INACE Restorative Care and Rehabilitation 2 — Questions and Answers
Question 1: When a patient is relearning to dress themselves as part of a restorative ADL program, the nurse assistant should:
- Dress the patient completely to save time during busy shifts
- Allow the patient to do as much as they can independently before assisting (Correct answer)
- Have the family dress the patient at home only
- Dress the strong side first, then assist with the weak side
Correct answer: Allow the patient to do as much as they can independently before assisting
Encouraging maximum independence by allowing patients to do as much as they can promotes functional recovery and self-esteem.
Question 2: When dressing a patient with a weak or paralyzed arm, the correct technique is to:
- Dress the stronger arm first, then the weaker arm
- Skip the affected arm and focus only on the strong arm
- Dress the weaker or affected arm first, then the stronger arm (Correct answer)
- Always use adaptive equipment regardless of patient ability
Correct answer: Dress the weaker or affected arm first, then the stronger arm
The weak or affected limb is dressed first because it has limited range, making it easier before the garment is partially on.
Question 3: A gait belt is used during ambulation primarily to:
- Prevent the patient's pants from falling down while walking
- Provide a secure grip point to support and guide the patient safely (Correct answer)
- Replace the need for a walker or cane
- Monitor the patient's gait speed and distance
Correct answer: Provide a secure grip point to support and guide the patient safely
A gait belt gives the nurse assistant a secure hold on the patient during transfers and ambulation to prevent falls.
Question 4: Which adaptive device would most help a patient with limited hand grip to eat independently?
- A standard metal fork and knife
- Built-up handled utensils with thick grips (Correct answer)
- A feeding tube placed by the nurse
- Blended food to eliminate the need for utensils
Correct answer: Built-up handled utensils with thick grips
Built-up handled utensils have wider grips that require less hand strength and dexterity, promoting independent eating.
Question 5: In restorative dining, the nurse assistant's role is to:
- Feed all patients quickly to ensure meals are completed on time
- Encourage and assist patients to eat as independently as possible (Correct answer)
- Order special meals without consulting the dietitian
- Limit fluid intake to reduce the risk of aspiration
Correct answer: Encourage and assist patients to eat as independently as possible
Restorative dining focuses on maximizing each patient's ability to feed themselves with appropriate encouragement and assistance.
Question 6: Which of the following is a sign that ROM exercises may need to be stopped and reported?
- The patient says the exercise feels slightly uncomfortable at the end of range
- The patient's joint appears red, swollen, or feels warm during movement (Correct answer)
- The patient needs reminders about how to perform the exercises
- The patient wants to rest between exercises
Correct answer: The patient's joint appears red, swollen, or feels warm during movement
Redness, swelling, and warmth in a joint during ROM suggest inflammation or injury and must be reported to the nurse immediately.
Question 7: A bladder retraining program for a patient who is incontinent would include:
- Restricting the patient's fluid intake to reduce accidents
- Offering the patient the opportunity to void on a scheduled, regular schedule (Correct answer)
- Inserting a urinary catheter to eliminate the need for toileting
- Limiting the patient's mobility so they remain near the bathroom
Correct answer: Offering the patient the opportunity to void on a scheduled, regular schedule
Bladder retraining involves scheduled toileting at regular intervals to help the patient reestablish voluntary bladder control.
INACE Restorative Care and Rehabilitation 2
When a patient is relearning to dress themselves as part of a restorative ADL program, the nurse assistant should: