INACE Restorative Care and Rehabilitation 1 — Questions and Answers
Question 1: What is the primary goal of restorative care provided by a nurse assistant?
- To help patients regain or maintain their highest level of independent function (Correct answer)
- To provide complete care so the patient does not have to exert effort
- To replace physical therapy and occupational therapy services
- To prepare patients for surgical procedures
Correct answer: To help patients regain or maintain their highest level of independent function
Restorative care aims to help patients achieve and maintain the highest possible level of independent functioning.
Question 2: When assisting a patient with passive range-of-motion (ROM) exercises, the nurse assistant should:
- Move each joint quickly to cover more range
- Support the joint and move it gently through its full range of motion (Correct answer)
- Have the patient perform the movements without assistance
- Only move joints that the patient reports as painless
Correct answer: Support the joint and move it gently through its full range of motion
In passive ROM, the nurse assistant supports the joint and moves it through its range since the patient cannot do it independently.
Question 3: Which of the following best describes active-assistive range-of-motion exercises?
- The nurse assistant performs all movements without patient effort
- The patient performs all movements independently without assistance
- The patient uses their own strength assisted by the nurse assistant (Correct answer)
- Resistance is added to strengthen muscles beyond normal range
Correct answer: The patient uses their own strength assisted by the nurse assistant
Active-assistive ROM involves the patient using their own muscle strength with the nurse assistant providing additional support as needed.
Question 4: A contracture is best defined as:
- A type of pressure ulcer found over bony prominences
- The permanent shortening of a muscle or joint causing limited movement (Correct answer)
- A bone fracture resulting from a patient fall
- Swelling of a joint due to fluid accumulation
Correct answer: The permanent shortening of a muscle or joint causing limited movement
A contracture is a permanent shortening and tightening of muscles, tendons, or skin that restricts joint movement.
Question 5: When helping a patient ambulate with a walker, the nurse assistant should position themselves:
- Directly in front of the patient to guide them forward
- Behind and slightly to the side of the patient's weaker side (Correct answer)
- Behind the patient with both hands on their shoulders
- Beside the patient on their stronger side only
Correct answer: Behind and slightly to the side of the patient's weaker side
The nurse assistant stands behind and slightly to the side of the patient's weaker side to provide support while not interfering with the walker.
Question 6: ROM exercises should be performed how often, according to standard restorative care guidelines?
- Once a week during scheduled therapy sessions only
- Only when the patient reports stiffness or pain
- At least once per shift or as directed by the care plan (Correct answer)
- Every hour around the clock for best results
Correct answer: At least once per shift or as directed by the care plan
ROM exercises are typically performed at least once per shift or per the care plan to prevent contractures and maintain mobility.
Question 7: During ROM exercises, a patient begins to cry out in pain. The nurse assistant should:
- Continue the exercise as pain is expected during rehabilitation
- Increase speed to complete the exercise more quickly
- Stop the exercise immediately and report the pain to the nurse (Correct answer)
- Apply ice and continue with the remaining exercises
Correct answer: Stop the exercise immediately and report the pain to the nurse
Pain during ROM exercises is never normal and the nurse assistant must stop immediately and report it to the nurse.
INACE Restorative Care and Rehabilitation 1
What is the primary goal of restorative care provided by a nurse assistant?