Restorative Skills Bowel and Bladder Training 3

Question 1

What information should a nurse aide document after each toileting attempt in a bladder retraining program?

Accepted Answer

The time of the attempt, whether a void occurred, and the estimated or measured amount

Answer

Only successful voids where the resident remained continent

Answer

The resident's emotional state and level of cooperation only

Answer

Only incontinent episodes and the volume of leakage

Question 2

Which food is most likely to have a laxative effect and loosen stools in a bowel retraining program?

Accepted Answer

Prunes or prune juice

Answer

White rice

Answer

Bananas

Answer

Cheese

Question 3

How should a nurse aide respond if a resident refuses to participate in a scheduled bladder training program?

Accepted Answer

Respect the refusal, document it, and report the situation to the supervising nurse

Answer

Guide the resident to the bathroom anyway to maintain the schedule

Answer

Permanently discontinue all future toileting attempts for that resident

Answer

Restrict the resident's fluid intake to reduce incontinent episodes

Question 4

What is overflow incontinence?

Accepted Answer

Leakage that occurs when the overfull bladder cannot empty properly and urine spills over

Answer

Incontinence caused by a sudden urge that cannot be controlled in time

Answer

Incontinence related to physical or cognitive barriers that prevent reaching the toilet

Answer

Loss of bladder control during activities such as coughing, sneezing, or lifting

Question 5

Which factor most commonly contributes to constipation in elderly residents in long-term care facilities?

Accepted Answer

Inadequate fluid intake combined with reduced physical activity

Answer

Excessive physical exercise and activity

Answer

Consuming too much dietary fiber

Answer

Overuse of prescribed stool softeners

Question 6

What is a typical recommended starting interval for a timed voiding schedule in a bladder retraining program?

Accepted Answer

Every 2 hours during waking hours

Answer

Every 30 minutes throughout the day

Answer

Every 6 hours around the clock

Answer

Once per nursing shift

Question 7

What is a key indicator that a bowel retraining program is successful?

Accepted Answer

The resident has a regular, predictable bowel pattern without excessive straining or fecal incontinence

Answer

The resident never experiences any episode of constipation again

Answer

The resident no longer requires any dietary modifications or fiber supplements

Answer

The resident can manage their entire bowel care program without any staff assistance