CNA Basic Restorative Services 1 3 — Questions and Answers
Question 1: A resident has been using a walker for mobility but now refuses to use it. What is the CNA's best response?
- Take the walker away since the resident refuses it
- Encourage the resident to use the walker and report the refusal to the nurse (Correct answer)
- Allow the resident to ambulate without the walker to respect autonomy
- Document the refusal and do nothing further
Correct answer: Encourage the resident to use the walker and report the refusal to the nurse
CNAs should encourage assistive device use and report refusals to the nurse so the care plan can be evaluated.
Question 2: Which activity best supports restorative goals for a resident with limited hand strength?
- Cutting the resident's food for every meal
- Providing adaptive utensils to help the resident self-feed (Correct answer)
- Feeding the resident to save time
- Limiting meals to soft foods only
Correct answer: Providing adaptive utensils to help the resident self-feed
Adaptive utensils promote independence and self-feeding, which is the goal of restorative care.
Question 3: When performing passive range-of-motion exercises, the CNA should stop if the resident:
- Asks to take a break
- Reports pain or discomfort during the movement (Correct answer)
- Has not exercised in several days
- Is tired at the start of the session
Correct answer: Reports pain or discomfort during the movement
Pain during ROM exercises indicates potential injury risk and the CNA must stop and report immediately.
Question 4: A resident is learning to dress herself after a stroke affecting her right arm. The CNA should assist her to dress the affected arm:
- Last, after the unaffected arm is dressed
- First, before the unaffected arm (Correct answer)
- Only if the resident requests help
- At the same time as the unaffected arm
Correct answer: First, before the unaffected arm
When dressing residents with a weak or affected limb, the affected side is always dressed first.
Question 5: What is the primary goal of a restorative nursing program?
- To cure the resident's underlying medical condition
- To maintain or improve the resident's highest level of function (Correct answer)
- To reduce staffing needs by making residents fully independent
- To rehabilitate residents so they can be discharged home
Correct answer: To maintain or improve the resident's highest level of function
Restorative nursing aims to help residents maintain or reach their highest possible level of physical and psychological function.
Question 6: A CNA notices a resident who previously walked to the dining room now uses a wheelchair. What should the CNA do?
- Accept the change and continue wheelchair transport
- Ask the resident why they stopped walking and report the change to the nurse (Correct answer)
- Encourage the resident to walk while helping push the wheelchair
- Assume the physician ordered the change
Correct answer: Ask the resident why they stopped walking and report the change to the nurse
Any decline in a resident's functional ability should be reported to the nurse so the care plan can be reviewed.
Question 7: Which behavior by the CNA best demonstrates restorative principles during bathing?
- Bathing the resident quickly to complete all assignments on time
- Allowing the resident to wash areas they can reach while the CNA assists with the rest (Correct answer)
- Doing all bathing tasks to ensure they are done correctly
- Having the resident watch as the CNA demonstrates proper bathing technique
Correct answer: Allowing the resident to wash areas they can reach while the CNA assists with the rest
Allowing residents to perform tasks within their ability promotes independence and supports restorative goals.
A resident has been using a walker for mobility but now refuses to use it.
What is the CNA's best response?