Test Bank Chapter 27 Evaluation Of Functional Performance

Chapter 27: Evaluation of Functional Performance

1. Functional performance is commonly assessed in older adults because:

a. They almost all have disabilities

b. Changes in functioning are common

c. They tend to worry about their functional status

d. Families need reassurance about their elders’ abilities

2. Preclinical disability is:

a. A transitional state between impairment and disability that is characterized by a general decline in activity level or by limitation of ability to perform a task using the normal method

b. Any impairment or disability that has not yet been diagnosed or otherwise identified as problematic

c. A significant level of dysfunction that can still be treated or ameliorated in a community setting without need for institutional care

d. Body system or body function deficits that will eventually lead to disability in activities of daily living (ADL) or instrumental ADL

3. The purpose of screening is to:

a. Determine the best strategies for intervention

b. Ascertain what individuals need and want to do

c. Determine what areas of function require more detailed evaluation

d. Identify specific body systems and body function difficulties that contribute to functional decline

4. Mr. Allen is having some difficulty with his self-care activities. The therapist completes a cognitive evaluation to get information about his cognitive abilities to see whether more detailed evaluation might be warranted. This is an example of:

a. Screening

b. Standardized assessment

c. Predictive assessment

d. Description of current status

5. A therapist wants to know whether the intervention selected has been helpful to the client. To do this, which kind of assessment would be most appropriate?

a. Outcome evaluation

b. Predictive evaluation

c. Descriptive assessment

d. Qualitative assessment

6. A therapist is interested in knowing about a client’s performance difficulties in self-care, productivity, and leisure. An effective instrument for this purpose would be:

a. Activity Card Sort

b. Kitchen Task Assessment

c. Canadian Occupational Performance Measure

d. Life Space Diary

7. Assessment of lower extremity function is important because:

a. Decline is predictive of functional decline more generally

b. Therapists are reimbursed for intervention with this function

c. It is uniquely the domain of occupational therapy and physical therapy

d. Decline is associated with cognitive impairment and depression

8. Which of the following is true about fatigue in older adults?

a. Most older adults are fatigued when doing physical tasks.

b. Fatigue is self-perceived.

c. Fatigue is not relevant to assessment.

d. Fatigue has no particular functional implications.

9. Which is true about cognition in older adults with functional limitations?

a. Functional limitations are almost always associated with cognitive impairment.

b. Limitations in function do not always mean that the older adult has cognitive impairment.

c. Mild cognitive impairment does not affect function, but dementia most typically does.

d. Functional impairment is a precursor to dementia in most cases.

10. Mrs. Hamilton is an 86-year-old woman who never finished high school and worked as a housekeeper until her retirement. A therapist wants to assess her cognitive ability. Which factor is particularly salient in this situation in selecting the right instrument?

a. Matching the instrument to Mrs. Hamilton’s level of education.

b. Finding an instrument that Mrs. Hamilton will enjoy completing.

c. Making sure a family member can help Mrs. Hamilton complete the instrument.

d. Using lab tests like magnetic resonance imaging to determine whether there is cortical damage.