FUNCTIONAL ABILITY REVIEW QUESTIONS WITH ANSWERS
(Giddens) Which of the following interventions are priorities in a plan of care for a patient wh
as as as as as as as as as as as as as as as as
o had a stroke 30 days ago and is now in home care rehabilitation? (Select all that apply)
as as as as as as as as as as as as as as as as as
1. Promoting rest and sleep
as as as as
2. Promoting a diet rich in protein
as as as as as as
3. Promoting exercise and ambulation
as as as as
4. Assisting the patient with ADL's
as as as as as
5. Limiting visitors and social contacts - ans1, 3
as as as as as as as as
It is important to promote independence in ADLs early in the plan of care to increase indepe
as as as as as as as as as as as as as as as as
ndence in general. Promoting rest and sleep will promote well-
as as as as as as as as as
being. Ambulation and exercise promote well-
as as as as as
being and increase healing by circulating oxygen to the brain. Protein promotes healing in p
as as as as as as as as as as as as as as
ostsurgical patients but is not a main focus in stroke patients. Assisting the patient does not
as as as as as as as as as as as as as as as as
promote independence. Limiting visitors will isolate the patient, which can lead to depressi
as as as as as as as as as as as as
on.
(Giddens) The nurse is assessing a patient's ability to perform basic activities of daily living
as as as as as as as as as as as as as as as
(BADLs). Which of the following activities are considered in the BADLs assessment?
as as as as as as as as as as as
(Select all that apply)
as as as as
1. Brushing teeth or dentures
as as as as
2. Dressing oneself in the mornings
as as as as as
3. Washing, drying, and folding laundry
as as as as as
4. Counting own pulse and taking heart pill
as as as as as as as
5. Taking the bus to the park
as as as as as as
6. Calling family members - ans1, 2
as as as as as as as
BADLs include actions related to self care and mobility and also includes eating, personal h
as as as as as as as as as as as as as as
ygiene, and grooming activities. Instrumental activities of daily living (IADLs) include shopp
as as as as as as as as as as as
ing, meal preparation, housekeeping, doing laundry, managing finances, using the telepho
as as as as as as as as as as
ne, taking medications, and using transportation.
as as as as as
(Giddens) The nurse is assessing a patient's ability to perform instrumental activities of dail
as as as as as as as as as as as as as
y living (IADLs). Which of the following activities are considered in the IADLs assessment?
as as as as as as as as as as as as as
(Select all that apply)
as as as as
1. Feeding oneself
as as
2. Preparing a meal
as as as
3. Balancing a checkbook
as as as
4. Walkingas
5. Toileting
as
, 6. Grocery shopping - ans2, 3, 6
as as as as as as
IADLs include shopping, meal preparation, housekeeping, doing laundry, managing financ
as as as as as as as as as
es, taking medications, and using transportation. The other activities listed are activities of
as as as as as as as as as as as as as
daily living (ADLs) related to self-
as as as as as
care. IADLs are more complex skills that are essential to living in a community.
as as as as as as as as as as as as as
(Giddens) Instruments such as the Functional Activities Questionnaire (FAQ) for postoper
as as as as as as as as as as
ative patients who are at home, the Minimum Data Set for Nursing Facility Resident Assess
as as as as as as as as as as as as as as
ment and Care Screening (MDS) for nursing home patients, the Functional Status Scale (F
as as as as as as as as as as as as as
SS) for children, and the Edmonton Functional Assessment Tool for cancer patients are us
as as as as as as as as as as as as as
ed to assess activities of daily living (ADLs). The nurse needs to remember that a disadvant
as as as as as as as as as as as as as as as
age of these instruments includes:
as as as as
1. the measurement of efficacy and reliability of the instruments used to assess activities of
as as as as as as as as as as as as as as as
daily living (ADLs) as as
2. the variations in assessments and responses may be subjective because of self-
as as as as as as as as as as as as
reporting of functional activities. as as as
3. the instruments do not show a true measure of ability because of a lack of interactivity du
as as as as as as as as as as as as as as as as as
ring the assessments. as as
4. the information contained in the instruments is insufficient to make a determination about
as as as as as as as as as as as as as
function - ans2
as as as
A disadvantage of many of the ADLs and instrumental activities of daily living (IADLs) instru
as as as as as as as as as as as as as as
ments is the self- as as as
reporting of functional activities. Efficacy and reliability are not measured when assessing
as as as as as as as as as as as as
ADLs and IADLs. Interaction with the patient is necessary to complete the ADL and IADL a
as as as as as as as as as as as as as as as
ssessments. The FAQ and FSS are comprehensive tools that can help the nurse determin as as as as as as as as as as as as as
e functional status.
