Restorative Skills Restorative Nursing Fundamentals 3 — Questions and Answers
Question 1: Which residents typically qualify for a restorative nursing program?
- Residents who have been discharged from skilled therapy but still need maintenance support (Correct answer)
- Only residents who are fully independent
- Residents currently receiving daily skilled physical therapy
- Only residents with a physician's specific order for restorative nursing
Correct answer: Residents who have been discharged from skilled therapy but still need maintenance support
Restorative nursing is most appropriate for residents who have completed skilled therapy but need ongoing support to maintain their functional gains.
Question 2: How does a restorative nursing program positively impact a long-term care facility?
- It can improve MDS scores and quality indicators, positively affecting reimbursement (Correct answer)
- It increases the number of skilled therapy orders needed
- It replaces the need for licensed nursing staff
- It is primarily a social program with no clinical impact
Correct answer: It can improve MDS scores and quality indicators, positively affecting reimbursement
Effective restorative programs improve resident function, which positively affects MDS scoring, quality measures, and CMS reimbursement rates.
Question 3: Which of the following is an example of a measurable restorative goal?
- Resident will ambulate 50 feet with a walker independently within 30 days (Correct answer)
- Resident will feel better about walking
- Staff will encourage resident mobility
- Resident will improve overall health
Correct answer: Resident will ambulate 50 feet with a walker independently within 30 days
Measurable goals must be specific, with a defined distance, level of assistance, and timeframe to track progress objectively.
Question 4: What role does the restorative aide play during interdisciplinary care plan meetings?
- Provide input on the resident's functional progress and challenges (Correct answer)
- Make final decisions on medical treatments
- Write physician orders for restorative services
- Conduct the meeting independently without nursing oversight
Correct answer: Provide input on the resident's functional progress and challenges
The restorative aide contributes observational and functional progress data during care plan meetings to help the team make informed decisions.
Question 5: A restorative aide notices a resident's condition has significantly improved. What is the appropriate action?
- Report the improvement to the supervising nurse for potential goal revision (Correct answer)
- Continue the current program without changes
- Discharge the resident from restorative services immediately
- Increase exercise intensity without consulting the nurse
Correct answer: Report the improvement to the supervising nurse for potential goal revision
Any significant change in a resident's condition, positive or negative, should be reported to the supervising nurse so goals and the care plan can be updated.
Question 6: Which best describes 'learned helplessness' in the context of restorative care?
- A resident becomes dependent on staff because caregivers routinely do tasks the resident could do themselves (Correct answer)
- A resident refuses therapy due to depression
- A staff member avoids helping residents to encourage independence
- A resident develops new disabilities from overexertion
Correct answer: A resident becomes dependent on staff because caregivers routinely do tasks the resident could do themselves
Learned helplessness occurs when well-meaning staff consistently perform tasks for residents, causing them to lose confidence and ability over time.
Restorative Skills Restorative Nursing Fundamentals 3
Which residents typically qualify for a restorative nursing program?