Certified Nursing Assistant (CNA) Prometric Practice Exam

What should a nurse aide encourage when providing Range of Motion (ROM) exercises to a resident's left upper extremity?

1. Acknowledge any discomfort only after the exercises

2. Ensure the resident takes deep breaths during the exercise

3. Ask the resident to report any discomfort immediately

4. Complete the exercises quickly to avoid fatigue

The correct answer is: Ask the resident to report any discomfort immediately

Encouraging the resident to report any discomfort immediately during Range of Motion (ROM) exercises is essential for several reasons. First and foremost, it allows the nurse aide to monitor the resident's tolerance to the exercises and adjust the technique or intensity accordingly. This proactive approach promotes the resident’s comfort and safety, as immediate feedback can help prevent potential injuries or exacerbation of pain. Additionally, addressing discomfort as it occurs enables the aide to be more responsive to the resident’s specific needs, fostering a better therapeutic relationship and enhancing the overall effectiveness of the exercise program. This practice aligns with person-centered care, which emphasizes respecting the resident's feelings and condition while promoting independence and mobility. Encouraging deep breathing during the exercises is beneficial for relaxation and proper oxygenation, but it does not directly address the resident’s immediate comfort. Similarly, rushing through the exercises could lead to increased discomfort and fatigue, which are not conducive to effective rehabilitation and may discourage the resident from participation. Finally, acknowledging discomfort only after the session does not provide the resident with the opportunity to voice concerns during the process, which could compromise their experience and outcomes.