Question 1

What is the primary goal of a restorative nursing program for residents in a long-term care facility?

Accepted Answer

The primary goal of a restorative nursing program is to help residents achieve and maintain their highest possible level of physical, mental, and psychosocial functioning. It focuses on maximizing independence and preventing further decline rather than curing illness.

Question 2

What is the correct technique for a resident to use a standard walker when walking forward?

Accepted Answer

The resident should pick up or slide the walker forward about one step's length, then step into it by moving the weaker leg first, followed by the stronger leg. The resident's elbows should be slightly bent at about 15–20 degrees when gripping the handles, keeping the walker close to the body.

Question 3

What skin assessment should a CNA perform when helping a resident apply or remove a prosthetic limb?

Accepted Answer

Before applying and after removing a prosthetic limb, the CNA should inspect the residual limb (stump) for any redness, blistering, skin breakdown, open areas, swelling, or unusual odor. Any abnormal findings must be reported immediately to the nurse, as skin problems under a prosthesis can worsen rapidly if untreated.

Question 4

What is the main goal of a bowel retraining program for a resident with constipation or incontinence?

Accepted Answer

The main goal of a bowel retraining program is to establish a predictable, regular pattern of bowel elimination at a consistent time each day, reducing constipation and episodes of fecal incontinence. Regularity is achieved through scheduled toileting, adequate fluid intake, dietary fiber, and activity.

Question 5

What is timed voiding, and how does it differ from prompted voiding in a bladder retraining program?

Accepted Answer

Timed voiding is a scheduled toileting approach where the resident is taken to the toilet at fixed, predetermined intervals regardless of whether they feel the urge to urinate. Prompted voiding additionally involves asking the resident if they need to use the toilet and encouraging them to initiate the request themselves, promoting greater self-awareness and independence.

CNA Certified Nursing Assistant Exam — Restorative Care & Rehabilitation

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