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Psych > Evaluation for IADL and Health Mgxt > Flashcards

Evaluation for IADL and Health Mgxt Flashcards

1
Q

These are activities that support daily life within the home and community

A

IADL

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2
Q

IADL stands for

A

Instrumental Activities of Daily Living

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3
Q

Occupation that is more complex than ADL

A

IADL

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4
Q

T/F

A caregiver providing care for others is considered IADL

A

False (it is considered as work)

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5
Q

What are the common causes of IADL Disability

A
  • Lack of opportunity to experience and learn IADL
  • Declining cognitive abilities
  • Memory and Attention impairment
  • Emotional factors (e.g. anxiety, depression)
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6
Q

widely used assessment

A

Self-report

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7
Q

People who report self tend to_____ their abilities

A

Overestimate

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8
Q

People who are reported by their family or other informants tend to _____ their abilities

A

Underestimate

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9
Q

What is the best thing to do as a therapist to actually see the client’s ability

A

Direct observation

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10
Q

the only SAT available (8 items)

  • administered through written questionnaire or by interview
  • takes about 10-15 minutes to administer
A

Lawton IADL Scale

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11
Q

Scoring for Lawton IADL

A

0- less able

1- more able

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12
Q

score and interpretation in lawton IADL

0 means____
8 means____

A

pt has low function

pt has high function

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13
Q

score and interpret IN LAWTON IADL

6 means____

A

pt has high fxn but there are still problematic IADLS

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14
Q

the 8 items considered in Lawton

A
  • using the telephone
  • shopping
  • preparing food
  • housekeeping
  • doing laundry
  • using transportation
  • handling medication
  • handling finances
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15
Q

how many items for women and for men (BEFORE) in lawton

A

8 items for women; 5 items for men

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16
Q

What items are not included for men IN LAWTON

A

food prep
housekeeping
doing laundry

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17
Q

Give 1 example of Observation-based Assessment

A

Independent Living Skills Survey (ILSS)

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18
Q

Assessment with comprehensive questionnaire that is designed for individuals with serious mental illness
-takes about 20-30 minutes to administer

A

ILSS

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19
Q

two forms of ILSS

A

informant version and self-report version

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20
Q

ILSS
Scoring for: Informant version ____
Scoring for: Self Report version ____

A

Informant: 5 point likert scale (always to never)

Self-report: Yes/No

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21
Q

Give 4 examples of Performance-based Assessment

A

Kohlman Eval of Living Skills (KELS)
Test of Grocery Shopping Skills (TOGSS)
Kitchen Task Assessment (KTA)
Rabideau Kitchen Eval-Revised (RKE-R)

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22
Q

What are the difference between observation-based Assessment to Performance-based?

A

Observation-based- you observe the cx actually do the Ax (parang AA)
Performance-based- the therapist is the one giving the specific task

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23
Q
  • Assessment tool used with combination of interview and simulated performance
  • has 17 living skills
  • 30-45 minutes to administer
A

Kohlman Evaluation of Living Skills (KELS)

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24
Q

Scoring for KELS

A

0- independent
1- needs assistance
.5 (for leisure and work)

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25
Q

T/F

In KELS, the higher the score, the better

A

False

dapat mas mababa

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26
Q

assessment tool used to see the person’s ability to efficiently and accurately locate 10 items on a grocery shopping list
-administered for 30-45 minutes

A

Test of Grocery Shopping Skills (TOGSS)

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27
Q

What are the 3 subscales of TOGSS

A

Accuracy
Time
Redundancy

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28
Q

subscale that checks the correct item, type and lowest price

A

Accuracy

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29
Q

subscale that checks the number of aisles entered by the cx to find 1 product

A

Redundancy

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30
Q

Assessment tool that evaluates the cognitive process that underlie successful task completion
-common for patients with dementia

A

Kitchen Task Assessment (KTA)

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31
Q

What instruction is given in KTA

A

Make a box of pudding

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32
Q

T/F

in KTA, giving cues and minimal assistance is allowed

A

False

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33
Q

Scoring for KTA

A

4 point scale
0 = independent
4 = not capable

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34
Q

Assessment tool used for TBI patients that involved meal preparation

A

Rabideau Kitchen Evaluation-REvised (RKE-R)

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35
Q

What 2 meals are prepared in RKE-R

A

Sandwich and Hot drink

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36
Q

Tasks is broken down into ___ steps

A

40

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37
Q

T/F

Each task is scored on a scale from 0 to 4

A

True

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38
Q

Scoring for RKE-R

A

0 - independent

4- unable to perform

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39
Q

T/F

Cues and assistance are provided in some cases

A

True

40
Q

in TOGSS, Cues provided if:

A

assistance is requested
significant frustration is experienced
safety is a concern
behavior interfere with completion of step or task

41
Q

Give 4 SATs used for Health Management

A

Modified Morisky Scale
Brief COPE Inventory
Emotion Regulation Questionnaire
Suicide Behaviors Questionnaire- Revised

42
Q

Activities that is related to developing, managing and maintaining health and wellness routines

A

Health Management

43
Q

T/F

Patients that have mental illness do not have problem with their physical activity

A

False

44
Q

Factors that may result to physical inactivity

A

lifestyle factors and treatment (medication)

