobility. Because of the symptoms related to his schizophrenia, he is no longer able to drive and relies on public transportation. You want to assess his ability to use public transportation so you choose an assessment that incorporates an item that asks the individual to read a bus schedule. Which assessment would you choose?

a. Kohlman Evaluation of Living Skills

b. Performance Assessment of Self-Care Skills

c. UCSD Performance-Based Skills Assessment

d. Milwaukee Evaluation of Daily Living Skills

Topic: Interventions and Assessments

LO: 49.3 & 49.5

9. Which of the following is an activity of daily living?

a. Pet care

b. Money management

c. Bathing

d. Sleep

Topic: Overview of Activities of Daily Living and Instrumental Activities of Daily Living

Rationale: Bathing is an activity of daily living. It is a basic life skill typically performed in a habitual manner across the life span.

10. Which of the following is an instrumental activity of daily living?

a. Grooming

b. Money management

c. Sleep

d. Eating

Topic: Intervention

Rationale: Money management is an instrumental activity of daily living. It supports daily life and is more complex than activities of daily living.

11. Within Interpersonal and Social Rhythm Therapy, individuals learn to monitor their routines and strive for regularity. This emphasis on scheduling makes it most appropriate for persons with which of the following diagnoses?

a. Bipolar disorder

b. Dementia

c. Anxiety

d. Depression

Topic: Intervention

Rationale: Persons with bipolar disorder may experience bipolar episodes with the disruption of typical routines. Therefore, Interpersonal and Social Rhythm Therapy works best for individuals in this population.

12. Which of the following is an approach consistent with cognitive adaptation training?

a. Reinforcement and verbal praise for preferred behaviors

b. Posting of checklists in key areas around a client’s home to ensure the client completes all of the steps of the task in order

c. Creating a daily exercise regimen

d. A work group where clients come together to complete a craft

Topic: Intervention

Rationale: Posting checklists is the activity most consistent with cognitive adaptation training (CAT). CAT uses environmental supports such as checklists to help cue and sequence activities of daily living and instrumental activities of daily living activities.