STNA Restorative Care and Mobility 1 — Questions and Answers
Question 1: What is the primary goal of restorative nursing care?
- To provide complete care for the patient to ensure speed
- To help patients regain and maintain the highest possible level of independence (Correct answer)
- To reduce the nurse aide's workload by encouraging self-care
- To document patient limitations for insurance purposes
Correct answer: To help patients regain and maintain the highest possible level of independence
Restorative care focuses on helping patients achieve the maximum functional ability they are capable of through rehabilitation activities and encouraging self-care.
Question 2: When using a mechanical lift to transfer a non-weight-bearing patient, the nurse aide must:
- Perform the transfer alone using the lift's safety features
- Have at least one other staff member assist during the lift (Correct answer)
- Only use the lift if ordered by the physician that day
- Avoid using the lift if the patient expresses discomfort
Correct answer: Have at least one other staff member assist during the lift
Mechanical lift transfers require a minimum of two caregivers to safely guide the patient during the lift and prevent accidents or falls.
Question 3: Which principle of body mechanics should the nurse aide use when lifting a heavy object?
- Bend at the waist and keep legs straight
- Twist the spine to redirect weight toward the destination
- Keep the object close to the body and bend at the knees (Correct answer)
- Lift quickly to minimize muscle strain time
Correct answer: Keep the object close to the body and bend at the knees
Bending at the knees and keeping the load close to the body uses leg muscle strength and reduces spinal strain, preventing back injury.
Question 4: A patient is recovering from a left-sided hip replacement. When ambulating, the nurse aide should position themselves:
- In front of the patient to guide their steps
- On the patient's stronger (right) side
- On the patient's weaker (left/operative) side (Correct answer)
- Directly behind the patient
Correct answer: On the patient's weaker (left/operative) side
The nurse aide stands on the operative or weaker side to provide support and quickly catch the patient if the weak side gives way during ambulation.
Question 5: Which device is used to provide secure handling and protect both patient and nurse aide during transfers and ambulation?
- Draw sheet
- Transfer/gait belt (Correct answer)
- Abduction wedge
- Sequential compression device
Correct answer: Transfer/gait belt
A gait (transfer) belt is applied around the patient's waist to give the nurse aide a secure grip, reducing fall risk during transfers and ambulation.
Question 6: What is a contracture?
- An abnormal increase in joint range of motion
- A permanent shortening of muscle or connective tissue causing restricted joint movement (Correct answer)
- A type of muscle spasm that resolves within 24 hours
- Swelling in a joint caused by overuse
Correct answer: A permanent shortening of muscle or connective tissue causing restricted joint movement
A contracture is a permanent shortening of muscle or connective tissue that limits joint movement and is a serious complication of immobility.
STNA Restorative Care and Mobility 1
What is the primary goal of restorative nursing care?