CNA CNA Restorative Care and Rehabilitation 1 — Questions and Answers
Question 1: What is the primary goal of restorative care provided by a CNA?
- To cure the resident's underlying disease
- To help residents regain and maintain the highest possible level of function and independence (Correct answer)
- To reduce staffing costs by decreasing nurse involvement
- To prepare residents for discharge to home within 30 days
Correct answer: To help residents regain and maintain the highest possible level of function and independence
Restorative care focuses on helping residents achieve and maintain their maximum functional ability and independence.
Question 2: What does the term 'range of motion' (ROM) exercise refer to?
- Exercises that strengthen cardiac muscle
- Moving a joint through its full arc of movement to maintain flexibility (Correct answer)
- A diet plan that supports muscle recovery
- Exercises performed only by physical therapists
Correct answer: Moving a joint through its full arc of movement to maintain flexibility
Range of motion exercises move each joint through its normal arc to prevent stiffness, contractures, and loss of mobility.
Question 3: What is the difference between passive and active ROM exercises?
- Passive ROM is done in water; active ROM is done on land
- In passive ROM the CNA moves the limb; in active ROM the resident moves it independently (Correct answer)
- Passive ROM is for arms only; active ROM is for legs only
- Active ROM requires equipment; passive ROM does not
Correct answer: In passive ROM the CNA moves the limb; in active ROM the resident moves it independently
Passive ROM is performed by the CNA when the resident cannot move the limb, while active ROM is performed by the resident without assistance.
Question 4: When performing ROM exercises, how should a CNA handle a joint if the resident reports pain?
- Continue past the pain to stretch the joint further
- Stop the exercise at that point and report the pain to the nurse (Correct answer)
- Tell the resident pain is normal and push through it
- Increase speed to get through the painful range quickly
Correct answer: Stop the exercise at that point and report the pain to the nurse
Pain during ROM exercises must never be ignored; the CNA should stop and report it to the nurse for further assessment.
Question 5: Which of the following is a contracture, and why is preventing it important?
- A contracture is a muscle spasm that improves with heat therapy and is temporary
- A contracture is a permanent shortening of muscle and connective tissue that can prevent normal joint movement (Correct answer)
- A contracture is a bruise caused by improper ROM technique
- A contracture is a term for muscle strengthening that occurs with regular exercise
Correct answer: A contracture is a permanent shortening of muscle and connective tissue that can prevent normal joint movement
A contracture is an irreversible tightening of muscle and tissue around a joint that severely limits movement and function.
Question 6: How often are ROM exercises typically performed for residents on a restorative care program?
- Once a week during physical therapy sessions only
- At least once daily or as specified in the care plan (Correct answer)
- Only when the resident requests them
- Three times a day for a minimum of 60 minutes each session
Correct answer: At least once daily or as specified in the care plan
ROM exercises are typically performed at least once daily, or per the individualized care plan, to maintain joint mobility.
CNA CNA Restorative Care and Rehabilitation 1
What is the primary goal of restorative care provided by a CNA?