CNA Basic Restorative Services 1 5 — Questions and Answers
Question 1: A resident's care plan includes a restorative goal for self-toileting. Which action best supports this goal?
- Placing the resident in briefs to avoid accidents
- Scheduling regular toileting times and prompting the resident to use the bathroom (Correct answer)
- Taking the resident to the bathroom only when requested
- Limiting fluid intake to reduce toileting frequency
Correct answer: Scheduling regular toileting times and prompting the resident to use the bathroom
Scheduled toileting programs with prompting help residents maintain bladder function and achieve toileting independence.
Question 2: When assisting with restorative exercises, the CNA should move each joint:
- Quickly to save time
- Slowly and smoothly through the range of motion (Correct answer)
- Only to the point of resistance and then stop
- As far as possible regardless of resistance
Correct answer: Slowly and smoothly through the range of motion
Slow, smooth movement through the range of motion prevents injury and is the correct technique for ROM exercises.
Question 3: A resident recovering from a hip replacement is working on restorative ambulation. When walking with this resident, the CNA should stand:
- In front of the resident
- On the resident's stronger side
- On the resident's weaker or affected side (Correct answer)
- Behind the resident at all times
Correct answer: On the resident's weaker or affected side
The CNA stands on the resident's weaker side to provide support and be able to catch the resident if they lose balance.
Question 4: Which statement about splints used in restorative care is correct?
- Splints should be worn 24 hours a day without removal
- Skin under the splint should be checked regularly for redness or breakdown (Correct answer)
- Only nurses may remove or apply splints
- Splints are used only for residents with new injuries
Correct answer: Skin under the splint should be checked regularly for redness or breakdown
Skin integrity under splints must be monitored regularly because restricted circulation and pressure can cause breakdown.
Question 5: A resident with Parkinson's disease has a restorative walking program. The CNA can best help the resident initiate steps by:
- Pulling the resident forward by the arm
- Asking the resident to march in place before starting to walk (Correct answer)
- Telling the resident to take large, fast steps
- Waiting silently until the resident begins walking independently
Correct answer: Asking the resident to march in place before starting to walk
Marching in place can help overcome freezing of gait, a common Parkinson's symptom, and initiate forward movement.
Question 6: Which resident behavior indicates that a restorative program is having a positive outcome?
- The resident asks staff to do more tasks for them
- The resident independently completes more activities of daily living than before (Correct answer)
- The resident spends more time in bed resting
- The resident stops attending therapy sessions
Correct answer: The resident independently completes more activities of daily living than before
Increased independence in ADLs is the primary indicator that a restorative program is achieving its goals.
Question 7: A CNA is assisting a resident with therapeutic exercises when the resident says 'I'm too tired today, I don't want to do this.' What is the correct response?
- Proceed with the exercises anyway since they are medically ordered
- Stop the exercises, allow the resident to rest, and report the refusal to the nurse (Correct answer)
- Tell the resident they must complete the exercises or lose their progress
- Offer to do fewer exercises and document that all were completed
Correct answer: Stop the exercises, allow the resident to rest, and report the refusal to the nurse
Residents have the right to refuse treatment; the CNA should respect this, ensure rest, and report the refusal to the nurse.
CNA Basic Restorative Services 1 5
A resident's care plan includes a restorative goal for self-toileting.
Which action best supports this goal?