CNA Supporting Rehabilitation Activities 2

Question 1

A resident is using a continuous passive motion (CPM) machine after a total knee replacement. The resident reports a new, sharp pain in the knee. What is the CNA's most appropriate immediate action?

Accepted Answer

Stop the machine and notify the nurse at once.

Answer

Adjust the machine's range of motion to a more comfortable setting.

Answer

Offer the resident pain medication that is ordered as needed (PRN).

Answer

Reassure the resident that some pain is normal and continue the therapy.

Question 2

A CNA is assisting a resident who is relearning to eat after a stroke. The speech therapist has been working with the resident on swallowing techniques. Which of the following is the most subtle but critical sign of possible aspiration that the CNA must report immediately?

Accepted Answer

A new, wet or gurgly-sounding voice after swallowing.

Answer

The resident eating very slowly.

Answer

Occasional drooling of saliva from the corner of the mouth.

Answer

The resident stating they do not like the pureed food.

Question 3

While performing passive range-of-motion (PROM) exercises on a resident with severe joint contractures, the resident, who is non-verbal, grimaces and tenses their body when you attempt to extend their arm. What is the CNA's correct action?

Accepted Answer

Move the joint only to the point of resistance or pain, without forcing it.

Answer

Apply gentle, steady pressure to try and slowly increase the extension.

Answer

Stop the exercises for that limb and move on to a different one.

Answer

Document the resident's refusal and skip PROM for the rest of the shift.

Question 4

A resident recovering from a spinal cord injury requires assistance with lower body dressing. Which of the following techniques is most important for the CNA to use to prevent complications?

Accepted Answer

Rolling the resident side-to-side to pull up pants and checking the skin for redness with each turn.

Answer

Encouraging the resident to sit up at the edge of the bed unsupported to build core strength.

Answer

Choosing tight-fitting clothing to provide extra support to the lower limbs.

Answer

Completing the dressing task as quickly as possible to minimize the resident's fatigue.

Question 5

A resident is working with occupational therapy to use a weighted spoon to manage tremors. The resident becomes extremely frustrated, shouts, "I can't do this!" and throws the spoon. What is the CNA's most therapeutic response?

Accepted Answer

Acknowledge their frustration calmly and offer to take a short break.

Answer

Insist they pick up the spoon and try again to stay on schedule.

Answer

Tell the resident that everyone struggles at first and they shouldn't give up.

Answer

Immediately report the behavior to the nurse as uncooperative.

Question 6

A CNA observes a resident, who has weakness on their left side, ambulating with a quad cane. The resident is holding the cane with their left hand and moving it with their left foot. The CNA knows this is incorrect. What is the CNA's best course of action?

Accepted Answer

Gently remind the resident that the cane should be on their strong side and assist them in correcting its use.

Answer

Take the cane away immediately as it is a safety hazard.

Answer

Allow the resident to continue, as they may have a different method taught by the therapist.

Answer

Report the observation to the nurse and the physical therapist at the next opportunity.