General CNA Practice Restorative Care and Rehabilitation 1 — Questions and Answers
Question 1: The goal of restorative care in a long-term care facility is to:
- Keep the resident completely dependent on staff
- Help the resident maintain or regain the highest possible level of function (Correct answer)
- Provide only comfort measures
- Prevent all physical activity
Correct answer: Help the resident maintain or regain the highest possible level of function
Restorative care focuses on maximizing functional independence and preventing further decline in residents.
Question 2: Range of motion (ROM) exercises are performed to:
- Strengthen only the heart
- Maintain joint flexibility and prevent contractures (Correct answer)
- Increase the resident's weight
- Treat infections
Correct answer: Maintain joint flexibility and prevent contractures
ROM exercises move joints through their full range to maintain flexibility and prevent stiffening or contractures.
Question 3: Passive range of motion means:
- The resident performs exercises independently
- The CNA moves the resident's limbs without the resident's muscle effort (Correct answer)
- The resident exercises against resistance
- The resident walks without assistance
Correct answer: The CNA moves the resident's limbs without the resident's muscle effort
Passive ROM is performed by the CNA who moves the resident's limbs because the resident cannot do so independently.
Question 4: When assisting a resident with ambulation, the CNA should position the gait belt:
- Around the resident's neck
- Around the resident's waist over clothing (Correct answer)
- Around the resident's ankle
- Around the resident's chest
Correct answer: Around the resident's waist over clothing
A gait belt is placed around the waist over clothing to provide a secure handhold during ambulation assistance.
Question 5: A contracture is best described as:
- A type of infection
- A permanent shortening of muscles and tendons causing limited joint movement (Correct answer)
- An improvement in muscle strength
- A pressure ulcer complication
Correct answer: A permanent shortening of muscles and tendons causing limited joint movement
A contracture is a permanent tightening of muscles, tendons, or skin that restricts normal joint movement.
Question 6: During restorative dining, the CNA should:
- Feed the resident entirely to save time
- Encourage the resident to self-feed using adaptive equipment if needed (Correct answer)
- Restrict the resident's fluid intake
- Only assist residents who are fully independent
Correct answer: Encourage the resident to self-feed using adaptive equipment if needed
Restorative dining encourages maximum independence at mealtime, using adaptive utensils when needed rather than complete dependence on staff.
The goal of restorative care in a long-term care facility is to: