Basic Restorative Services Flashcards

Which of the following statements is true about range of motion (ROM) exercises?

Answer: They are often performed during ADLs.

Range of motion (ROM) exercises are often incorporated into daily activities like bathing, dressing, and repositioning to maintain joint flexibility and prevent stiffness. This integration makes ROM exercises a natural part of a resident's routine, promoting consistent movement. They are not primarily for preventing strokes or paralysis, nor do they require a specific high number of repetitions or infrequent performance.

A cane should be used on the ________.

Answer: strong side

A cane should always be used on the strong side of the body to provide maximum support and stability. This allows the stronger leg to bear more weight while the cane assists the weaker side by providing an additional point of balance. Using it on the weak side would not offer adequate support.

What is the branch of medicine that deals with physical medicine and rehabilitation called?

Answer: Physiatry

Physiatry is the specialized branch of medicine focused on physical medicine and rehabilitation. Physiatrists diagnose and treat conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons, aiming to restore function and quality of life. The other options are different medical specialties.

Restorative nursing care is the process of

Answer: Providing care for the needs of the whole person.

Restorative nursing care emphasizes a holistic approach, focusing on the resident's overall well-being and maximizing their functional abilities. It aims to help residents regain or maintain their highest possible level of independence in all aspects of their lives. This includes physical, mental, and social needs, rather than just focusing on limitations or preventing fatigue.

What is the term for a device used to take the place of a missing body part?

Answer: Prosthesis

A prosthesis is an artificial device designed to replace a missing body part, such as a limb, eye, or tooth. Its purpose is to restore function and/or appearance. The other terms listed have different medical meanings.

When walking a resident, a gait or transfer belt is often _________.

Answer: put around the resident’s waist to hold onto the resident

A gait or transfer belt is specifically designed to be placed around the resident's waist, providing a secure and firm grasp point for the nurse aide. This allows the aide to safely assist the resident with standing, walking, or transferring, offering support and preventing falls. It is not worn by the aide for back support or used to position a resident in a wheelchair.

Mr. Lopez is learning to use a walker. What should the nurse aide do?

Answer: Walk behind him, using a gait belt.

When a resident is learning to use a walker, the nurse aide should walk behind them while using a gait belt for safety. This position allows the aide to provide immediate support if the resident loses balance or stumbles, preventing falls. Encouraging them to walk alone or putting padding on the walker are not sufficient safety measures.

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

Answer: On the client’s weak side

When assisting a client recovering from a stroke, the nurse aide should stand on the client's weak side. This position allows the aide to provide direct support to the affected side, helping to maintain balance and prevent falls. Supporting the strong side would be less effective in preventing instability.

Raising the bed to a comfortable position will help prevent

Answer: Back strain

Raising the bed to a comfortable working height is a fundamental principle of good body mechanics for the nurse aide. This prevents the aide from having to bend excessively at the waist, significantly reducing strain on their back. Maintaining proper posture while providing care helps prevent occupational injuries.

An elderly resident who is inactive is at risk for constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation?

Answer: Adequate fluid intake

Adequate fluid intake is crucial for preventing constipation, as it helps to soften stool and promote regular bowel movements. Combined with increased activity and a high-fiber diet, sufficient hydration is a key component of bowel regularity. Low fiber or high protein diets, or frequent snacks, do not directly address the fluid needs for preventing constipation.

Residents who have had a stroke are at risk for a fall because of

Answer: All of the above.

Residents who have experienced a stroke often suffer from a combination of physical and cognitive impairments. These can include difficulty walking (hemiparesis or paralysis), balance problems, and cognitive changes affecting judgment or awareness, all of which significantly increase their risk of falling. Therefore, all these factors contribute to fall risk.

Exercises that can help maintain the movement of joints are called

Answer: Range of motion

Range of motion (ROM) exercises are specifically designed to move a joint through its full extent of movement. These exercises help to maintain joint flexibility, prevent stiffness, and improve circulation. They are essential for residents who have limited mobility to prevent contractures and promote overall physical function.

Which statement about gait belts is NOT true?

Answer: All gait belts have reversible buckles.

Not all gait belts have reversible buckles; their design can vary. However, the other statements are true: gait belts protect both the resident and nurse aide by providing a secure grip, the aide stands behind and on the weak side for support, and a gait belt can indeed help to break or control a fall. Therefore, the statement about all gait belts having reversible buckles is the one that is NOT true.

After Mr. Hall's stroke, his right arm is weak, he should be taught to

Answer: Put his right arm into his shirt first.

When dressing a resident with a weak arm, the general rule is to dress the weak side first. This makes it easier to maneuver the garment over the affected limb without causing discomfort or strain. Undressing follows the opposite rule: remove from the strong side first.

When helping a resident get out of bed, what should a nurse aide do?

Answer: Use good body mechanics.

Using good body mechanics, such as bending at the knees and hips and keeping the back straight, is essential for the nurse aide's safety when helping a resident out of bed. This prevents back strain and injury. Raising the bed too high, keeping side rails up during transfer, or always needing another aide are not universally correct or safe practices for every situation.

Residents who are bedridden face all following risks EXCEPT

Answer: Increased muscle strength

Residents who are bedridden are at risk for numerous complications due to immobility, including calcium loss from bones, blood clots (deep vein thrombosis), and pneumonia (due to decreased lung expansion). However, prolonged inactivity leads to muscle atrophy and weakness, not increased muscle strength. Therefore, increased muscle strength is the risk they do NOT face.

The doctor has ordered physical therapy (PT) for every day of the week. The patient's religion does not permit any activity on Saturday. What should you do when PT arrives on Saturday?

Answer: Tell the nurse so they can call the doctor to change the order.

When a resident's religious beliefs conflict with a doctor's order, the nurse aide's responsibility is to report this to the nurse. The nurse can then communicate with the doctor to find an alternative solution that respects the resident's rights and beliefs while still addressing their medical needs. It is not the aide's role to tell the patient they must follow orders or to make changes to the schedule directly.

Mrs. Wilson is in your facility for rehabilitation after her hip replacement. Her husband wants to help give her a bath and she agrees. What should you say?

Answer: "How sweet! Let me gather everything and we can do it together."

Allowing family members to participate in a resident's care, when the resident agrees, promotes family involvement and can be beneficial for the resident's emotional well-being. The nurse aide should facilitate this by gathering supplies and offering to assist or guide, ensuring the care is done safely and correctly. This approach supports person-centered care and respects family bonds.

Mr. Brown is blind from an industrial accident. How can you help him learn to feed himself?

Answer: All of the above.

For a blind resident, promoting independence in feeding involves multiple strategies. Using a clock face helps them locate food items, telling them where other items are provides orientation, and offering to cut meat or butter bread provides assistance without taking away their agency. All these actions support their ability to feed themselves safely and effectively.

To encourage blood circulation in residents who must remain in bed, you can do all of the following EXCEPT

Answer: Rub the skin vigorously during a bed bath.

Vigorously rubbing a resident's skin, especially during a bed bath, can damage fragile skin, increase the risk of skin breakdown, and impede circulation rather than encourage it. Other methods like back massages, Range of Motion (ROM) exercises, and turning every two hours are appropriate for promoting circulation and preventing complications in bedridden residents.