Module 5 Knowledge Check

Front

While performing range of motion exercises, you notice that the resident’s knee is stiff and will not bend. You should:

Back

Continue exercises but move onto another joint

Front

What is the main purpose of a restorative care program?

Back

Help the resident improve their level of functioning.

Answer explanation

Restorative care aims to enhance the resident's functioning level, strength, abilities, and independence. It is crucial to offer opportunities for improvement or adaptation to disabilities. Encouraging and promoting independence is essential for the resident's self-esteem and overall well-being.

Front

Passive range-of-motion exercises are performed by: The resident, A health team member, The person with the assistance of another, By the person with an assistive device

Back

A health team member

Answer explanation

Passive range-of-motion exercieses means another person moves the joints.

Front

Range-of-Motion exercises were ordered for Mr. Wilson. You should do the following except: Support the extremity being exercised, Move the joint slowly, smoothly, and gently, Force the joint through full range of motion, Exercise only the joints indicated by the nurse.

Back

Force the joint through full range of motion

Answer explanation

Forcing a joint through its full range of motion during range-of-motion exercises can cause injury and exacerbate existing conditions. It's important to remember that everyone's body is different, and each joint has a unique range of motion that is safe for that individual.

If you force a joint to move beyond its safe range of motion, you risk damaging the joint, ligaments, and other soft tissues surrounding it. This can lead to pain, inflammation, and long-term joint damage.

Front

What is the primary goal of restorative care in nursing homes?

Back

To improve the quality of life for residents.

Answer explanation

The primary goal of OBRA's focus on restorative care in nursing homes is to improve the quality of life for residents. This is achieved through the use of an interdisciplinary team, which works together to provide restorative care. By addressing risk factors in advance, the team can prevent deterioration or declines in residents’ conditions. It is important to note that declines in condition are not normally due to the aging process alone. While providing medical treatment to residents is important, it is not the primary focus of OBRA's restorative care approach. Similarly, reducing the number of residents in the facility is not a goal of restorative care, nor is increasing the cost of care for residents.

Front

When providing restoration, it is important to emphasize weaknesses and disabilities, rather than strengths and abilities.

Back

False

Answer explanation

Nurse aides want to emphasize strengths and abilities when providing restorative services.

Front

Which of the following is a reason why it is important to prevent a decline in ADLs? It leads to an increase in staff workload., I can result in higher costs for residents., It can cause complications associated with immobility., It can lead to an increase in resident social activities.

Back

It can cause complications associated with immobility.

Answer explanation

It can cause complications associated with immobility. Declines in ADLs can lead to complications associated with immobility, such as incontinence and pressure injuries, which can have a negative impact on a resident's physical health. These complications can be costly to treat and can result in a longer recovery time for the resident. Therefore, it is important to prevent declines in ADLs to promote the resident's overall health and well-being.

Front

How can you encourage a resident's participation in a restorative procedure? Options: Provide only verbal encouragement., Explain the procedure to the resident and its benefits., Force the resident to perform the procedure., Dismiss the resident's concerns or questions.

Back

Explain the procedure to the resident and its benefits.

Answer explanation

Restorative procedures can be challenging for some residents, and you can play a crucial role in encouraging their participation. One effective strategy is to explain the procedure to the resident in a clear and simple way, using language that the resident can understand. You can also emphasize the benefits of the procedure, such as increased independence, improved mobility, or better overall health. This approach can help the resident feel more comfortable and motivated to participate in the restorative procedure, leading to better outcomes. Providing only verbal encouragement may not be enough, forcing the resident to perform the procedure can cause harm, and dismissing the resident's concerns or questions can undermine their trust and confidence in you.

Front

Which of the following is an example of adaptive equipment to assist with bathing and self-care? Doorknob grippers, Lifeline alert system, Long-handled brushes, Silverware grips

Back

Long-handled brushes

Answer explanation

Long-handled brushes are examples of adaptive equipment to assist with bathing and self-care. They allow residents to reach difficult areas of their body during bathing and grooming. Doorknob grippers are designed to assist with opening doors, while the lifeline alert system is designed to assist in case of a fall. Silverware grips are designed to assist with holding utensils for eating. While these devices may be helpful for some residents, they are not specifically designed for bathing and self-care.

Front

How do your observations relate to restorative measures?

Back

Observations can help evaluate the effectiveness of restorative measures.

Answer explanation

Observations play a crucial role in identifying residents who require restorative measures and monitoring the progress of those who are receiving such measures. By observing and documenting the resident's progress, nursing staff can evaluate the effectiveness of the restorative measures and make any necessary adjustments to the resident’s care plan.