Restorative Skills Range of Motion Exercises 2 — Questions and Answers
Question 1: Which position is generally safest for performing ROM on a resident's lower extremities in bed?
- Supine (lying flat on the back) (Correct answer)
- Prone (lying face down)
- High Fowler's position
- Sitting upright in a chair
Correct answer: Supine (lying flat on the back)
The supine position provides the best access to lower extremity joints and reduces the risk of falls while performing ROM exercises.
Question 2: When performing ROM on a hemiplegic resident, which side should the aide start with?
- The unaffected side first, then the affected side (Correct answer)
- The affected side first, then the unaffected side
- Both sides simultaneously
- Order does not matter for hemiplegic residents
Correct answer: The unaffected side first, then the affected side
Beginning with the unaffected side lets the resident understand the movement pattern before the aide moves the affected limb.
Question 3: What term describes moving a joint toward the body's midline?
- Adduction (Correct answer)
- Abduction
- Flexion
- Extension
Correct answer: Adduction
Adduction is movement of a limb toward the body's midline, while abduction is movement away from the midline.
Question 4: A resident reports pain of 7/10 during hip ROM exercises. What should the restorative aide do?
- Stop the exercise, reposition the resident comfortably, and report to the nurse (Correct answer)
- Encourage the resident to push through the pain
- Reduce the repetitions to 1 and continue
- Administer pain medication and continue
Correct answer: Stop the exercise, reposition the resident comfortably, and report to the nurse
Pain at 7/10 indicates significant discomfort; the aide must stop, ensure the resident's comfort, and notify the nurse before resuming any exercise.
Question 5: Dorsiflexion of the foot means:
- Moving the toes upward toward the shin (Correct answer)
- Pointing the toes downward away from the shin
- Rotating the foot inward
- Rotating the foot outward
Correct answer: Moving the toes upward toward the shin
Dorsiflexion refers to bending the foot upward so the toes point toward the shin, which is essential for safe walking and fall prevention.
Question 6: What is the main risk of performing ROM exercises too aggressively on a resident with osteoporosis?
- Pathological fractures (Correct answer)
- Muscle hypertrophy
- Joint dislocation only
- Skin breakdown
Correct answer: Pathological fractures
Osteoporosis weakens bones, making them susceptible to fractures even with gentle force, so ROM must be performed very cautiously.
Restorative Skills Range of Motion Exercises 2
Which position is generally safest for performing ROM on a resident's lower extremities in bed?