Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

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Difficulty with grocery shopping and meal preparation indicates challenges with?

  1. Instrumental activities of daily living

  2. Health maintenance

  3. Daily living milestones

  4. Activities of daily living

The correct answer is: Instrumental activities of daily living

The correct choice, indicating that difficulty with grocery shopping and meal preparation relates to instrumental activities of daily living (IADLs), is crucial for understanding the functional capabilities of individuals, particularly in adult-gerontological practice. IADLs encompass a range of task-oriented activities that are essential for living independently in the community. These include grocery shopping, meal preparation, managing finances, and using transportation. When individuals struggle with grocery shopping and meal preparation, it highlights their potential challenges in complex tasks that require planning, organization, and sometimes physical ability, which are integral to maintaining independence outside of basic self-care needs. In contrast, activities of daily living (ADLs), which are more foundational, generally involve basic self-care tasks such as bathing, dressing, eating, and toileting. While both sets of activities are important for overall well-being and independence, the specific mention of grocery shopping and meal preparation directs attention to the instrumental aspect rather than the basic self-care that ADLs cover. Health maintenance also refers to behaviors and activities aimed at preventing illness and managing chronic conditions, but it does not focus on the daily tasks of living independently. Daily living milestones are more related to developmental benchmarks rather than the adult context of independent living tasks. Understanding the distinction between