45
Q

The ANS and SNS are _____ affecting their physiological symptoms

A

heightened

46
Q

Barriers to Physical Activity due to Symptom-related

A

Depression
Anxiety
Paranoid
Avolition

47
Q

Barriers to physical activity due to medication-related

A

Sedation
Photosensitivity
OH
EPS

48
Q

Common barriers to Medication Adherence

A
  • stigma
  • negative side effects
  • degree of social support
  • forgetfulness
  • financial incapacity
49
Q

Assessment tool usually used for pt taking medications

  • Answered by Yes (0) /No (1)
  • for cx with poor insight
A

Modified Morisky Scale

50
Q

MMS can be administered to the patient’s informant

T/F

A

False

should be self-report only

51
Q

2 factors assessed in MMS

A

client’s motivation and knowledge

52
Q

Assessment tool that contains 28 item self-report questionnaire that assess the range of coping responses

A

Brief COPE Inventory

53
Q

What does COPE stands for

A

Coping Orientation to Problems Experienced

54
Q

What are the Primary coping Styles

A

Approach coping

Avoidance coping

55
Q

T/F

In Brief COPE, they check if pt can cope or not and to give therapist an overview about the pt’s coping strategies

A

True

56
Q

Scoring for Brief COPE

A

1 - haven’t been doing at all
2- been doing a little bit
3- been doing in a medium amount
4- been doing a lot

57
Q

Self Distraction

A

Avoidant

Cope 1 and 19

58
Q

Active Coping

A

Approach

Cope 2 and 7

59
Q

Self-Blame

A

Avoidant

Cope 13 and 26

60
Q

Religion

A

Others

Cope 22 and 27

61
Q

Denial

A

Avoidant

Cope 3 and 8

62
Q

Acceptance

A

Approach

Cope 20 and 24

63
Q

Humor

A

Others

Cope 18 and 28

64
Q

Substance Use

A

Avoidant

Cope 4 and 11

65
Q

Use of Emotional Support

A

Approach

Cope 5 and 15

66
Q

Planning

A

Approach

Cope 14 and 25

67
Q

Positive Reframing

A

Approach

Cope 12 and 17

68
Q

Use of Instrumental Support

A

Approach

Cope 10 and 23

69
Q

Venting

A

Avoidant

Cope 9 and 21

70
Q

Behavioral Disengagement

A

Avoidant

Cope 6 and 16

71
Q

a 10 item self report scale used to assess habitual use of two strategies to alter emotion

A

Emotion Regulation Questionnaire (ERQ)

72
Q

two commonly used strategies to alter emotion

A

Cognitive Reappraisal

Expressive Suppression

73
Q

Strategy where pt think different about a situation to change its meaning and alter emotion

A

Cognitive reappraisal

74
Q

Strategy where pt usually deny possibility of outward expression of emotion

A

Expressive suppression

75
Q

Scoring for ERQ

A

7 point likert Scale

(1) strongly disagree
(7) strongly Agree

76
Q

In cognitive reappraisal the score ranges _____

while in expressive suppression score ranges ____

A

6-42

4-28

77
Q

What are the items included in cognitive reappraisal

A

1, 3, 5, 7, 8, 10

78
Q

Items included in expressive suppression

A

2, 4, 6, 9

79
Q

A 4 item self report questionnaire designed to identify risk factors for suicide

A

Suicide Behaviors Questionnaire-Revised (SBQ-R)

80
Q

Item 1 is about

A

lifetime suicide ideation and/or suicide attempt

81
Q

Item 2 assess the

A

Frequency of suicidal ideations over the past 12 months

82
Q

Item 3 assess the

A

threat of suicide attempt

83
Q

Item 4 evaluates

A

self-reported likelihood of suicidal behavior in the future

84
Q

scores for SBQ-R

A

total score of 3 to 18

85
Q

What is the cut off score for general population

A

7

86
Q

Cut off score for psych population

A

8

87
Q

What does cut off score means

A

it means pt has risk for suicide

88
Q

What task should clients who are assessed using Kitchen Task Assessment do?

A

Make a pudding by following instructions in the box

89
Q

Based on Brief COPE Inventory, which of the following is/are identified as avoidant coping strategies?

A

Venting

90
Q

t/f

Symptom-related barriers are one of the major causes of IADL disability in clients with Schizophrenia.

A

false

91
Q

t/f
the following are true about TOGSS

  • It looks at the ability of the client to locate and select specific items in a nature environment.
  • It is administered in an actual grocery store.
  • It looks at one’s executive functioning.
A

true

92
Q

What are the subcomponents of ERQ?

A

Approach and avoidant

93
Q

how

scoring an interpretation of ERQ

A

Add items for each subscales. Higher scores indicates higher usage of this type of emotion regulation strategy.

94
Q

t/f

In KELS, each item marked needs assistance is scored as 1 point, except for work/leisure, which is scored as 0.5 point.

A

true

95
Q

The client mentioned that his goal is to be able to manage his symptoms, especially to know what to do If he is experiencing anxiety attacks and when faced with a difficult problem.

What evaluation tool can you use to further assess the client’s skills and occupation?

A

Brief COPE Inventory

96
Q

Which of the following statements is/are TRUE about ILSS?

  • It assesses both ADLs and IADLs.
  • It’s self-report version uses a 5-point Likert Scale
  • None
  • It is a performance-based assessment tool.
A

It assesses both ADLs and IADLs.

97
Q

t/f

Performance of ADLs require more cognitive skills than IADLs because they are more complex.

A

false

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