The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which statement about the Lawton IADL instrument is true?

A) The nurse uses direct observation to implement this tool.
B) The Lawton IADL instrument is designed as a self-report measure of performance rather than ability.
C) This instrument is not useful in the acute hospital setting.
D) This tool is best used for those residing in an institutional setting.

The Lawton IADL instrument is designed as a self-report measure of performance rather than ability. Direct testing is often not feasible, such as demonstrating the ability to prepare food while a hospital inpatient. Attention to the final score is less important than identifying a person's strengths and areas where assistance is needed. The instrument is useful in acute hospital settings for discharge planning and continuously in outpatient settings. It would not be useful for those residing in institutional settings because many of these tasks are already being managed for the resident.