CNA CNA Restorative Care and Rehabilitation 5 — Questions and Answers
Question 1: A resident in a restorative walking program begins to complain of chest pain during ambulation. The CNA should:
- Have the resident sit down and call for the nurse immediately (Correct answer)
- Encourage the resident to push through the discomfort
- Document the complaint and report at end of shift
- Continue walking at a slower pace
Correct answer: Have the resident sit down and call for the nurse immediately
Chest pain during activity is a serious symptom requiring the resident to stop immediately and the nurse to be notified right away.
Question 2: Which principle best describes the restorative care philosophy?
- Do as much for residents as possible to keep them comfortable
- Help residents achieve and maintain their highest level of independent function (Correct answer)
- Focus care on residents who are most likely to make a full recovery
- Prioritize efficiency over resident participation in daily tasks
Correct answer: Help residents achieve and maintain their highest level of independent function
Restorative care is guided by the principle of maximizing each resident's functional independence at whatever level is achievable for them.
Question 3: A resident recovering from a stroke has left-sided weakness. When assisting with transfers, the CNA should position themselves:
- On the resident's left (weaker) side (Correct answer)
- Behind the resident
- On the resident's right (stronger) side
- In front of the resident
Correct answer: On the resident's left (weaker) side
The CNA stands on the weaker side to provide support where the resident has the least control and greatest fall risk.
Question 4: Restorative care documentation should be completed:
- At the end of the week in a summary
- Immediately after each session while details are accurate (Correct answer)
- Only when a resident makes significant progress
- Once per shift regardless of session timing
Correct answer: Immediately after each session while details are accurate
Documenting immediately after each session ensures accuracy and provides the care team with current information about the resident's progress.
Question 5: A resident uses a prosthetic limb. Before applying it as part of restorative care, the CNA should first:
- Warm the prosthesis with warm water
- Inspect the residual limb for skin breakdown or irritation (Correct answer)
- Apply lotion generously to the residual limb
- Check that the prosthesis belongs to the correct resident
Correct answer: Inspect the residual limb for skin breakdown or irritation
Inspecting the skin of the residual limb before applying a prosthesis ensures no existing breakdown is worsened by wearing the device.
Question 6: Which behavior best demonstrates a CNA supporting a resident's motivation during restorative care?
- Telling the resident they must complete all exercises or face consequences
- Giving specific positive feedback when the resident achieves a step in their program (Correct answer)
- Completing exercises for the resident so they feel less pressure
- Comparing the resident's progress to other residents who are doing better
Correct answer: Giving specific positive feedback when the resident achieves a step in their program
Specific positive reinforcement encourages residents by acknowledging their achievements and supports continued participation in restorative programs.
Question 7: A resident's restorative care goal is to walk 50 feet with a walker independently. Today they walked 30 feet before needing rest. The CNA should:
- Mark the goal as failed and notify the nurse
- Document 30 feet achieved and report progress to the nurse (Correct answer)
- Push the resident to walk the full 50 feet despite fatigue
- Skip the session tomorrow to let the resident rest
Correct answer: Document 30 feet achieved and report progress to the nurse
Accurate documentation of actual performance—30 feet—allows the care team to track progress toward the goal and adjust the plan as needed.
CNA CNA Restorative Care and Rehabilitation 5
A resident in a restorative walking program begins to complain of chest pain during ambulation.
The CNA should: