CNA Promoting Resident Independence and Choice

Question 1

What does 'restorative care' mean in the context of nursing assistant practice?

Accepted Answer

Encouraging residents to maintain or regain their highest level of function and independence

Answer

Restorative care is an approach that focuses on helping residents achieve and maintain their highest possible level of physical, mental, and psychosocial function. It includes encouraging residents to perform as much self-care as they are safely able to, rather than having the CNA do everything for them.

Question 2

A resident with mild dementia can still dress themselves with guidance. What should the CNA do?

Accepted Answer

Encourage the resident to dress themselves with step-by-step guidance and extra time

Answer

Even residents with dementia should be encouraged to participate in self-care to the extent they are able. Laying out clothes in order, using simple one-step instructions, and allowing extra time promotes independence, preserves dignity, and can slow functional decline.

Question 3

When offering choices to a resident, which approach best supports autonomy?

Accepted Answer

Offering two or three clear options and letting the resident decide

Answer

Offering meaningful choices—such as which clothing to wear, preferred meal times, or bathing schedule—supports resident autonomy. Choices should be clear, realistic, and free from coercion. This approach respects the resident as an individual with preferences and rights.

Question 4

A resident wants to participate in their own wound dressing change. How should the CNA respond?

Accepted Answer

Encourage appropriate participation and involvement within the bounds of safety and scope of practice

Answer

While CNAs must follow the scope of practice and care plan, encouraging resident participation in appropriate aspects of their own care promotes independence. The CNA can describe what they are doing, involve the resident in monitoring, and encourage appropriate participation within safety guidelines.

Question 5

What is the CNA's role in supporting a resident's right to make healthcare decisions?

Accepted Answer

Respect refusals of competent residents and report concerns to the nurse

Answer

CNAs support resident rights by providing information requested, notifying appropriate staff when a resident expresses concerns or wants to change their care plan, and never performing care that a competent resident has clearly refused. Residents have the legal right to accept or refuse treatment.

CNA Practice Test

CNA Practice Test

CNA Promoting Resident Independence and Choice