Restorative Skills Bowel and Bladder Training

Question 1

What is the primary goal of a bladder retraining program in restorative care?

Accepted Answer

Help the resident regain voluntary control over urination

Answer

Increase the resident's daily fluid intake

Answer

Reduce the frequency of documentation

Answer

Eliminate the use of all incontinence products

Question 2

How frequently should a toileting schedule be evaluated for effectiveness during a bladder retraining program?

Accepted Answer

At least every 2 weeks

Answer

Every 6 months

Answer

Only when incontinence episodes increase

Answer

Once a year during the annual care plan review

Question 3

Which position best promotes complete bladder emptying during voiding?

Accepted Answer

Sitting upright on the toilet or commode

Answer

Lying flat on the back (supine)

Answer

Side-lying position with knees bent

Answer

Semi-recumbent with the head of bed elevated 30 degrees

Question 4

What is 'prompted voiding' in a restorative bladder program?

Accepted Answer

Reminding residents to void at set intervals and praising successful continence

Answer

Catheterizing the resident every 4 hours to prevent accidents

Answer

Using medication to chemically stimulate the urge to void

Answer

Requiring residents to reach the bathroom independently without assistance

Question 5

A resident voids 100 mL but reports not feeling empty. What is the nurse aide's most appropriate action?

Accepted Answer

Document the concern and report it to the supervising nurse

Answer

Reassure the resident they are fine and return at the next scheduled time

Answer

Administer a prescribed diuretic to increase output

Answer

Perform straight catheterization to check for residual urine

Question 6

What is the FIRST step when initiating a bowel retraining program for a long-term care resident?

Accepted Answer

Assess the resident's current bowel patterns and elimination habits

Answer

Administer a laxative every morning to stimulate the bowel

Answer

Start a high-fiber diet supplement immediately

Answer

Schedule the resident for toileting every hour around the clock

Question 7

Which dietary change most directly supports bowel regularity in a restorative program?

Accepted Answer

Increasing dietary fiber and daily fluid intake

Answer

Decreasing dairy product intake

Answer

Eliminating all fruits from the diet

Answer

Reducing overall protein consumption