Restorative Skills Documentation and Care Planning 2

Question 1

A restorative aide accidentally documents a session that was not performed. What is the correct action?

Accepted Answer

Report the error to the supervising nurse and correct the documentation per facility policy

Answer

Documentation errors must be reported and corrected according to facility policy — typically by drawing a single line through the error, adding a note, dating, and signing — never erasing or deleting.

Question 2

What is the purpose of the interdisciplinary care plan in restorative services?

Accepted Answer

To coordinate goals and interventions across all disciplines to provide consistent, resident-centered care

Answer

The interdisciplinary care plan integrates input from all team members — nursing, therapy, social work, dietary — to create cohesive, individualized goals and interventions.

Question 3

How often must care plans be reviewed and revised for long-term care residents under OBRA regulations?

Accepted Answer

Quarterly and whenever there is a significant change in condition

Answer

OBRA requires care plans to be reviewed and updated at least quarterly and whenever a significant change in the resident's condition occurs.

Question 4

What constitutes a 'significant change' that would trigger a new MDS assessment?

Accepted Answer

A major decline or improvement in two or more areas of function that is not expected to resolve

Answer

A significant change is defined as a major decline or improvement in two or more areas of function that is not expected to resolve without intervention.

Question 5

Which abbreviation commonly used in restorative documentation means 'as needed'?

Accepted Answer

PRN

Answer

PRN (from Latin 'pro re nata') means 'as needed' and is used in orders and documentation to indicate an intervention performed only when a specific condition arises.

Restorative Skills Practice Test

Restorative Skills Practice Test

Restorative Skills Documentation and Care Planning 2