General CNA Practice Restorative Care and Rehabilitation 2 — Questions and Answers
Question 1: Which professional typically develops the restorative care plan for a resident?
- The CNA alone
- The physical therapist, occupational therapist, and interdisciplinary team (Correct answer)
- The housekeeping staff
- The dietary aide
Correct answer: The physical therapist, occupational therapist, and interdisciplinary team
The restorative care plan is developed by the interdisciplinary team including physical and occupational therapists, with the CNA implementing the plan.
Question 2: When performing active-assistive ROM, the CNA should:
- Do all the movement for the resident
- Let the resident do as much as they can while the CNA assists as needed (Correct answer)
- Ask the resident to do double the normal range
- Stop all exercise if the resident shows any discomfort
Correct answer: Let the resident do as much as they can while the CNA assists as needed
Active-assistive ROM means the resident participates as much as possible while the CNA provides only the needed support.
Question 3: A resident using a walker for the first time requires CNA assistance. The CNA should walk:
- In front of the resident
- Slightly behind and to the side of the resident's weaker side (Correct answer)
- Far behind the resident
- Directly beside the resident's stronger side
Correct answer: Slightly behind and to the side of the resident's weaker side
Walking slightly behind on the weaker side allows the CNA to provide support where it is most needed without obstructing the resident.
Question 4: Restorative bladder training programs are designed to:
- Eliminate the need for all toileting assistance
- Help residents regain control of urinary function through scheduled voiding (Correct answer)
- Increase fluid restriction
- Prevent all urinary tract infections
Correct answer: Help residents regain control of urinary function through scheduled voiding
Bladder training involves scheduled toileting intervals to help residents regain or maintain urinary continence.
Question 5: Which statement about splints used in restorative care is correct?
- Splints should be worn 24 hours a day without removal
- Splints are used to maintain a joint in proper position and must be removed as instructed (Correct answer)
- Splints are only used after fractures
- CNAs should adjust splints without consulting the nurse
Correct answer: Splints are used to maintain a joint in proper position and must be removed as instructed
Splints maintain joint positioning to prevent contractures and must be applied and removed according to the care plan.
Question 6: A resident who was previously bedbound is now participating in a restorative walking program. The CNA should report which finding immediately?
- The resident is walking 10 steps
- The resident reports sudden chest pain during walking (Correct answer)
- The resident is using a gait belt
- The resident tires after 5 minutes
Correct answer: The resident reports sudden chest pain during walking
Sudden chest pain during activity may indicate a cardiac emergency and must be reported to the nurse immediately.
Which professional typically develops the restorative care plan for a resident?