as as
(Giddens) The nurse is caring for an 85-year- as as as as as as as
old woman 6 weeks following a hysterectomy secondary to ovarian cancer. The patient will
as as as as as as as as as as as as as as
need chemotherapy and irradiation on an outpatient basis. The nurse should identify and a
as as as as as as as as as as as as as
ddress which barriers to healing? (Select all that apply)
as as as as as as as as
1. Can feed herself and prepare meals but cannot drive to the store
as as as as as as as as as as as as
2. Lives on a fixed income and can balance her checkbook
as as as as as as as as as as
3. Experiences stress incontinence
as as as
4. Cannot participate in activities at the senior center
as as as as as as as as
5. Lives alone and has no nearby relatives
as as as as as as as
6. Has no transportation to the oncology clinic - ans3, 5, 6
as as as as as as as as as as as
The patient will not be able to get treatment if she has no transportation or no relatives that li
as as as as as as as as as as as as as as as as as as
ve nearby who can help her with recovery. Stress incontinence increases the risk of falls be
as as as as as as as as as as as as as as as
cause of urgency and rushing to get to the bathroom. Income and social abilities are lower
as as as as as as as as as as as as as as as as
priorities during this phase of recovery. as as as as as
(Giddens) Which of the following interventions are priorities in a plan of care for a patient wh
as as as as as as as as as as as as as as as as
o had a stroke 30 days ago and is now in home care rehabilitation? (Select all that apply)
as as as as as as as as as as as as as as as as as
1. Promoting rest and sleep
as as as as
2. Promoting a diet rich in protein
as as as as as as
3. Promoting exercise and ambulation
as as as as
4. Assisting the patient with ADL's
as as as as as
5. Limiting visitors and social contacts - ans1, 3
as as as as as as as as
It is important to promote independence in ADLs early in the plan of care to increase indepe
as as as as as as as as as as as as as as as as
ndence in general. Promoting rest and sleep will promote well-
as as as as as as as as as
being. Ambulation and exercise promote well-
as as as as as
being and increase healing by circulating oxygen to the brain. Protein promotes healing in p
as as as as as as as as as as as as as as
ostsurgical patients but is not a main focus in stroke patients. Assisting the patient does not
as as as as as as as as as as as as as as as as
promote independence. Limiting visitors will isolate the patient, which can lead to depressi
as as as as as as as as as as as as
on.
(Giddens) The nurse is assessing a patient's ability to perform basic activities of daily living
as as as as as as as as as as as as as as as
(BADLs). Which of the following activities are considered in the BADLs assessment?
as as as as as as as as as as as
(Select all that apply)
as as as as
1. Brushing teeth or dentures
as as as as
2. Dressing oneself in the mornings
as as as as as
3. Washing, drying, and folding laundry
as as as as as
4. Counting own pulse and taking heart pill
as as as as as as as
5. Taking the bus to the park
as as as as as as
6. Calling family members - ans1, 2
as as as as as as as
BADLs include actions related to self care and mobility and also includes eating, personal h
as as as as as as as as as as as as as as
ygiene, and grooming activities. Instrumental activities of daily living (IADLs) include shopp
as as as as as as as as as as as
ing, meal preparation, housekeeping, doing laundry, managing finances, using the telepho
as as as as as as as as as as
ne, taking medications, and using transportation.
as as as as as
(Giddens) The nurse is assessing a patient's ability to perform instrumental activities of dail
as as as as as as as as as as as as as
y living (IADLs). Which of the following activities are considered in the IADLs assessment?
as as as as as as as as as as as as as
(Select all that apply)
as as as as
1. Feeding oneself
as as
2. Preparing a meal
as as as
3. Balancing a checkbook
as as as
4. Walkingas
5. Toileting
as
, 6. Grocery shopping - ans2, 3, 6
as as as as as as
IADLs include shopping, meal preparation, housekeeping, doing laundry, managing financ
as as as as as as as as as
es, taking medications, and using transportation. The other activities listed are activities of
as as as as as as as as as as as as as
daily living (ADLs) related to self-
as as as as as
care. IADLs are more complex skills that are essential to living in a community.
as as as as as as as as as as as as as
(Giddens) Instruments such as the Functional Activities Questionnaire (FAQ) for postoper
as as as as as as as as as as
ative patients who are at home, the Minimum Data Set for Nursing Facility Resident Assess
as as as as as as as as as as as as as as
ment and Care Screening (MDS) for nursing home patients, the Functional Status Scale (F
as as as as as as as as as as as as as
SS) for children, and the Edmonton Functional Assessment Tool for cancer patients are us
as as as as as as as as as as as as as
ed to assess activities of daily living (ADLs). The nurse needs to remember that a disadvant
as as as as as as as as as as as as as as as
age of these instruments includes:
as as as as
1. the measurement of efficacy and reliability of the instruments used to assess activities of
as as as as as as as as as as as as as as as
daily living (ADLs) as as
2. the variations in assessments and responses may be subjective because of self-
as as as as as as as as as as as as
reporting of functional activities. as as as
3. the instruments do not show a true measure of ability because of a lack of interactivity du
as as as as as as as as as as as as as as as as as
ring the assessments. as as
4. the information contained in the instruments is insufficient to make a determination about
as as as as as as as as as as as as as
function - ans2
as as as
A disadvantage of many of the ADLs and instrumental activities of daily living (IADLs) instru
as as as as as as as as as as as as as as
ments is the self- as as as
reporting of functional activities. Efficacy and reliability are not measured when assessing
as as as as as as as as as as as as
ADLs and IADLs. Interaction with the patient is necessary to complete the ADL and IADL a
as as as as as as as as as as as as as as as
ssessments. The FAQ and FSS are comprehensive tools that can help the nurse determin as as as as as as as as as as as as as
e functional status.
as as
(Giddens) The nurse is caring for an 85-year- as as as as as as as
old woman 6 weeks following a hysterectomy secondary to ovarian cancer. The patient will
as as as as as as as as as as as as as as
need chemotherapy and irradiation on an outpatient basis. The nurse should identify and a
as as as as as as as as as as as as as
ddress which barriers to healing? (Select all that apply)
as as as as as as as as
1. Can feed herself and prepare meals but cannot drive to the store
as as as as as as as as as as as as
2. Lives on a fixed income and can balance her checkbook
as as as as as as as as as as
3. Experiences stress incontinence
as as as
4. Cannot participate in activities at the senior center
as as as as as as as as
5. Lives alone and has no nearby relatives
as as as as as as as
6. Has no transportation to the oncology clinic - ans3, 5, 6
as as as as as as as as as as as
The patient will not be able to get treatment if she has no transportation or no relatives that li
as as as as as as as as as as as as as as as as as as
ve nearby who can help her with recovery. Stress incontinence increases the risk of falls be
as as as as as as as as as as as as as as as
cause of urgency and rushing to get to the bathroom. Income and social abilities are lower
as as as as as as as as as as as as as as as as
priorities during this phase of recovery. as as as as as
