Functional Status
Functional Status ( 5 Questions)
A nurse is assessing the functional status of an older adult client using the Katz Index of Independence in Activities of Daily Living (ADLs).
Which of the following tasks is included in this tool?
This is wrong because preparing meals is not included in the Katz ADLs. Preparing meals is an example of an instrumental activity of daily living (IADL), which involves more complex skills such as using transportation, managing finances, and taking medications.
This is wrong because taking medications is also an IADL, not a basic ADL. Taking medications requires cognitive abilities such as memory, judgment, and problem-solving.
this is wrong because using transportation is another IADL, not a basic ADL. Using transportation involves planning, organizing, and navigating in the environment.
Dressing. According to the Katz Index of Independence in Activities of Daily Living (ADLs), dressing is one of the six tasks that are used to assess the functional status of older adults. The other five tasks are bathing, toileting, transferring, continence, and feeding. These tasks are considered basic ADLs that reflect the client’s ability to perform self-care independently.
The correct answer is D.
Dressing. According to the Katz Index of Independence in Activities of Daily Living (ADLs), dressing is one of the six tasks that are used to assess the functional status of older adults. The other five tasks are bathing, toileting, transferring, continence, and feeding. These tasks are considered basic ADLs that reflect the client’s ability to perform self-care independently.
Choice A is wrong because preparing meals is not included in the Katz ADLs. Preparing meals is an example of an instrumental activity of daily living (IADL), which involves more complex skills such as using transportation, managing finances, and taking medications.
Choice B is wrong because taking medications is also an IADL, not a basic ADL. Taking medications requires cognitive abilities such as memory, judgment, and problem-solving.
Choice C is wrong because using transportation is another IADL, not a basic ADL. Using transportation involves planning, organizing, and navigating in the environment.
The Katz ADLs are scored from 0 to 6, with 6 indicating complete independence, 4 indicating moderate impairment, and 2 or less indicating severe functional impairment. The Katz ADLs are useful for measuring the client’s functional status across different settings and professionals. However, they have some limitations such as a ceiling effect, a fixed hierarchy of tasks, and a lack of sensitivity to changes in the level of assistance needed.