Restorative Skills Bowel and Bladder Training 2 — Questions and Answers
Question 1: What term describes the involuntary loss of urine or stool?
- Retention
- Incontinence (Correct answer)
- Diuresis
- Constipation
Correct answer: Incontinence
Incontinence is the medical term for the involuntary loss of bladder or bowel control.
Question 2: How much fluid should most residents consume daily to support healthy bladder and bowel function?
- Less than 500 mL per day
- 1,000 to 1,200 mL per day
- 1,500 to 2,000 mL per day (Correct answer)
- More than 3,000 mL per day
Correct answer: 1,500 to 2,000 mL per day
Most adults need approximately 1,500 to 2,000 mL (about 6–8 cups) of fluid daily to maintain healthy bladder and bowel function.
Question 3: Which sign most indicates that a resident may benefit from a scheduled toileting program?
- The resident independently requests toileting every 2 hours
- The resident has frequent incontinent episodes without awareness of the urge (Correct answer)
- The resident's daily urine output exceeds 2,000 mL
- The resident currently has an indwelling urinary catheter
Correct answer: The resident has frequent incontinent episodes without awareness of the urge
Frequent incontinent episodes without awareness suggest the resident cannot recognize or respond to the urge to void, making a scheduled program beneficial.
Question 4: What is the primary purpose of keeping a voiding diary in a bladder retraining program?
- To replace the need for physician orders for toileting
- To track patterns of urination and incontinent episodes over time (Correct answer)
- To document fluid intake restrictions for the dietary department
- To monitor urinary catheter output and drainage
Correct answer: To track patterns of urination and incontinent episodes over time
A voiding diary records the timing, amount, and continence status of each void to identify patterns and guide the retraining schedule.
Question 5: Which exercise is specifically used to strengthen the pelvic floor muscles to reduce urinary incontinence?
- Straight leg raises
- Kegel exercises (Correct answer)
- Shoulder shrugs
- Bicep curls
Correct answer: Kegel exercises
Kegel exercises involve contracting and relaxing the pelvic floor muscles, which strengthens sphincter control and can significantly reduce urinary incontinence.
Question 6: In a scheduled toileting program, when should a resident be offered toileting assistance?
- Only when the resident verbally requests to use the bathroom
- At the scheduled time, regardless of whether the resident has already been incontinent (Correct answer)
- Only immediately following an observed incontinent episode
- Every 30 minutes throughout the entire day and night
Correct answer: At the scheduled time, regardless of whether the resident has already been incontinent
Scheduled toileting is offered at predetermined intervals regardless of whether the resident has been incontinent, in order to establish a predictable routine.
Question 7: What type of urinary incontinence is characterized by a sudden, strong urge to urinate that cannot be suppressed?
- Stress incontinence
- Overflow incontinence
- Urge incontinence (Correct answer)
- Functional incontinence
Correct answer: Urge incontinence
Urge incontinence, also called overactive bladder, involves a sudden compelling urge to urinate that results in involuntary leakage before reaching the toilet.
Restorative Skills Bowel and Bladder Training 2
What term describes the involuntary loss of urine or stool?