Restorative Skills Restorative Nursing Fundamentals 2 — Questions and Answers
Question 1: Which of the following is NOT a component of a qualifying restorative nursing program under CMS guidelines?
- Physician performing daily therapy sessions (Correct answer)
- Nursing assistant participation
- Measurable objectives
- Documented care plan
Correct answer: Physician performing daily therapy sessions
CMS restorative programs require nursing assistant participation, measurable objectives, and a documented care plan — physicians do not perform daily restorative sessions.
Question 2: A resident's MDS assessment shows a decline in ADL function. What is the restorative team's first step?
- Assess the cause of decline and update the care plan (Correct answer)
- Immediately discharge to rehabilitation
- Reduce the number of restorative sessions
- Notify the family and take no further action
Correct answer: Assess the cause of decline and update the care plan
When a decline is identified, the care team must assess contributing factors and revise the care plan accordingly to address the resident's current needs.
Question 3: Which attitude most reflects the restorative care philosophy?
- 'Do with, not for' the resident (Correct answer)
- 'Do for the resident to save time'
- 'Avoid activities if there is any risk of falling'
- 'Physical function is the family's responsibility'
Correct answer: 'Do with, not for' the resident
The restorative philosophy centers on the principle of doing activities with the resident rather than for them, to promote independence.
Question 4: What is a restorative nursing program NOT intended to replace?
- Physical, occupational, or speech therapy (Correct answer)
- Basic nursing care
- Dietary assistance
- Social activities
Correct answer: Physical, occupational, or speech therapy
Restorative nursing complements but does not replace skilled therapy services such as physical, occupational, or speech therapy.
Question 5: A resident refuses restorative therapy. What should the restorative aide do?
- Respect the refusal, document it, and report to the nurse (Correct answer)
- Insist the resident participate for their own good
- Skip documentation since the session did not occur
- Discharge the resident from the program immediately
Correct answer: Respect the refusal, document it, and report to the nurse
Residents have the right to refuse treatment; the aide must respect this, document the refusal, and notify the supervising nurse.
Question 6: Which of the following best describes the difference between restorative nursing and rehabilitation?
- Rehabilitation aims to restore lost function; restorative nursing maintains current function (Correct answer)
- Restorative nursing is more intensive than rehabilitation
- Rehabilitation is only for post-surgical patients
- They are interchangeable terms with no distinction
Correct answer: Rehabilitation aims to restore lost function; restorative nursing maintains current function
Rehabilitation focuses on restoring function after illness or injury, while restorative nursing maintains the highest level of function a resident has already achieved.
Restorative Skills Restorative Nursing Fundamentals 2
Which of the following is NOT a component of a qualifying restorative nursing program under CMS guidelines?