Provide criteria for an ADL domain being 'Not Met'.

• A. The client can perform essential self-care tasks independently.
• B. The client cannot perform essential self-care tasks even with assistance; assistive devices do not provide independence; no progress or plan to address.
• C. The client can perform essential self-care tasks with some supervision.
• D. The client has a plan to address self-care needs.

Answer: (B)

Not Met means there is no functional independence in an ADL domain despite supports. The scenario that fits this is when the person cannot perform essential self-care tasks even with assistance, assistive devices do not provide independence, and there is no progress or plan to address the needs. This combination shows total dependency with no trajectory toward improvement, which is the defining threshold for Not Met. If the person can do tasks with some supervision or with some level of assistance, or if there is a plan underway to address the needs, those reflect at least partial progress or coordinated care, not Not Met.